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28 Cards in this Set
- Front
- Back
a new mother asks the nurse when the "soft spot" on her son's head will go away. the nurse's answer is based on the knowledge that the anterior fontanel closes after birth by _____ months. * |
18 |
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when assessing a woman in labor, the nurse is aware that the relationship of the fetal body parts to one another is called fetal:* |
Attitude |
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when assessing the fetus using Leopold maneuvers, the nurse feels a round, movable fetal part in the fundal portion of the uterus and a long, smooth surface in the mother's right side close to midline. What is the likely position of the fetus? |
RSA |
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the nurse has received report regarding her patient in labor. the woman's last vaginal examination was as 3 cm, 30%, and ?2-2. the nurse's interpretation of the assessment is that* |
the cervix is 3 cm dilated, it is effaced 30%, and the presenting part is 2 cm above the ischial spines |
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to care for a laboring woman adequately, the nurse understands that the ______ stage of labor varies the most in length* |
first |
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the nurse would expect which maternal cardiovascular finding during labor* |
increased cardiac output |
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the factors that affect the process of labor and birth, known commonly as the five P's, include all except* |
pressure |
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the slight overlapping of cranial bones or shaping of the fetal head during labor is called* |
molding |
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which presentation is described accurately in terms of both presenting part and frequency of occurrence |
cephalic: occiput; at least 95% |
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with regard to factors that affect how the fetus moves through the birth canal nurses should be aware that* |
the normal attitude of the fetus is called general flexion |
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as relates to fetal positioning during labor, nurses should be aware that |
birth is imminent when the presenting part is at +4 to +5 cm below the spine |
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which basic type of pelvis includes the correct description and percentage of occurrence in women |
platypelloid: flattened, wide, shallow; 3% |
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in relation to primary and secondary powers, the maternity nurse comprehends that |
primary powers are responsible for effacement and dilation of the cervix |
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while providing care to a patient in active labor, the nurse should instruct the woman that |
frequent changes in position will help relieve her fatigue and increase her comfort |
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which description of the four stages of labor is correct for both definition and duration |
first stage: onset of regular uterine contractions to full dilation; less than 1 hour to 20 hours |
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with regard to the turns and other adjustments of the fetus during the birth process, known as the mechanism of labor, nurses should be aware that |
the effects of the forces determining descent are modified by the shape of the woman's pelvis and the size of the fetal head |
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in order to evaluate the condition of the patient accurately during labor, the nurse should be aware that |
the endogenous endorphins released during labor will raise the woman's pain threshold and produce sedation |
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the maternity nurse understands that as the uterus contracts during labor, maternal- fetal exchange of oxygen and waste products |
diminishes as the spiral arteries are compressed |
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which statement is the best rationale for assessing maternal vital signs between contractions* |
maternal circulating blood volume increases temporarily during contraction |
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in order to care for obstetric patients adequately, the nurse understands that labor contractions facilitate cervical dilation by |
pulling the cervix over the fetus and amniotic sac |
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to teach patients about the process of labor adequately, the nurse knows that which event is the best indicator of true labor* |
cervical dilation and effacement |
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which occurrence is associated with cervical dilation and effacement* |
bloody show |
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the primary difference between the labor of a nullipara and that a multipara is the * |
total duration of labor |
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a primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum unit. the fetal heart rate has been normal. contractions are 5 to 9 minutes apart, 20 to 30 seconds in duration, and of mild intensity. cervical dilation is 1 to 2 cm and uneffaced ( unchanged from admission). membranes are intact. the nurse should expect the woman to be* |
discharged home to await the onset of true labor |
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which nursing assessment indicates that a woman who is second-stage labor is almost ready to give birth |
the vulva bulges and encircles the fetal head |
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signs that precede labor include (select all the apply)* |
lightening bloody show rupture of membranes |
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which factors influence cervical dilation (select all that apply) |
strong uterine contractions
the force of the presenting fetal part against the cervix the pressure applied by the amniotic sac scarring of the cervix |
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a. flexion e. engagement b. internal rotation f. descent c. external rotation g. extension d. expulsion one two three four five six seven |
one (E) two (F) three (A) four (B) five (G) six (C) seven (D) |