NURSING CARE OF THE FAMILY DURING
LABOUR AND BIRTH LOWDERMILK
CHAPTER 19 TEST EXAM
A multiparous woman has been in labor for 8 hours.
Her membranes have just ruptured. What is the
nurses highest priority in this situation?
a.
Prepare the woman for imminent birth.
b.
Notify the womans primary health care provider.
c.
,Document the characteristics of the fluid.
d.
Assess the fetal heart rate (FHR) and pattern. -
answer-d
(The umbilical cord may prolapse when the
membranes rupture. The FHR and pattern should be
closely monitored for several minutes immediately
after the ROM to ascertain fetal well-being, and the
findings should be documented. The ROM may
increase the intensity and frequency of the uterine
contractions, but it does not indicate that birth is
imminent. The nurse may notify the primary health
care provider after ROM occurs and the fetal well-
being and response to ROM have been assessed. 1.
Which statement by the client will assist the nurse in
determining whether she is in true labor as opposed
to false labor?
,a.
I passed some thick, pink mucus when I urinated this
morning.
b.
My bag of waters just broke.
c.
The contractions in my uterus are getting stronger
and closer together.
d.
My baby dropped, and I have to urinate more
frequently now. - answer-C
, (Regular, strong contractions with the presence of
cervical change indicate that the woman is
experiencing true labor. The loss of the mucous plug
(operculum) often occurs during the first stage of
labor or before the onset of labor, but it is not the
indicator of true labor. Spontaneous rupture of
membranes (ROM) often occurs during the first stage
of labor, but it is not the indicator of true labor. The
presenting part of the fetus typically becomes
engaged in the pelvis at the onset of labor, but this is
not the indicator of true labor.)
2. When a nulliparous woman telephones the hospital
to report that she is in labor, what guidance should
the nurse provide or information should the nurse
obtain?
a.
LABOUR AND BIRTH LOWDERMILK
CHAPTER 19 TEST EXAM
A multiparous woman has been in labor for 8 hours.
Her membranes have just ruptured. What is the
nurses highest priority in this situation?
a.
Prepare the woman for imminent birth.
b.
Notify the womans primary health care provider.
c.
,Document the characteristics of the fluid.
d.
Assess the fetal heart rate (FHR) and pattern. -
answer-d
(The umbilical cord may prolapse when the
membranes rupture. The FHR and pattern should be
closely monitored for several minutes immediately
after the ROM to ascertain fetal well-being, and the
findings should be documented. The ROM may
increase the intensity and frequency of the uterine
contractions, but it does not indicate that birth is
imminent. The nurse may notify the primary health
care provider after ROM occurs and the fetal well-
being and response to ROM have been assessed. 1.
Which statement by the client will assist the nurse in
determining whether she is in true labor as opposed
to false labor?
,a.
I passed some thick, pink mucus when I urinated this
morning.
b.
My bag of waters just broke.
c.
The contractions in my uterus are getting stronger
and closer together.
d.
My baby dropped, and I have to urinate more
frequently now. - answer-C
, (Regular, strong contractions with the presence of
cervical change indicate that the woman is
experiencing true labor. The loss of the mucous plug
(operculum) often occurs during the first stage of
labor or before the onset of labor, but it is not the
indicator of true labor. Spontaneous rupture of
membranes (ROM) often occurs during the first stage
of labor, but it is not the indicator of true labor. The
presenting part of the fetus typically becomes
engaged in the pelvis at the onset of labor, but this is
not the indicator of true labor.)
2. When a nulliparous woman telephones the hospital
to report that she is in labor, what guidance should
the nurse provide or information should the nurse
obtain?
a.
