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Chapter 15 Nursing Care During Labor and Birth Foundations of Maternal-Newborn & Women's Health $16.13   Add to cart

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Chapter 15 Nursing Care During Labor and Birth Foundations of Maternal-Newborn & Women's Health

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Chapter 15 Nursing Care During Labor and Birth Foundations of Maternal-Newborn & Women's Health

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  • February 2, 2024
  • 22
  • 2023/2024
  • Exam (elaborations)
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Chapter 15: Nursing Care During Labor
and Birth Foundations of Maternal-
Newborn & Women's Health Nursing, 7th
Edition Questions and Correct Answers
The nurse is preparing to perform Leopold's maneuvers. Please select the rationale for the consistent use
of these maneuvers by obstetric providers?

a.

To determine the status of the membranes

b.

To determine cervical dilation and effacement

c.

To determine the best location to assess the fetal heart rate

d.

To determine whether the fetus is in the posterior position - correct answers:c.

To determine the best location to assess the fetal heart rate



Which comfort measure should the nurse utilize in order to enable a laboring woman to relax?

a.

Recommend frequent position changes.

b.

Palpate her filling bladder every 15 minutes.

c.

Offer warm wet cloths to use on the patient's face and neck.

d.

Keep the room lights lit so the patient and her coach can see everything. - correct answers:a.

Recommend frequent position changes.

,Which assessment finding is an indication of hemorrhage in the recently delivered postpartum patient?

a.

Elevated pulse rate

b.

Elevated blood pressure

c.

Firm fundus at the midline

d.

Saturation of two perineal pads in 4 hours - correct answers:a.

Elevated pulse rate



Which intervention is an essential part of nursing care for a laboring patient?

a.

Helping the woman manage the pain

b.

Eliminating the pain associated with labor

c.

Feeling comfortable with the predictable nature of intrapartal care

d.

Sharing personal experiences regarding labor and birth to decrease her anxiety - correct answers:a.

Helping the woman manage the pain



A patient at 40 weeks' gestation should be instructed to go to a hospital or birth center for evaluation
when she experiences

a.

increased fetal movement.

b.

irregular contractions for 1 hour.

c.

, a trickle of fluid from the vagina.

d.

thick pink or dark red vaginal mucus. - correct answers:c.

a trickle of fluid from the vagina.



Which patient at term should proceed to the hospital or birth center the immediately after labor begins?

a.

Gravida 2, para 1, who lives 10 minutes away

b.

Gravida 1, para 0, who lives 40 minutes away

c.

Gravida 2, para 1, whose first labor lasted 16 hours

d.

Gravida 3, para 2, whose longest previous labor was 4 hours - correct answers:d.

Gravida 3, para 2, whose longest previous labor was 4 hours



A woman who is gravida 3, para 2 enters the intrapartum unit. The most important nursing assessments
include

a.

contraction pattern, amount of discomfort, and pregnancy history.

b.

fetal heart rate, maternal vital signs, and the woman's nearness to birth.

c.

last food intake, when labor began, and cultural practices the couple desires.

d.

identification of ruptured membranes, the woman's gravida and para, and access to a support person. -
correct answers:b.

fetal heart rate, maternal vital signs, and the woman's nearness to birth.

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