MATERNAL NEWBORN EXAM 3 STUDY GUIDE CH. 16 & 17 2023 NEW SOLUTION

MATERNAL NEWBORN EXAM 3 STUDY GUIDE CH. 16 & 17 2023 NEW SOLUTION The nurse recognizes that a woman is in true labor when she states: A. "I passed some thick, pink mucous when I was urinating this morning" B. "My bag of waters just broke" C. "The contractions in my uterus are getting stronger and closer together" D. "My baby just dropped, and I have to urinate more now" - C. "The contractions in my uterus are getting stronger and closer together" The nurse teaches a pregnant woman about the characteristics of true labor contractions. The nurse evaluates the woman's understanding of the instructions, when she states, "True labor contractions will: A. Subside when I walk around B. Cause discomfort over the top of my uterus C. Continue and get stronger even if I relax and take a shower D. Remain irregular but become stronger - C. Continue and get stronger even if I relax and take a shower When a nulliparous woman telephones the hospital to report that she is in labor, the nurse initially should: A. Tell the woman to stay home until her membranes rupture B. Emphasize that food and fluid intake should stop C. Arrange for the woman to come tot he hospital for a labor evaluation D. Ask the woman to describe why she is in labor - D. Ask the woman to describe why she is in labor What is an expected characteristics of amniotic fluid? A. Deep yellow color B. Pale, straw color with small white particles C. Acidic result on nitrazine test D. Absence of ferning - B. Pale, straw color with small white particles When planning care for a laboring woman who membranes have ruptured, the nurse recognizes that the woman's risk for _______________ has increased. A. Intrauterine infection B. Hemorrhage C. Precipitous labor D. Supine hypotension - A. Intrauterine infection Which action is correct when palpating is used to assess the characteristics and pattern of uterine contractions? A. Place the hand on the abdomen below the bellybutton and palpate uterine tone with the fingertips B. Determine the frequency by timing from the end of one contraction to the end of the next C. Evaluate the intensity by pressing the fingertips into the uterine fundus D. Assess uterine contractions q30mins throughout the first stage of labor - C. Evaluate the intensity by pressing the fingertips into the uterine fundus When assessing a woman in the first stage of labor, the nurse recognizes that the most conclusive sign that uterine contractions are effective would be: A. Dilation of the cervix B. Descent of the fetus C. Rupture of the amniotic fluid D. Increase in bloody show - A. Dilation of the cervix The nurse who performed vaginal examinations to assess a woman's progress in labor should: A. Perform an examination at least Q1HR during the active phase of labor B. Perform the examination with the woman in supine position C. Wear two clean gloves for each examination D. Discuss the findings with the woman and her partner - D. Discuss the findings with the woman and her partner A multiparous woman has been in labor for 8HR. Her membranes have just ruptured. The nurse's initial response would be to: A. Prepare the woman for intermittent birth B. Notify the woman's PCP C. Document the characteristics of the fluid D. Assess the FHR and pattern - D. Assess the FHR and pattern A nulliparous woman who has just begun the second stage of labor would most likely: A. Experience a strong urge to bear down B. Show perineal bulging C. Feel tired yet relieved that the worst is over D. Show an increase in bright red bloody show - C. Feel tired yet relieved that the worst is over The nurse knows that the second stage of labor, the descent phase, has begun when: A. The amniotic fluid membranes rupture B. The cervix cannot be left during a vaginal examination C. The woman experiences a strong urge to bear down D. The presenting part is below the ischial spines - C. The woman experiences a strong urge to bear down When managing the care of a woman in the second stage of labor, the nurse uses various measures to enhance the progress of fetal descent. These measures include: A. Encouraging the woman to try various upright positions, including squatting and standing. Giving positive feedback about her efforts. B. Telling the woman to start pushing as soon as her cervix is fully dilated. C. Stopping the epidural anesthetic so the woman can feel the urge to push and thereby push more effectively D. Coaching the woman to use sustained, 10- to 15-second, closed-glottis bearing-down efforts with each contraction. - A. Encouraging the woman to try various upright positions, including squatting and standing. Giving positive feedback about her efforts. Through vaginal examination the nurse determines that a woman is 4 cm dilated, and the external fetal monitor shows uterine contractions every 3.5 to 4 minutes. The nurse would report this as: A. First stage, latent phase B. First stage, active phase C. First stage, transition phase D. Second stage, latent phase - B. First stage, active phase The most critical nursing action in caring for the newborn immediately after birth is: A. Keeping the newborn's airway clear B. Fostering parent-newborn attachment C. Drying the newborn and wrapping the baby in a blanket D. Administering eye drops and Vitamin K - A. Keeping the newborn's airway clear When assessing a multiparous woman who has just given birth to an 8 lbs boy, the nurse notes that the woman's fundus is firm and has become globular in shape. A gush of dark red blood comes from her vagina. The nurse concludes that: A. The placenta has separated B. A cervical tear occurred during the birth C. The woman is beginning to hemorrhage D. Clots have formed in the upper uterine segment - A. The placenta has separated The nurse expects to administer an oxytocic (e.g., Pitocin, Methergine) to a woman after expulsion of her placenta to: A. Relieve pain. B. Stimulate uterine contraction C. Prevent infection D. Facilitate rest and relaxation. - B. Stimulate uterine contraction After an emergency birth, the nurse encourages the woman to breastfeed her newborn. The primary purpose of this activity is to: A. facilitate maternal-newborn interaction B. Stimulate the uterus to contract