Chapter 16 Nursing Care During Labor And Delivery EAQ And Lessons Questions And Answers 100% Verified.
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Chapter 16 Nursing Care During Labor and Delivery
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Chapter 16 Nursing Care During Labor And Delivery
Chapter 16 Nursing Care During Labor And Delivery EAQ And Lessons Questions And Answers 100% Verified.
The nurse is assessing a pregnant patient who presents with uterine contractions, which become intense as the patient walks. The nurse provides comfort measures; however, the contract...
Chapter 16 Nursing Care During Labor And
Delivery EAQ And Lessons Questions And
Answers 100% Verified.
The nurse is assessing a pregnant patient who presents with uterine contractions, which
become intense as the patient walks. The nurse provides comfort measures; however,
the contractions continue to radiate from the patient's lower back to her abdomen.
Which further finding does the nurse expect in the patient? Select all that apply. One,
some, or all responses may be correct.
A. Dilation of the cervix
B. Increased urinary frequency
C. Posterior position of the cervix
D. Presenting part of fetus not engaged in pelvis
E. Contractions continue despite the use of comfort measures - correct answer. A,
B, E
Which information is important to obtain when assessing a patient admitted with
ruptured membranes? Select all that apply. One, some, or all responses may be
correct.
A. Odor of fluid
B. Amount of fluid
C. Time of rupture
D. Color of amniotic fluid
E. Activity at time of rupture - correct answer. A, B, C, D
Which test is performed to determine if membranes are ruptured?
A. Urine analysis
B. Fern test
C. Leopold maneuvers
D. Artificial rupture of membranes (AROM) - correct answer. B. Fern test
Which characteristic is associated with false labor contractions?
A. Painful
B. Decrease in intensity with ambulation
C. Regular pattern of frequency established
D. Progressive in terms of intensity and duration - correct answer. B. Decrease in
intensity with ambulation
, After reviewing the laboratory reports of a pregnant patient at term, the primary health
care provider (PHP) advises the nurse to administer intravenous (IV) fluids to the
patient. Which is the reason for this?
A. Dehydration
B. Hypertension
C. Maternal hyperglycemic
D. Preterm labor - correct answer. A. Dehydration
After a pelvic examination of a pregnant woman, the nurse concludes that the patient
may require a forceps-assisted delivery. What pelvic finding would support this
conclusion?
A. Slightly ovoid shaped
B. Moderate depth
C. Blunt ischial spines
D. Subpubic arch is narrow - correct answer. D. Subpubic arch is narrow
A patient sustained a first-degree laceration during childbirth. Which physical finding
should the nurse infer from this?
A. The laceration also involves the anterior rectal wall.
B. The laceration continues through the anal sphincter muscle.
C. The laceration extends through muscles of the perineal body.
D. The laceration extends through the skin and structures superficial to muscles. -
correct answer. D. The laceration extends through the skin and structures superficial
to muscles.
Which is the most significant finding in a urinalysis for a patient with preeclampsia?
A. Protein
B. Ketones
C. Glucose
D. Leukocytes - correct answer. A. Protein
When managing the care of a patient in the second stage of labor, the nurse uses
various measures to enhance the progress of fetal descent. Which measure does the
nurse include?
A. Encouraging the woman to try various upright positions, including squatting and
standing
B. Telling the woman to start pushing as soon as her cervix is fully dilated
C. Continuing an epidural anesthetic so that pain is reduced, and the woman can relax
D. Coaching the woman to use sustained, 10- to 15-second, closed-glottis bearing-
down efforts with each contraction - correct answer. A. Encouraging the woman to
try various upright positions, including squatting and standing
Under which circumstance should a vaginal examination be performed by the nurse?
Select all that apply. One, some, or all responses may be correct.
A. An admission to the hospital at the start of labor
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