1. The 14-year-old pregnant adolescent arrives at the hospital in early labor.
The nurse knows that because the adolescent is still growing herself, she
is at greater risk for: cephalopelvic disproportion.
2. A woman who is about 2 weeks before her due date tells the nurse that
the baby has dropped and she is having urinary frequency again. The
nurse assesses this as: lightening
3. Braxton-Hicks contractions that may begin in the first trimester and
become increasingly stronger during the pregnancy differ from labor
contractions in that they: do not dilate the cervix.
4. refers to the sensation that a pregnant woman feels
when the baby drops. This is the time when the presenting (lowermost)
part of the fetus descends into the maternal pelvis.: Lightening
5. are intermittent weak
,contrac- tions of the uterus occurring during pregnancy.: Braxton-Hicks
Contractions
6. The nurse helps to differentiate false from true labor in that with
true labor: contractions get stronger with ambulation.
7. Contractions get stronger with ambulation with .:
true labor
8. pelvis is divided into two parts, the false and true pelvis. The nurse
explains that the size of the true pelvis is most important because: the fetal
head must pass through this part.
9. The relationship of fetal body parts to one another during labor is
called fetal attitude. The nurse explains why the ideal attitude for the fetal
body is
.: flexion
10. The relationship of fetal body parts to one another during labor is
called fetal attitude. The nurse explains why the ideal attitude for the fetal
,body
is: flexion
11.The ideal attitude for the fetal body is .: flexion
12.The nurse clarifies that the type of monitor that will assess the intensity
of the contractions is a(n): internal monitor.
13.The nurse observing the fetal heart monitor recognizes the fetal heart
rate (FHR) decreases to 120 beats per minute at the beginning of a
contraction and returns to baseline 155 beats per minute at the end of the
contraction. This indicates: early deceleration due to head compression.
14.The first-time mother has been told by the nurse that the first stage of
labor is the longest. An appropriate nursing intervention for comfort during
this time would be: a backrub in the sacral area.
15.
ackache in the sacral area is a common complaint during the
of labor.: first stage
, 16.The nurse monitoring the FHR assesses there are indications that the
FHR is nonreassuring. This indicates to the nurse that the fetus is
experiencing fetal distress probably related to: hypoxia
17.Fetal distress resulting from is indicated by nonreassuring
FHR.: hypoxia
18.A mother is admitted in active labor. The nurse assesses the FHR at 124
beats per minute; and based on that assessment the nurse will: reassure
the mother the rate is normal.
19.The client's membranes have just ruptured. The nurse is with her
and knows that the first thing that must be done is to: check the FHR.
20.The should be assessed immediately after rupture of the
membranes to assure the well-being of the baby.: FHR
21.The client arrives at the hospital and is not sure if she is in true labor.
The nurse does an assessment and assures her she is in true labor
because: there is cervical dilatation.
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