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Having a fixed meal schedule will provide the woman and the fetus with a
steady blood sugar level, provide a good balance with insulin administration,
and help prevent complications.
Having a fixed meal schedule is more important than the equal division of
food intake. Approximately 45% of the food eaten should be in the form
of carbohydrates.
Which statement related to the induction of labor is most accurate?
b. Is also known as a trial of labor (TOL)
c. Is almost always performed for medical reasons
d. Is rated for viability by a Bishop score
Induction of labor is likely to be more successful with a Bishop score of 9 or
higher for first-time mothers or 5 or higher for veterans. A TOL is the observance
of a woman and her fetus for several hours of active labor to assess the safety of
vaginal birth. Two thirds of cases of induced labor are elective and not done for
medical reasons.
16. The exact cause of preterm labor is unknown but believed to be multifactorial.
Infection is thought to be a major factor in many preterm labors. Which type of
infection has not been linked to preterm birth?
NURSING 315 Test Exam Questions and Answers
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,NURSING 315 Test Exam Questions and Answers
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a. Viral
b. Periodontal
c. Cervical
d. Urinary tract
Infections that increase the risk of preterm labor and birth are bacterial and
include cervical, urinary tract, periodontal, and other bacterial infections. Recent
evidence has shown a link between periodontal infections and preterm labor.
A woman at 26 weeks of gestation is being assessed to determine whether she is
experiencing preterm labor. Which finding indicates that preterm labor is
occurring?
c. Fetal fibronectin is present in vaginal secretions.
d. The cervix is effacing and dilated to 2 cm.
Cervical changes such as shortened endocervical length, effacement, and dilation
are predictors of imminent preterm labor. The presence of fetal fibronectin in
vaginal secretions between 24 and 36 weeks of gestation could predict preterm
labor, but it has only a 20% to 40% positive predictive value. Of more importance
NURSING 315 Test Exam Questions and Answers
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,NURSING 315 Test Exam Questions and Answers
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are other physiologic clues of preterm labor such as cervical changes.
Which statement regarding the postpartum uterus is correct?
b After 2 weeks postpartum, it should be abdominally
. nonpalpable.
d. Postpartum uterus returns to its original (prepregnancy) size by 6 weeks
postpartum.
The uterus does not return to its original size. At the end of the third stage of labor,
the uterus weighs approximately 1000 g. After 2 weeks postpartum, the uterus
weighs approximately 350 g. The normal self-destruction of excess hypertrophied
tissue accounts for the slight increase in uterine size after each pregnancy.
A client asks the nurse when her ovaries will begin working again. Which
explanation by the nurse is most accurate?
Almost 75% of women who do not breastfeed resume
a. menstruating within 1 month after birth.
d The first menstrual flow after childbirth usually is heavier
NURSING 315 Test Exam Questions and Answers
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, NURSING 315 Test Exam Questions and Answers
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. than normal.
The first flow is heavier, but within three or four cycles, the flow is back to
normal. Ovulation can occur within the first month, but for 70% of nonlactating
women, it returns in approximately 3 months.
Which condition, not uncommon in pregnancy, is likely to require careful medical
assessment during the puerperium?
d. Headaches
Headaches in the postpartum period can have a number of causes, some of
which deserve medical attention. LOCHIA increases with ambulation and
breastfeeding.
Which description of postpartum restoration or healing times is accurate?
The cervix shortens, becomes firm, and returns to form within a month
postpartum.
a. (within days)
b. Vaginal rugae reappear by 3 weeks postpartum. But never the same
d. Hemorrhoids usually decrease in size within 2 weeks of childbirth. (6weeks)
Which statement, related to the reconditioning of the urinary system after
childbirth, should the nurse understand?
NURSING 315 Test Exam Questions and Answers
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