Maternity Chapter 6
A baseline fetal heart rate of 125 bpm during labor should be interpreted as: - ANS-normal
for a term fetus
\A laboring woman suddenly begins making grunting sounds and bearing down during a
strong contraction. The nurse should initially: - ANS-look at her perineum for increased
bloody show or perineal bulging
\A nursing student is observing prenatal exams in the office setting The health care provider
informs the student that the fetal position is LSA. The student interprets this as a _________
presentation - ANS-breech
\A pregnant woman arrives at the emergency department (ED) and reports she is in labor.
After a thorough examination and diagnostic testing, it is determined to be false (prodromal)
labor. What signs and symptoms would lead the nurse to suspect false (prodromal) labor?
(Select all that apply) - ANS-Painless tightening of abdominal muscles Cervix thick and not
effaced
\A woman in active labor has contractions every 2 to 3 minutes lasting 60 seconds, and her
uterus relaxes between contractions. The electronic fetal monitor shows the FHR reaching
90 beats/min for periods lasting 20 seconds during a uterine contraction. The appropriate
priority action is to: - ANS-Continue to monitor closely
\A woman is 7 cm dilated, and her contractions are 3 minutes apart When she begins
cursing at her birthing coach and the nurse, what does the nurse assess as the most likely
explanation for the woman's change in behavior? - ANS-Labor has progressed to the
transition phase
\A woman phones the birth center as, "I think my water broke and my baby is due, but I'm
not having any contractions." The most appropriate nursing response is to tell her that: -
ANS-She should come to the birth center for evaluation
\A woman who is pregnant with her first child phones an intrapartum facility and says her
"water broke." The nurse should tell her to: - ANS-Come to the facility promptly, but safely.
\A woman's membranes rupture during labor. The nurse notes that the fluid is yellowish and
cloudy. The priority nursing response related to this assessment is to: - ANS-Assess the
woman's temperature and the fetal heart rate
\After the membranes have ruptured, the nurse should assess the fetal heart rate (FHR) for
_______ minute(s) - ANS-1
\After the pregnant woman is admitted to the labor suite, the nurse assesses the position of
the infant as ROA; this means that the infant's head is - ANS-right occiput anterior
\Amniotic fluid usually turns a pH swab or paper: - ANS-Dark blue
\At 1 and 5 minutes of life, a newborn's Apgar score is 9. What does the nurse understand
that a score of 9 indicates? - ANS-The newborn is in stable condition
\At a prenatal visit, a primigravida asks the nurse how she will know her labor has started.
The nurse knows that what indicates the beginning of true labor? - ANS-Regular
contractions becoming more frequent and intense
\Choose the abbreviation that describes the fetus in a breech presentation - ANS-LSA
\During normal labor, contractions characteristically become - ANS-more frequent and of
longer duration
A baseline fetal heart rate of 125 bpm during labor should be interpreted as: - ANS-normal
for a term fetus
\A laboring woman suddenly begins making grunting sounds and bearing down during a
strong contraction. The nurse should initially: - ANS-look at her perineum for increased
bloody show or perineal bulging
\A nursing student is observing prenatal exams in the office setting The health care provider
informs the student that the fetal position is LSA. The student interprets this as a _________
presentation - ANS-breech
\A pregnant woman arrives at the emergency department (ED) and reports she is in labor.
After a thorough examination and diagnostic testing, it is determined to be false (prodromal)
labor. What signs and symptoms would lead the nurse to suspect false (prodromal) labor?
(Select all that apply) - ANS-Painless tightening of abdominal muscles Cervix thick and not
effaced
\A woman in active labor has contractions every 2 to 3 minutes lasting 60 seconds, and her
uterus relaxes between contractions. The electronic fetal monitor shows the FHR reaching
90 beats/min for periods lasting 20 seconds during a uterine contraction. The appropriate
priority action is to: - ANS-Continue to monitor closely
\A woman is 7 cm dilated, and her contractions are 3 minutes apart When she begins
cursing at her birthing coach and the nurse, what does the nurse assess as the most likely
explanation for the woman's change in behavior? - ANS-Labor has progressed to the
transition phase
\A woman phones the birth center as, "I think my water broke and my baby is due, but I'm
not having any contractions." The most appropriate nursing response is to tell her that: -
ANS-She should come to the birth center for evaluation
\A woman who is pregnant with her first child phones an intrapartum facility and says her
"water broke." The nurse should tell her to: - ANS-Come to the facility promptly, but safely.
\A woman's membranes rupture during labor. The nurse notes that the fluid is yellowish and
cloudy. The priority nursing response related to this assessment is to: - ANS-Assess the
woman's temperature and the fetal heart rate
\After the membranes have ruptured, the nurse should assess the fetal heart rate (FHR) for
_______ minute(s) - ANS-1
\After the pregnant woman is admitted to the labor suite, the nurse assesses the position of
the infant as ROA; this means that the infant's head is - ANS-right occiput anterior
\Amniotic fluid usually turns a pH swab or paper: - ANS-Dark blue
\At 1 and 5 minutes of life, a newborn's Apgar score is 9. What does the nurse understand
that a score of 9 indicates? - ANS-The newborn is in stable condition
\At a prenatal visit, a primigravida asks the nurse how she will know her labor has started.
The nurse knows that what indicates the beginning of true labor? - ANS-Regular
contractions becoming more frequent and intense
\Choose the abbreviation that describes the fetus in a breech presentation - ANS-LSA
\During normal labor, contractions characteristically become - ANS-more frequent and of
longer duration
