Exam (elaborations)
N164- Sherpath Week 4
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N164- Sherpath Week 4Place the feedback loop events responsible for labor contractions at term in the order of their
expected occurrence.
- The fundus of the uterus contracts.
- The fetal head stretches the cervix.
- The fetal head pushes against the cervix.
- Oxytocin is increasingly secreted. - 1. The fetal head stretches the cervix.
2. The fundus of the uterus contracts.
3. The fetal head pushes against the cervix.
4. Oxytocin is increasingly secreted.
Which premonitory labor sign becomes apparent when changing levels of estrogen and
progesterone cause excretion of some of the extra interstitial fluid that accumulates in body tissue
during pregnancy?
a) "Bloody show"
b) Braxton Hicks contractions
c) A small weight loss of 1 to 3 lb (2.2 to 6.6 kg)
d) Increased clear and nonirritating vaginal secretions - c) A small weight loss of 1 to 3 lb (2.2 to 6.6
kg)
Which physiological event is associated with lightening?
a) The fetus assumes a position lower in the pelvis.
b) The cervix begins to soften, dilate, and efface slightly.
c) Fetal pressure causes congestion of the vaginal mucosa.
d) The extra interstitial fluid that accumulates during pregnancy is excreted. - a) The fetus assumes a
position lower in the pelvis.
--> the fetus descends toward the pelvic inlet
,Which labor assessment finding is indicative of true labor?
a) Cervical effacement and dilatation
b) Mild discomfort felt in the abdomen and pelvis
c) Contractions that subside with increased activity
d) Contractions that are inconsistent in frequency, intensity, and duration - a) Cervical effacement
and dilatation
--> the contractions of true labor cause progressive changes in the cervix
Which pregnant women would be advised to go to the hospital? Select all that apply.
a) A pregnant woman with a decrease in the fetal kick count by half
b) A multipara with regular contractions every 5 minutes for 2 hours
c) A pregnant woman who experiences heavy, bright red bleeding
d) A pregnant woman who reports a pink-tinged mucus discharge
e) A primigravida with regular contractions every 15 minutes for 5 hours - a) A pregnant woman with
a decrease in the fetal kick count by half
b) A multipara with regular contractions every 5 minutes for 2 hours
c) A pregnant woman who experiences heavy, bright red bleeding
Which characteristics describe Braxton Hicks contractions? Select all that apply.
a) Increase with walking
b) Menstrual-like cramping
c) Consistently increase in frequency
d) Are regular and last 40 to 60 seconds
e) Occur every 5 to 25 minutes - b) Menstrual-like cramping
e) Occur every 5 to 25 minutes
A patient reports a feeling of lightness in her abdomen, increasing whitish, thin, and odorless vaginal
discharge, and occasional contractions that go away after an hour or so. Which action would the
nurse take next?
, a) Advise the patient to report to the birthing center.
b) Suggest routine sexual transmitted infection counseling.
c) Call the ambulance because she is experiencing an emergency.
d) Educate the patient on the premonitory signs of labor. - d) Educate the patient on the
premonitory signs of labor.
The nurse understands that which hormonal changes are thought to encourage the onset of labor?
Select all that apply.
a) Rising estrogen counteracts the relaxing effect of progesterone on the uterus.
b) Follicle-stimulating hormone is secreted in large quantities by the anterior pituitary.
c) Prostaglandins are secreted by the fetal membranes preparing the uterus.
d) The fetus secretes cortisol, which may act as an additional uterine stimulant.
e) Thyroid-stimulating hormone is enhanced and helps make the uterus contractile.
f) Oxytocin is secreted by the mother, which causes uterine contractions. - a) Rising estrogen
counteracts the relaxing effect of progesterone on the uterus.
c) Prostaglandins are secreted by the fetal membranes preparing the uterus.
d) The fetus secretes cortisol, which may act as an additional uterine stimulant.
f) Oxytocin is secreted by the mother, which causes uterine contractions.
The nurse recognizes that the patient understands the teaching when she makes which statement?
a) "Premonitory labor signs include rupture of membranes."
b) "I will know I'm in labor when I lose my mucous plug."
c) "Increasing clear vaginal secretions could mean labor will begin soon."
d) "Bright red bleeding is considered bloody show and means labor will begin soon." - c) "Increasing
clear vaginal secretions could mean labor will begin soon."
A woman at 37 weeks gestation calls and reports, "My water broke and I have bloody show. I am
changing my pad every 10 minutes." Which advice would the nurse provide in response?
a) Engage in activity such as walking.
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