Sherpath QUESTIONS AND ANSWERS
a pregnant woman arrives at the the fetus is not engaged within the maternal pelvis. Fetal engagement begins at 0
emergency department, and after station
completing a vaginal examination the
nurse midwife states that the patient is 5
cm dilated and 75% effaced and the fetus
is at
-3 station. Which statement is accurate
regarding this assessment?
-through digital palpation by a trained professional
how is effacement measured?
-using transvaginal ultrasounds
what characteristics describe braxton hicks - menstrual like cramping
contractions? - occurs every 5-25 minutes
a patient reports a feeling of lightness in educate the patient on the premonitory signs of labor
her abdomen, increasing whitish, thin, and
odorless vaginal discharge, and occasional
contractions that go away after an hour
or
so. which action would the nurse take next?
- rising estrogen counteracts the relaxing effect of progesterone on the uterus
the nurse understands that which
- prostaglandins are secreted by the fetal membranes preparing the uterus
hormonal changes are thought to
- the fetus secretes cortisol, which may act as an additional uterine stimulant
encourage the onset of labor?
- oxytocin is secreted by the mother, which causes uterine contractions
the nurse recognizes that the patient "increasing clear vaginal secretions could mean labor will begin soon"
understands the teaching when she
makes which statement?
a woman at 37 weeks gestation calls call her healthcare provider and go to the hospital or birthing center
and reports, "my water broke and I have
bloody show. I am changing my pad
every 10 minutes." which advice would
the nurse provide in response?
a woman who is 38 weeks gestation labor contractions will occur in a consistent pattern that increases in frequency,
reports suspected signs of labor to the duration, and intensity
triage nurse. which statement by the
nurse supports the beginning of true
labor?
a g5/p4 is experiencing painful advise the patient to report to the hospital for labor and delivery
contractions that start in her back every 10
minutes for the last hour. how would the
telephone triage nurse advise this woman?
- cultural
which factors could improve a woman's - environmental
experience with pain during labor? - psychologic
- physiologic
a laboring patient reports moderate back - massage
pain. Her partner rubs her lower back - focal point
and reminds her to look at the teddy bear
they bought for the newborn. which
relaxation techniques are being used?
https://quizlet.com/896750226/sherpath-notes-flash- 1/
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, Sherpath QUESTIONS AND ANSWERS
when teaching a childbirth class for first- - decreases sensation of pain
time parents, the nurse includes which -provides a different focus during contractions
benefits of breathing techniques used - can also substitute for pharmacologic therapies
during labor? - can be used with other nonpharmacologic techniques
which situation demonstrates how an the woman has no support at her bedside
environmental factor could negatively
affect a woman's experience of pain during
labor?
a laboring woman wishes to labor in the hydrotherapy
shower to alleviate pain. which
nonpharmacologic pain relief method is
she applying?
the nurse is instructing a childbirth class on 11 breaths/min
abdominal breathing and tells a patient
that her baseline respiratory rate is 22
breaths/min. what should the patient's rate
be while performing slow-paced breathing
techniques?
the nurse is caring for a woman in the -model modified-paced breathing
second stage of labor whose contractions -monitor for hyperventilation
have become more intense. what actions -ask the patient if it is okay to hold her hand
could the nurse take to assist this woman?
the predominant pain of the first stage of labor is the visceral pain located in the
which statement regarding pain lower portion of the abdomen
experienced during labor is accurate? -the pain comes from cervical changes, distention of the lower uterine segment,
and uterine ischemia
maternity nurses often have to answer acupressure to either side of the spine can facilitate the release of endorphins and
questions about the many, sometimes decrease some back pain
unusual, ways people have tried to
make the birthing experience more
comfortable. which information would the
nurse consider when educating patients
and support people about
nonpharmacologic pain management
techniques?
during an emergency delivery, which -uterine relaxation
maternal adverse effects would a nurse -maternal aspiration of gastric contents
monitor in a patient undergoing general -respiratory depression
anesthesia?
the nurse is caring for a patient in the -nausea
first stage of labor who received a -vomiting
combined spinal-epidural (CSE) block -pruritis
with opioid analgesics for pain relief
from uterine contractions. the nurse
observes for which common side effects
of these drugs?
the nurse is managing the administration of -nausea
nitrous oxide for a patient in labor. the -dizziness
nurse observes for which common side -dysphoria
effects of nitrous oxide?
https://quizlet.com/896750226/sherpath-notes-flash- 2/
cards/ 10
a pregnant woman arrives at the the fetus is not engaged within the maternal pelvis. Fetal engagement begins at 0
emergency department, and after station
completing a vaginal examination the
nurse midwife states that the patient is 5
cm dilated and 75% effaced and the fetus
is at
-3 station. Which statement is accurate
regarding this assessment?
