Mater
nalHeal
thNur
singTestPr
epar
ati
on
2022
An
swe
rKe
y
Qu
est
ion1Seefullquestion
Apregna
ntc l
ientarr
iv
esa tthehealt
hc a
refaci
li
ty,
stati
ngthat
he
rb e
dlinenswe rewetwh enshewok eupthi
smor ni
ng .
She
sa
ysn ofl
uidisleaki
ngbu tcomp l
ai
nsofmi l
da b
domina l
cr
amp sandlowe rbac
kd i
s c
omf or
t.Vagi
nalexaminat
ionreveal
s
ce
rvi
caldi
lati
onof3c m, 100%e ff
aceme n
t,andposi
tivefer
nin
g.
Base
dont hesefindi
ngs,thenurseconclu
desthatthecli
entis
i
nwh i
chpha seofthefi
rststageoflabor
?
Yo
uSe
lec
ted
:
L
ate
ntp
has
e
Co
rre
ctr
esp
ons
e:
L
ate
ntp
has
e
,E
xpl
ana
tio
n:
Thelat
entphaseofthefirststageoflaborisa s
s oci
atedwith
i
rregul
ar,
short
,mildcontracti
ons;cerv
icaldil
a t
ionof3t o4c m;
andabdominalcra
mp sorl owerbackd i
scomf ort.Dur
ingthe
acti
vephase,
thec er
vixd i
l
a t
esto7c ma n
dmod e r
ate
lyint
ense
contr
acti
onsof40to5 0s econds'dura
tionocc urevery2to5
minute
s.Feta
ldesce n
tc onti
nuesthroughoutthea cti
vep h
ase
andint
othetransi
ti
ona l
p hase,whenthec erv
ixd il
ate
sf r
om8t o
10cma ndint
ensec ontr
a ct
ionsof45t o60s econ ds'
d u
rati
on
occurever
y1½t o2mi nutes.Thefi
rststageofl abordoesn'
t
i
n c
ludeanexpul
s i
veph ase.
Re
med
iat
ion
:
Qu
est
ion2Seefullquestion
Whic
hbehavi
orshoul
dca
usethenu
rsetosu
spectth
ata
cl
i
ent'
slab
orismovin
gqui
ckl
yandtha
tthephy
sici
an
sh
ouldbenot
ifi
ed?
Yo
uSe
lec
ted
:
Ani
ncr
eas
einf
eta
lhe
artr
atev
ari
abi
l
it
y
Co
rre
ctr
esp
ons
e:
Ani
ncr
eas
eds
ens
eofr
ect
alp
res
sur
e
E
xpl
ana
tio
n:
Ani
ncre
asedsen
seofre
ctal
pres
surei
ndi
cat
esth
atthec
li
enti
s
mov
ingint
oth
es e
condst
ageofl
abor.
Thenur
seshou
ldbeabl
e
,t
odi
sce
rnt
hati
nfor
mat
ionb
yth
ecl
i
ent
'
s
, b
ehavi
or.
Contr
acti
onsdon'
tdecr
easei
nint
ensi
ty
,the
re
i
sn'
tachang
einfet
alhe
a r
trat
evari
abi
l
it
y,andnau
seaand
v
omiti
ngdon'
tusu
all
yoccur
.
Re
med
iat
ion
:
Qu
est
ion3Seefullquestion
Acli
e n
ttel
lsan urset
h a
tsh e
'sinan ontr
adi
ti
onalsa
me -
se
xr el
ati
on s
h i
p.Thewoma n'spartneri
stheheal
thcar
e
su
rrogateforthecl
ientandhe rfe
tus.Thesper
md onor
,
whoisthei
rb estfr
ien
d ,
haswa i
vedpa r
ent
alr
ight
s.I
fthe
cl
i
en tcan'
tma kehealt
hc a
red eci
sionsfort
hefet
us,who'
s
r
espon s
ibl
ef ormakingthem?
Yo
uSe
lec
ted
:
Th
ecl
i
ent
'
spa
rtn
er
Co
rre
ctr
esp
ons
e:
Th
ecl
i
ent
'
spa
rtn
er
E
xpl
ana
tio
n:
Re
med
iat
ion
:
Qu
est
ion4Seefullquestion
Thec
ervi
xofa15-y
ear
-ol
dprimig
ravi
dcli
entadmi
tte
dt o
th
elaborar
eais2c md il
atedand5 0%e f
face
d.He r
membran
esarein
tact
,andc ontr
act
ion
sa reoccurr
ing
nalHeal
thNur
singTestPr
epar
ati
on
2022
An
swe
rKe
y
Qu
est
ion1Seefullquestion
Apregna
ntc l
ientarr
iv
esa tthehealt
hc a
refaci
li
ty,
stati
ngthat
he
rb e
dlinenswe rewetwh enshewok eupthi
smor ni
ng .
