Maternity week 2 prepU(2021/2022 questions with complete solutions)

The skull is the most important factor in relation to the labor and birth processes. The fetal skull must be small enough to travel through the bony pelvis. What feature of the fetal skull helps to make this passage possible? Molding Caput succedaneum Cephalohematoma Vertex presentation Molding Braxton Hicks contractions are termed "practice contractions" and occur throughout pregnancy. When the woman's body is getting ready to go into labor, it begins to show anticipatory signs of impending labor. Among these signs are Braxton Hicks contractions that are more frequent and stronger in intensity. What differentiates Braxton Hicks contractions from true labor? Braxton Hicks contractions cause "ripening" of the cervix. Braxton Hicks contractions usually decrease in intensity with walking. Braxton Hicks contractions do not last long enough to be true labor. Braxton Hicks contractions get closer together with activity. Braxton Hicks contractions usually decrease in intensity with walking. 00:26 01:16 When going through the transition phase of labor, women often feel out of control. What do women in the transition phase of labor need the most? Just to be left alone Intense nursing care Positive reinforcement Their significant other beside them Positive reinforcement During the second stage of labor, a woman is generally: anxious to have people around her. turning inward to concentrate on body sensations. very aware of activities immediately around her. no longer in need of a support person. turning inward to concentrate on body sensations. A fetus is assessed at 2 cm above the ischial spines. How would the nurse document the fetal station? -2 +4 0 +2 -2 A nurse is performing a vaginal examination of a woman in the early stages of labor. The woman has been at 2 cm dilated for the past 2 hours, but effacement has progressed steadily. Which statement by the nurse would best encourage the client regarding her progress? "There has been no further dilatation; effacement is progressing." "You are still 2 cm dilated, but the cervix is thinning out nicely." "You haven't dilated any further, but hang in there; it will happen eventually." Don't mention anything to the client yet; wait for further dilatation to occur. "You are still 2 cm dilated, but the cervix is thinning out nicely." A nurse is coaching a woman during the second stage of labor. Which action should the nurse encourage the client to do at this time? Begin pushing as soon as the cervix has dilated to 8 cm. Push with contractions and rest between them. Pant while pushing. Hold the breath while pushing during contractions. Push with contractions and rest between them. A student observes during an initial prenatal visit. The student states, "I heard the primary care provider say that the client has a gynecoid pelvis. What does that mean?" The best response by the nurse is: "It is rounded in shape and allows ample room for the neonate to fit through the passageway." "It is elongated, the width is roomy, but the length is narrow." "It is a typical male pelvis. With this type of pelvis, large neonates must be born by cesarean birth although some small neonates are able to be born vaginally." "It is flat and narrow, making it extremely difficult for the neonate to pass through." "It is rounded in shape and allows ample room for the neonate to fit through the passageway." A pregnant client wants to know why the labor of a first-time-pregnant woman usually lasts longer than that of a woman who has already given birth once and is pregnant a second time. What explanation should the nurse offer the client? Contractions are stronger during the first pregnancy than the second. Braxton Hicks contractions are not strong enough during first pregnancy. The cervix takes around 12 to 16 hours to dilate during first pregnancy. Spontaneous rupture of membranes occurs during first pregnancy. The cervix takes around 12 to 16 hours to dilate during first pregnancy. A nurse is caring for a pregnant client in labor in a health care facility. The nurse knows that which sign marks the termination of the first stage of labor in the client? start of regular contractions rupturing of fetal membranes dilation of cervix diameter to 10 cm diffuse abdominal cramping dilation of cervix diameter to 10 cm A pregnant client is admitted to a maternity clinic for birth. Which assessment finding indicates that the client's fetus is in the transverse lie position? Long axis of fetus is at 60° to that of client. Long axis of fetus is perpendicular to that of client. Long axis of fetus is parallel to that of client. Long axis of fetus is at 45° to that of client. Long axis of fetus is perpendicular to that of client. The nurse is determining how often contractions occur measuring from the beginning of the one contraction to the beginning of the next contraction. The nurse documents this finding as: peak. duration. frequency. intensity. frequency.