NUR 242 Exam #2 Review New 2023-2024 /142
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=gynecoid - Quiz :Vaginal birth is most favorable with a ___ type of pelvis
because the inlet is round and the outlet is roomy.
=effacement - Quiz :The thinning out process of the cervix during labor is
termed ___.
=sagittal suture - Quiz :The ___ is located between the parietal bones and
divides the skull into the right and left halves.
=0 - Quiz :___ station is designated when the presenting part is at the level of
the maternal ischial spines.
=Lightening - Quiz :occurs when the fetal presenting part begins to descend
into the maternal pelvis
=sensitization - Quiz :An increase in prostaglandins leads to myometrial ___
and to a reduction in cervical resistance.
=decidua - Quiz :Oxytocin aids in stimulating prostaglandin synthesis through
receptors in the ___.
=passageway - Quiz :The birth ___ is the route through which the fetus must
travel to be birthed vaginally.
=nesting - Quiz :A sudden increase in energy on the part of the expectant
woman 24 to 48 hours before the onset of labor is sometimes referred to as
___.
=molding - Quiz :The elongated shape of the fetal skull at birth as a result of
overlapping of the cranial bones is known as ___.
=gynecoid, android, anthropoid, platypelloid - Quiz :Four types of pelvis
=Frank, Complete, Single Footling, Double Footling - Quiz :Types of breech
positions
,=Engagement - Quiz :Occurs when the greatest transverse diameter of the
head in vertex passes through the pelvic inlet.
=Descent - Quiz :Downward movement of the fetal head until it is within the
pelvic inlet. A maneuver that occurs thought the laboring process.
=Flexion - Quiz :Occurs as the vertex meets resistance from the cervix, walls
of the pelvis, or the pelvic floor.
=Extension - Quiz :The head emerges through extension under the symphysis
pubis, along the shoulders.
=External Rotation - Quiz :Allows the shoulders to rotate internally to fit the
maternal pelvis.
=Latent phase, Active phase, Transition phase, Pelvic phase, Placental
separation, Placental expulsion - Quiz :Phases of labor
=Continue to monitor the client - Quiz :A client in her third trimester of
pregnancy arrives at a health care facility with a report of cramping and low
back pain; she also notes that she is urinating more frequently and that her
breathing has become easier the past few days. Physical examination
conducted by the nurse indicates that the client has edema of the lower
extremities, along with an increase in vaginal discharge. What should the nurse
do next?
=Reduction in cervical resistance; Myometrial contractions; Softening and
thinning of the cervix - Quiz :The assessment of a pregnant client, who is
toward the end of her third trimester, reveals that she has increased
prostaglandin levels. For which factors should the nurse assess the client?
=These contractions help in softening and ripening the cervix - Quiz :A client
experiencing contractions presents at a health care facility. Assessment
conducted by the nurse reveals that the client has been experiencing Braxton
Hicks contractions. The nurse has to educate the client on the usefulness of
Braxton Hicks contractions. Which role do Braxton Hicks contractions pay in
aiding labor?
=The cervix takes around 12 to 16 hours to dilate during first pregnancy - Quiz
:A pregnant client wants to know why the labor of a first time pregnant woman
, usually lasts longer than that of a woman who has already delivered once and
is pregnant a second time. What explanation should the nurse offer?
=It helps to rotate the fetus in a posterior position - Quiz :A pregnant client is
admitted to a maternity clinic for birth. The client wishes to adopt the kneeling
position during labor. The nurse knows that which to be an advantage of
adopting a kneeling position during labor?
=Increase in heart rate; increase in blood pressure; increase in respiratory rate
- Quiz :A nurse is caring for a pregnant client who is in labor. Which maternal
physiologic responses should the nurse monitor for in the client, as the client
progresses through birth?
=Decrease in circulation and perfusion to the fetus - Quiz :A nurse is caring for
a client in labor who is delivering. For which fetal response should the nurse
monitor?
=To constrict the uterine blood vessels - Quiz :A client in the third stage of
labor has experienced placental separation and expulsion. Whys is it necessary
for a nurse to massage the woman's uterus briefly until it is firm?
=Dilation of the cervix diameter to 10 cm - Quiz :A nurse is caring for a
pregnant client in labor in a health care facility. The nurse knows that which
sign marks the termination of the first stage of labor in the client?
=Lower uterine segment distention; Stretching and tearing of structures;
Dilation of the cervix - Quiz :A nurse is caring for a client who is in the first
stage of labor. The client is experiencing extreme pain due to the labor. The
nurse understands which to be causes of the extreme pain in the client?
=Fetal anomalies - Quiz :A pregnant client in labor has to undergo a sonogram
to confirm the fetal position of a shoulder presentation. For which condition
associated with shoulder presentation during a vaginal birth should the nurse
assess?
=Provide the client clear information on all the procedures involved;
Encourage the client to have a sense of mastery and self-control; Encourage
the client to have a positive reaction to pregnancy - Quiz :A nurse is assigned
the task of educating a pregnant client about birth. Which nursing
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