NURSING CARE - CHAPTER 13
EXAM REVIEW
A primigravida asks the nurse about signs she can
look for that would indicate that the onset of labor is
getting closer. The nurse should describe
weight gain of 1 to 3 lb.
quickening.
fatigue and lethargy.
bloody show.
bloody show.
Women usually experience a weight loss of 1 to 3 lb.
Quickening is the perception of fetal movement by the
mother, which occurs at 16 to 20 weeks of gestation.
Women usually experience a burst of energy or the
nesting instinct. Passage of the mucous plug (operculum)
also termed pink/bloody show occurs as the cervix ripens
with near onset of labor.
The nurse should tell a primigravida that the definitive
sign indicating that labor has begun would be
progressive uterine contractions with cervical change.
lightening.
rupture of membranes.
passage of the mucous plug (operculum).
, progressive uterine contractions with cervical changes.
Regular, progressive uterine contractions that increase in
intensity and frequency are the definitive signs of true
labor along with cervical change. Lightening is a
premonitory sign indicating that the onset of labor is
getting closer. Rupture of membranes usually occurs
during labor itself. Passage of the mucous plug is a
premonitory sign indicating that the onset of labor is
getting closer.
On completion of a vaginal examination on a laboring
woman, the nurse records 50%, 6 cm, -1. What is a
correct interpretation of the data?
The fetal presenting part is 1 cm above the ischial
spines.
Effacement is 4 cm from completion.
Dilation is 50% completed.
The fetus has achieved passage through the ischial
spines.
the fetal presenting part is 1 cm above the ischial spines.
Station of -1 indicates that the fetal presenting part is
above the ischial spines and has not yet passed through
the pelvic inlet. Progress of effacement is referred to by
percentages, with 100% indicating full effacement and
dilation by centimeters, with 10 cm indicating full dilation.
Progress of effacement is referred to by percentages, with
100% indicating full effacement and dilation by
centimeters, with 10 cm indicating full dilation. Passage
through the ischial spines with internal rotation would be
indicated by a plus station such as +1.