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Ch 7 Davis Advantage Maternity Nursing questions & answers.
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Ch 7 Davis Advantage Maternity Nursingquestions & answers.
Mariah is in active labor and being continuously monitored. FHR is 120 with moderate variability and
contractions every 3 to 5 minutes. The nurse also notes decelerations that begin and end with the
contractions. What is the appropriate nursing action to address these decelerations?
Turn the patient left lateral and apply oxygen via facemask at 10 L/min to improve the variability.
Notify the provider the patient has a category III strip and needs an emergency cesarean section.
Reassure the patient and her support persons that she and the baby are doing well.
Perform full intrauterine resuscitation by turning patient to the side, applying oxygen at 8 to 10 L/min,
bolusing 500 mL IV fluid, and stopping any oxytocin infusion. ANS - Reassure the patient and her
support persons that she and the baby are doing well.
Which of the following statements about labor and delivery are true? Select all that apply.
Every labor and delivery is different.
Once labor starts, the uterus does not completely relax again until after delivery.
If the fetus is not in a favorable position, the provider may attempt to turn them externally.
True labor can be defined as cervical change.
Spontaneous rupture of membranes (SROM) does not occur until the fetus is about to be delivered.
ANS - Every labor and delivery is different.
If the fetus is not in a favorable position, the provider may attempt to turn them externally.
True labor can be defined as cervical change.
Susan is 40 weeks 3 days pregnant and has come to OB triage for an assessment of labor. On the
monitor, FHR is 145 with moderate variability, and contractions are every 2 to 3 minutes lasting 60 to 90
seconds. Her abdomen palpates as mild to moderate during contractions. Her cervix is 2 cm dilated, 50%
effaced, and the fetus is at -2 station. Which part of this assessment is not an expected finding for this
stage of labor?
FHR 145 with moderate variability.
Contractions every 2 to 3 minutes lasting 60 to 90 seconds.
, 2 cm dilated, 50% effaced, -2 station.
Abdomen palpates as mild to moderate during contractions. ANS - Contractions every 2 to 3 minutes
lasting 60 to 90 seconds.
Fetal attitude is _________________________.
The relationship of fetal body parts to each other.
The relationship of the fetal long axis, or spine, to the maternal long axis, or spine.
The fetal part that that enters the birth canal first.
The level of the presenting part in relation to the maternal pelvis. ANS - The relationship of fetal body
parts to each other.
Marna is a term G3P1102 patient who was admitted to labor and delivery in active labor a few hours
ago. Her NST in OB triage before admittance showed a FHR of 150 with moderate variability and an
occasional early deceleration. Her contractions are lasting 40 to 60 seconds every 2 to 4 minutes. Her
membranes ruptured 16 hours ago at home, and she didn't begin to contract until an hour ago.
Otherwise, her labor has been uncomplicated. Why is the provider ordering continuous fetal monitoring
and not intermittent auscultation for Marna?
She has a history of a preterm delivery according to her GTPAL.
FHR 150 with moderate variability and an occasional early deceleration.
Her membranes ruptured 16 hours ago before the onset of labor.
Her contractions are lasting 40 to 60 seconds every 2 to 4 minutes. ANS - Her membranes ruptured 16
hours ago before the onset of labor.
Which of the following statements about electronic fetal monitoring (EFM) is not true?
EFM has reduced the cesarean rate in healthy pregnancies since its introduction.
EFM can indicate the beginning of the second stage of labor.
EFM can indicate fetal sleep/wake cycles.
EFM can indicate a tight nuchal cord (cord wrapped around the fetal neck). ANS - EFM has reduced the
cesarean rate in healthy pregnancies since its introduction.
Aimee is a G1P001 at 38 weeks 3 days who has been in labor for 23 hours. She is now 7 cm dilated, 80%
effaced, and the infant is at zero station. Over the last 2 hours, her strip has begun to resemble this FHR
pattern. What orders should the nurse anticipate? (Strip has many decelerations)
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