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OB Exam 3 8-11 Already Graded A+ Childbirth Education and Nursing Care Signs of Impending Labor - Question: During a childbirth education class, which statement made by a participant indicates the need for further clarification? - A: "As labor gets closer, I might experience a sudden burst of...

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  • August 20, 2024
  • 61
  • 2024/2025
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OB Exam 3 8-11 Already Graded A+
Childbirth Education and Nursing Care



Signs of Impending Labor

- Question: During a childbirth education class, which statement made by a participant indicates the
need for further clarification?

- A: "As labor gets closer, I might experience a sudden burst of energy or 'nesting' instinct."

- B: "I might find it harder to breathe as my baby gets larger near my due date." ✔️

- C: "It's common to have warm-up contractions that aren't painful before real labor starts."

- D: "I may notice increased discomfort in my lower back and hips."



Increased Vaginal Discharge and Urinary Frequency

- Question: A 39-week pregnant client reports increased vaginal discharge and urinary frequency. What
should the nurse explain?

- A: "This could indicate a urinary tract infection."

- B: "These are signs of labor approaching." ✔️

- C: "You should use a vaginal douche to manage the mucus discharge."

- D: "The baby will noticeably move less as labor nears."



Assessing Contractions

- Question: A pregnant woman feels her contractions are very strong. Upon palpation, the nurse finds
the uterus hard to indent. How should the contractions be documented?

- A: Weak

- B: Moderate ✔️

- C: Strong

- D: Intractable



Improving Fetal Oxygenation in Second Stage Labor

,- Question: To improve fetal oxygenation and reduce maternal fatigue during the second stage of labor,
what should the nurse instruct?

- A: "Take deep breaths using the nitrous oxide mask before pushing."

- B: "Use pant-blow breathing at the peak of contractions."

- C: "Engage in the Valsalva maneuver as directed during pushing."

- D: "Begin pushing efforts only when you feel a strong urge." ✔️



Fetal Position Charting

- Question: Upon examination, the nurse finds the infant's anterior fontanel positioned to the back left
side of the maternal pelvis. How should this be recorded?

- A: ROA ✔️

- B: LOA

- C: ROP

- D: LOP



Impact of Anxiety on Labor Experience

- Question: Regarding a pregnant woman's anxiety about labor, which statement is recognized by the
nurse?

- A: "Anxiety may increase pain perception but doesn't affect labor itself."

- B: "Women with painful labors learn from the experience and feel less anxious the second time due to
familiarity."

- C: "High levels of anxiety can heighten pain and stress, making uterine contractions less effective."
✔️

- D: "Continuous support in labor reduces anxiety but doesn’t impact pain perception."



Response to a Young Client's Pain Concerns

- Question: A 16-year-old client being induced expresses fear about labor pain. What is the best
response from the nurse?

- A: "Since you're under 18, your mother will decide what pain management is best for you."

- B: "You should get an epidural; it will eliminate all pain but make pushing harder."

, - C: "There are various pharmacological and non-pharmacological pain relief options; I can explain their
pros and cons to you." ✔️

- D: "Childbirth classes can offer insight into pain relief options. Did you attend any?"



Nursing Interventions After Membrane Rupture

- Question: For a client in active labor who experiences spontaneous rupture of membranes, what
nursing interventions should be prioritized?

- A: Document the assessment findings and the time of rupture. 3

- B: Assess the color, odor, and amount of fluid. 2

- C: Check the fetal heart rate. 1

- D: Inform the physician about the rupture and labor status. 4 ✔️



Assisting Labor Progression

- Question: To aid the progression of a client in the first stage of labor, what should the nurse
recommend?

- A: Change positions and sit upright ✔️

- B: Remain in a side-lying position only

- C: Opt for an epidural as soon as possible for relaxation

- D: Limit visitors to promote rest



Signs After Delivery of Newborn

- Question: After delivering a term newborn, the mother feels a strong urge to push and experiences a
gush of blood. What does the nurse interpret this as?

- A: Indicating the placenta is about to deliver ✔️

- B: The formation of a vaginal hematoma

- C: Necessity for a cervical exam

- D: Signs of postpartum hemorrhage



Administering IV Oxytocin Post-Placenta Delivery

, - Question: After the placenta delivery, the nurse prepares to administer IV oxytocin. If the client asks
about the medication's purpose, what is the best response?

- A: "To enhance labor contractions."

- B: "To aid in the let-down reflex for breastfeeding."

- C: "To prevent hemorrhage after childbirth." ✔️

- D: "To alleviate cramping and pain post-delivery."



Monitoring Complications During Oxytocin Augmentation

- Question: While caring for a client receiving oxytocin for augmentation, what potential complications
should the nurse monitor for? (Select all that apply)

- A: Tachysystole ✔️

- B: Late decelerations on the fetal monitor ✔️

- C: Episodic accelerations

- D: Uterine rupture ✔️

- E: Maternal edema ✔️



Activities Not to Delegate to the Doula

- Question: While working with a labor doula, which task should not be assigned to her?

- A: Helping the woman walk in the hallway

- B: Listening to fetal heart tones while the woman is in the whirlpool ✔️

- C: Applying heat or cold to the woman’s lower back

- D: Supporting the woman’s birth plan



The nurse midwife performs Leopold's Maneuvers to determine fetal positioning in the womb. which
can the midwife determine by palpating the woman's fundus?

A: If the fetus is breech or vertex

B: The location of the back and fetal small parts

C: The fetal presenting part

D: The location of the cephalic prominence ✔️A

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