She
sa
ysn ofl
uidisleaki
ngbu tcomp l
ai
nsofmi l
da b
domina l
cr
amp sandlowe rbac
kd i
s c
omf or
t.Vagi
nalexaminat
ionreveal
s
ce
rvi
caldi
lati
onof3c m, 100%e ff
aceme n
t,andposi
tivefer
nin
g.
Base
dont hesefindi
ngs,thenurseconclu
desthatthecli
entis
i
nwh i
chpha seofthefi
rststageoflabor
?
Yo
uSe
lec
ted
:
L
ate
ntp
has
e
Co
rre
ctr
esp
ons
e:
L
ate
ntp
has
e
,E
xpl
ana
tio
n:
Thelat
entphaseofthefirststageoflaborisa s
s oci
atedwith
i
rregul
ar,
short
,mildcontracti
ons;cerv
icaldil
a t
ionof3t o4c m;
andabdominalcra
mp sorl owerbackd i
scomf ort.Dur
ingthe
acti
vephase,
thec er
vixd i
l
a t
esto7c ma n
dmod e r
ate
lyint
ense
contr
acti
onsof40to5 0s econds'dura
tionocc urevery2to5
minute
s.Feta
ldesce n
tc onti
nuesthroughoutthea cti
vep h
ase
andint
othetransi
ti
ona l
p hase,whenthec erv
ixd il
ate
sf r
om8t o
10cma ndint
ensec ontr
a ct
ionsof45t o60s econ ds'
d u
rati
on
occurever
y1½t o2mi nutes.Thefi
rststageofl abordoesn'
t
i
n c
ludeanexpul
s i
veph ase.
Re
med
iat
ion
:
Qu
est
ion2Seefullquestion
Whic
hbehavi
orshoul
dca
usethenu
rsetosu
spectth
ata
cl
i
ent'
slab
orismovin
gqui
ckl
yandtha
tthephy
sici
an
sh
ouldbenot
ifi
ed?
Yo
uSe
lec
ted
:
Ani
ncr
eas
einf
eta
lhe
artr
atev
ari
abi
l
it
y
Co
rre
ctr
esp
ons
e:
Ani
ncr
eas
eds
ens
eofr
ect
alp
res
sur
e
E
xpl
ana
tio
n:
Ani
ncre
asedsen
seofre
ctal
pres
surei
ndi
cat
esth
atthec
li
enti
s
mov
ingint
oth
es e
condst
ageofl
abor.
Thenur
seshou
ldbeabl
e
,t
odi
sce
rnt
hati
nfor
mat
ionb
yth
ecl
i
ent
'
s
, b
ehavi
or.
Contr
acti
onsdon'
tdecr
easei
nint
ensi
ty
,the
re
i
sn'
tachang
einfet
alhe
a r
trat
evari
abi
l
it
y,andnau
seaand
v
omiti
ngdon'
tusu
all
yoccur
.
Re
med
iat
ion
:
Qu
est
ion3Seefullquestion
Acli
e n
ttel
lsan urset
h a
tsh e
'sinan ontr
adi
ti
onalsa
me -
se
xr el
ati
on s
h i
p.Thewoma n'spartneri
stheheal
thcar
e
su
rrogateforthecl
ientandhe rfe
tus.Thesper
md onor
,
whoisthei
rb estfr
ien
d ,
haswa i
vedpa r
ent
alr
ight
s.I
fthe
cl
i
en tcan'
tma kehealt
hc a
red eci
sionsfort
hefet
us,who'
s
r
espon s
ibl
ef ormakingthem?
Yo
uSe
lec
ted
:
Th
ecl
i
ent
'
spa
rtn
er
Co
rre
ctr
esp
ons
e:
Th
ecl
i
ent
'
spa
rtn
er
E
xpl
ana
tio
n:
Re
med
iat
ion
:
Qu
est
ion4Seefullquestion
Thec
ervi
xofa15-y
ear
-ol
dprimig
ravi
dcli
entadmi
tte
dt o
th
elaborar
eais2c md il
atedand5 0%e f
face
d.He r
membran
esarein
tact
,andc ontr
act
ion
sa reoccurr
ing
