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Concerning the third stage of labor, nurses should be aware that:
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A) the placenta eventually detaches itself from a flaccid uterus
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B) The duration of the third stage may be as short as 3 to 5 minutes
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C) it is important that the dark, roughened maternal surface of the
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placentaappear before the shiny fetal surface
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D) the major risk for women during the third stage is a rapid heart rate
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The charge nurse on the maternity unit is orienting a new nurse to th
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e unitand explains that the 5 Ps of labor and birth are: (Select all that
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apply.)
A) passenger.
B) placenta. b
C) passagewa
b
y.
D) psychologic respon
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se.E) powers.
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F) position.
b
Nurses can advise their patients that which of these signs precede l
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abor?(Select all that apply.)
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A. A return of urinary frequency as a result of increased bladder pr
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essureB. Persistent low backache from relaxed pelvic joints
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C. Stronger and more frequent uterine (Braxton Hicks) contractions
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D. A decline in energy, as the body stores up for labor
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E. Uterus sinks downward and forward in first-time pregnancies.
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The maternity nurse should notify the health care provider about w
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hichassessment findings during labor? (Select all that apply.)
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A. Positive urine drug screen
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B. Blood glucose level of 78 mg/dL
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C. Increased systolic blood pressure during first stage
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D. Elevated white blood cell count b b b b
E. Oral temperature of 99.8° F
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F. Respiratory rate of 10 breaths/min b b b b
A laboring woman becomes anxious during the transition phase of th
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e first stage of labor and develops a rapid and deep respiratory patte
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rn. She complains of feeling dizzy and light-
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headed. The nurse's immediate responsewould be to:
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A. encourage the woman to breathe more sl
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owly.B. help the woman breathe into a pap
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er bag.
b
C. turn the woman on her side.
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D. administer a sedative.
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A woman is in the second stage of labor and has a spinal block in p
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lace forpain management. The nurse obtains the woman's blood pr
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essure and notesthat it is 20% lower than the baseline level. Whic
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h action should the nursetake?
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A. Encourage her to empty her bladder. b b b b b
B. Decrease her intravenous (IV) rate to a keep vein-open rate.
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C. Turn the woman to the left lateral position or place a pillow under h
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er hip. b
D. No action is necessary since a decrease in the woman's blood pr
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NURS 2863 MATERNITY EXAM 2 QUESTIONS AND AN
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essure isexpected. b b
A woman in latent labor who is positive for opiates on the urine drug
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b screenis complaining of severe pain. Maternal vital signs are stable,
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b and the fetal heart monitor displays a reassuring pattern. The nurs
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e's MOST appropriate analgesic for pain control is:
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A. fentanyl (Sublimaze). B.pr
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omethazine (Phenergan). b
C. butorphanol tartrate (Stadol).
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D. nalbuphine (Nubain).
b b
A woman is experiencing back labor and complains of constant, inte
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nse painin her lower back. An effective relief measure is to use:
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A. counterpressure against the sacrum. b b b
B. pant-blow (breaths and puffs) breathing techniques.
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C. effleurage.
D. biofeedback.
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