UWorld Maternity Practice Questions and Correct
Answers / Already Graded A+ Score Solutions.
Terms in this set (349)
Which actions should the --encourage the birth mother to hold the newborn --notify
labor and delivery nurse other staff who may interact with the client of the adoption
perform when caring for a plan
client who has decided to --offer the birth mother a chance to say goodbye to the
relinquish her newborn to an newborn
adoptive parent? SATA -- --use phrases that illustrate adoption as a decision of love, not
avoid discussing the adoption abandonment
details until after birth
--encourage the birth
mother to hold the
newborn
--notify other staff who may
interact with the client of the
adoption plan --offer the
birth mother a chance to say
goodbye to the newborn
--use phrases that illustrate
adoption as a decision of
love, not abandonment
,The nurse is monitoring a contraction duration of 95 seconds
client who is in active labor
with a cervical dilation of 6 ---normal contraction duration is 45-80 seconds and should
cm. Which uterine not exceed 90 seconds. Uterine Frequency is 2-5 contractions
Q 10 min and should not occur more than every two minutes.
assessment finding requires
an intervention by the nurse?
--contraction duration of
95 seconds
--contraction frequency of
every 3 minutes
--contraction intensity of
45 mm Hg
--uterine resting tone of 10
mm Hg
What is a normal uterine 45-80 seconds not exceeding 90 seconds
contraction duration during
the first stage of labor?
What is a normal uterine 2-5 contractions every 10 minutes, not to occur more frequently
contraction frequency during than every 2 minutes
the first stage of labor?
What is a normal uterine 25-50 mm Hg and should not exceed 80 mm Hg
contraction intensity
during the first stage of
labor?
Define intensity (used to strength of the contraction at its peak
describe labor
contractions)
tension in the uterine muscle between contractions
Define resting tone (used to
describe labor contractions)
,Function of the resting tone allow fetal oxygenation between contractions
during labor
What is a normal resting average is 10 mm Hg and should not exceed 20 mm
tone during the first stage of Hg
labor?
What does a duration of reduction of blood flow to the placenta due to uterine
uterine contractions greater hypertonicity
than 90 seconds during the
first stage of labor result in?
What can occur if uterine fetal distress due to uteroplacental insufficiency
contractions occurs less than
2 minutes apart?
What is a sign of an intrauterine pressure more than 80 mm Hg
hypertonicity of the
uterus?
perform firm fundal massage
A client gives birth within an
hour of arriving at labor and
delivery unit and delivers
the placenta 5 minutes later.
During assessment, the
nurse notes that the uterus
is midline and boggy. Which
action should the nurse take
FIRST?
--check for pooled blood
under buttocks --increase IV
oxytocin infusion rate
--monitor blood pressure
and pulse
--perform firm fundal
massage
, What are the clinical features enlarged, soft, boggy, poorly contracted uterus
of postpartum uterine
atony?
What are the risk factors --uterine fatigue from prolonged, induced, or
for postpartum uterine precipitous labor --intramniotic infection
atony?
--uterine overdistention (multiple gestation, macrosomia,
polyhydramnios)
--retained placenta
--grand multiparity (>5 prior deliveries)
What are the interventions --bimanual uterine massage (INITIAL NURSING
for postpartum uterine ACTION)
atony?
--correction of bladder distension
--high-dose oxytocin, misoprostol
--tranexamic acid
--carboprost, methylergonovine (uterotonics)
--intrauterine balloon tamponade
--possible surgical interventions (if unresolved)
What is the function of stimulate the uterus to contract. Administration is indicated
uterotonics? if the uterus fails to contract despite massage
Answers / Already Graded A+ Score Solutions.
Terms in this set (349)
Which actions should the --encourage the birth mother to hold the newborn --notify
labor and delivery nurse other staff who may interact with the client of the adoption
perform when caring for a plan
client who has decided to --offer the birth mother a chance to say goodbye to the
relinquish her newborn to an newborn
adoptive parent? SATA -- --use phrases that illustrate adoption as a decision of love, not
avoid discussing the adoption abandonment
details until after birth
--encourage the birth
mother to hold the
newborn
--notify other staff who may
interact with the client of the
adoption plan --offer the
birth mother a chance to say
goodbye to the newborn
--use phrases that illustrate
adoption as a decision of
love, not abandonment
,The nurse is monitoring a contraction duration of 95 seconds
client who is in active labor
with a cervical dilation of 6 ---normal contraction duration is 45-80 seconds and should
cm. Which uterine not exceed 90 seconds. Uterine Frequency is 2-5 contractions
Q 10 min and should not occur more than every two minutes.
assessment finding requires
an intervention by the nurse?
--contraction duration of
95 seconds
--contraction frequency of
every 3 minutes
--contraction intensity of
45 mm Hg
--uterine resting tone of 10
mm Hg
What is a normal uterine 45-80 seconds not exceeding 90 seconds
contraction duration during
the first stage of labor?
What is a normal uterine 2-5 contractions every 10 minutes, not to occur more frequently
contraction frequency during than every 2 minutes
the first stage of labor?
What is a normal uterine 25-50 mm Hg and should not exceed 80 mm Hg
contraction intensity
during the first stage of
labor?
Define intensity (used to strength of the contraction at its peak
describe labor
contractions)
tension in the uterine muscle between contractions
Define resting tone (used to
describe labor contractions)
,Function of the resting tone allow fetal oxygenation between contractions
during labor
What is a normal resting average is 10 mm Hg and should not exceed 20 mm
tone during the first stage of Hg
labor?
What does a duration of reduction of blood flow to the placenta due to uterine
uterine contractions greater hypertonicity
than 90 seconds during the
first stage of labor result in?
What can occur if uterine fetal distress due to uteroplacental insufficiency
contractions occurs less than
2 minutes apart?
What is a sign of an intrauterine pressure more than 80 mm Hg
hypertonicity of the
uterus?
perform firm fundal massage
A client gives birth within an
hour of arriving at labor and
delivery unit and delivers
the placenta 5 minutes later.
During assessment, the
nurse notes that the uterus
is midline and boggy. Which
action should the nurse take
FIRST?
--check for pooled blood
under buttocks --increase IV
oxytocin infusion rate
--monitor blood pressure
and pulse
--perform firm fundal
massage
, What are the clinical features enlarged, soft, boggy, poorly contracted uterus
of postpartum uterine
atony?
What are the risk factors --uterine fatigue from prolonged, induced, or
for postpartum uterine precipitous labor --intramniotic infection
atony?
--uterine overdistention (multiple gestation, macrosomia,
polyhydramnios)
--retained placenta
--grand multiparity (>5 prior deliveries)
What are the interventions --bimanual uterine massage (INITIAL NURSING
for postpartum uterine ACTION)
atony?
--correction of bladder distension
--high-dose oxytocin, misoprostol
--tranexamic acid
--carboprost, methylergonovine (uterotonics)
--intrauterine balloon tamponade
--possible surgical interventions (if unresolved)
What is the function of stimulate the uterus to contract. Administration is indicated
uterotonics? if the uterus fails to contract despite massage
