Labor and Delivery (Maternity)- NCLEX
Approved Questions and Answers |100%
Correct| 2024/2025 Latest Version
What is the primary purpose of assessing the fetal heart rate during labor?
To identify signs of fetal distress and ensure the fetus is tolerating labor well.
Which maternal positio...
Labor and Delivery (Maternity)- NCLEX
Approved Questions and Answers |100%
Correct| 2024/2025 Latest Version
What is the primary purpose of assessing the fetal heart rate during labor?
To identify signs of fetal distress and ensure the fetus is tolerating labor well.
Which maternal position is most beneficial during the first stage of labor to enhance fetal
oxygenation?
Side-lying position, as it promotes uterine perfusion and reduces pressure on major blood
vessels.
How does the nurse determine if a laboring woman is in the active phase of labor?
By assessing cervical dilation, which should be between 6 to 10 cm during this phase.
What is the most common indication for performing an episiotomy during delivery?
To facilitate a vaginal delivery when there is a risk of severe perineal tearing.
What intervention is most appropriate for a patient experiencing back labor?
Encouraging the use of counter-pressure on the lower back during contractions to alleviate
discomfort.
1
,Which complication should the nurse monitor for in a patient receiving oxytocin (Pitocin) for
labor induction?
Uterine hyperstimulation, which can lead to fetal distress and uterine rupture.
What assessment finding would indicate the need for immediate intervention in a laboring
woman?
A sudden decrease in fetal heart rate variability or a significant drop in fetal heart rate.
How should the nurse assist a woman who is experiencing a premature rupture of membranes
(PROM)?
By monitoring for signs of infection and advising the patient to avoid vaginal examinations.
What is the importance of fetal monitoring during labor?
To detect early signs of fetal distress and allow for timely interventions.
In the context of labor, what does "station" refer to?
The position of the fetal presenting part in relation to the ischial spines of the maternal
pelvis.
What are the expected characteristics of normal amniotic fluid?
Clear or slightly cloudy, with no strong odor, and a volume of approximately 500 to 1000
mL.
2
, What nursing action is essential after a patient receives an epidural block for labor pain
management?
Monitoring vital signs, particularly blood pressure, to detect potential hypotension.
How can the nurse support a laboring woman who desires a natural childbirth experience?
By providing continuous emotional support, encouragement, and pain management
techniques such as breathing exercises.
What does a "complete" cervical dilation mean in the context of labor?
Cervical dilation of 10 cm, allowing for the descent of the fetus through the birth canal.
What should be included in the assessment of uterine contractions?
Frequency, duration, intensity, and the resting tone of the uterus between contractions.
What is a potential complication of prolonged labor for both the mother and fetus?
Increased risk of infection, maternal exhaustion, and fetal distress due to prolonged pressure
on the umbilical cord.
What is the primary goal of the second stage of labor?
To assist the mother in effectively pushing the fetus out through the birth canal.
What nursing action is essential when a patient is in the transition phase of labor?
3
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