-through digital palpation by a trained professional
how is effacement measured?
-using transvaginal ultrasounds
what characteristics describe braxton hicks - menstrual like cramping
contractions? - occurs every 5-25 minutes
a patient reports a feeling of lightness in educate the patient on the premonitory signs of labor
her abdomen, increasing whitish, thin, and
odorless vaginal discharge, and occasional
contractions that go away after an hour
or
so. which action would the nurse take next?
- rising estrogen counteracts the relaxing effect of progesterone on the uterus
the nurse understands that which
- prostaglandins are secreted by the fetal membranes preparing the uterus
hormonal changes are thought to
- the fetus secretes cortisol, which may act as an additional uterine stimulant
encourage the onset of labor?
- oxytocin is secreted by the mother, which causes uterine contractions
the nurse recognizes that the patient "increasing clear vaginal secretions could mean labor will begin soon"
understands the teaching when she
makes which statement?
a woman at 37 weeks gestation calls call her healthcare provider and go to the hospital or birthing center
and reports, "my water broke and I have
bloody show. I am changing my pad
every 10 minutes." which advice would
the nurse provide in response?
a woman who is 38 weeks gestation labor contractions will occur in a consistent pattern that increases in frequency,
reports suspected signs of labor to the duration, and intensity
triage nurse. which statement by the
nurse supports the beginning of true
labor?
a g5/p4 is experiencing painful advise the patient to report to the hospital for labor and delivery
contractions that start in her back every 10
minutes for the last hour. how would the
telephone triage nurse advise this woman?
- cultural
which factors could improve a woman's - environmental
experience with pain during labor? - psychologic
- physiologic
a laboring patient reports moderate back - massage
pain. Her partner rubs her lower back - focal point
and reminds her to look at the teddy bear
they bought for the newborn. which
relaxation techniques are being used?
https://quizlet.com/896750226/sherpath-notes-flash- 1/
cards/ 10
, Sherpath QUESTIONS AND ANSWERS
when teaching a childbirth class for first- - decreases sensation of pain
time parents, the nurse includes which -provides a different focus during contractions
benefits of breathing techniques used - can also substitute for pharmacologic therapies
during labor? - can be used with other nonpharmacologic techniques
which situation demonstrates how an the woman has no support at her bedside
environmental factor could negatively
affect a woman's experience of pain during
labor?
a laboring woman wishes to labor in the hydrotherapy
shower to alleviate pain. which
nonpharmacologic pain relief method is
she applying?
the nurse is instructing a childbirth class on 11 breaths/min
abdominal breathing and tells a patient
that her baseline respiratory rate is 22
breaths/min. what should the patient's rate
be while performing slow-paced breathing
techniques?
the nurse is caring for a woman in the -model modified-paced breathing
second stage of labor whose contractions -monitor for hyperventilation
have become more intense. what actions -ask the patient if it is okay to hold her hand
could the nurse take to assist this woman?
the predominant pain of the first stage of labor is the visceral pain located in the
which statement regarding pain lower portion of the abdomen
experienced during labor is accurate? -the pain comes from cervical changes, distention of the lower uterine segment,
and uterine ischemia
maternity nurses often have to answer acupressure to either side of the spine can facilitate the release of endorphins and
questions about the many, sometimes decrease some back pain
unusual, ways people have tried to
make the birthing experience more
comfortable. which information would the
nurse consider when educating patients
and support people about
nonpharmacologic pain management
techniques?
during an emergency delivery, which -uterine relaxation
maternal adverse effects would a nurse -maternal aspiration of gastric contents
monitor in a patient undergoing general -respiratory depression
anesthesia?
the nurse is caring for a patient in the -nausea
first stage of labor who received a -vomiting
combined spinal-epidural (CSE) block -pruritis
with opioid analgesics for pain relief
from uterine contractions. the nurse
observes for which common side effects
of these drugs?
the nurse is managing the administration of -nausea
nitrous oxide for a patient in labor. the -dizziness
nurse observes for which common side -dysphoria
effects of nitrous oxide?
https://quizlet.com/896750226/sherpath-notes-flash- 2/
cards/ 10
