OB exam 2: chapters 8-11 prep U's
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Braxton Hicks contractions usually decrease in intensity with
walking Ans: Braxton Hicks contractions are termed "practice
contractions" and occur throughout pregnancy. When the
woman's body is getting ready to go into labor, it begins to
show anticipatory signs of impending labor. Among these
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signs are Braxton Hicks contractions that are more frequent
and stronger in intensity. What differentiates Braxton Hicks
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contractions from true labor?
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a. Braxton Hicks contractions get closer together with activity.
b. Braxton Hicks contractions usually decrease in intensity
with walking.
c. Braxton Hicks contractions do not last long enough to be
true labor.
d. Braxton Hicks contractions cause "ripening" of the cervix.
Positive reinforcement Ans: When going through the transition
phase of labor, women often feel out of control. What do
women in the transition phase of labor need the most?
a. Positive reinforcement
b. Their significant other beside them
c. Intense nursing care
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d. Just to be left alone
Fetal lie Ans: What term is used to describe the position of the
fetal long axis in relation to the long axis of the mother?
a. Fetal presentation
b. Fetal attitude
c. Fetal position
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d. Fetal lie
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turning inward to concentrate on body sensations Ans: During
the second stage of labor, a woman is generally:
a. very aware of activities immediately around her.
b. anxious to have people around her.
c. no longer in need of a support person.
d. turning inward to concentrate on body sensations
duration Ans: The nurse is measuring a contraction from the
beginning of the increment to the end of the decrement for the
same contraction. The nurse would document this as which
finding?
a. duration
b. intensity
c. frequency
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d. peak
allowing the woman time to be alone Ans: A nurse is
conducting an in-service program for staff nurses working in
the labor and birth unit. The nurse is discussing ways to
promote a positive birth outcome for the woman in labor. The
nurse determines that additional teaching is necessary when
the group identifies which measure?
a. promoting the woman's feelings of control
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b. providing clear information about procedures
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c. allowing the woman time to be alone
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d. encouraging the woman to use relaxation technique
degree of thinning Ans: When assessing cervical effacement of
a client in labor, the nurse assesses which characteristic?
a. extent of opening to its widest diameter
b. degree of thinning
c. passage of the mucous plug
d. fetal presenting part
latent phase of the first stage Ans: Assessment of a woman in
labor reveals cervical dilation of 3 cm, cervical effacement of
30%, and contractions occurring every 7 to 8 minutes, lasting
about 40 seconds. The nurse determines that this client is in:
a. latent phase of the first stage.
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b. active phase of the first stage.
c. pelvic phase of the second stage.
d. early phase of the third stage.
gynecoid Ans: A client is admitted to the labor and birthing
suite in early labor. On review of her prenatal history, the
nurse determines that the client's pelvic shape as identified in
the antepartal progress notes is the most favorable one for a
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vaginal birth. Which pelvic shape would the nurse have noted?
a. platypelloid
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b. gynecoid
c. android
d. anthropoid
occiput Ans: Assessment reveals that the fetus of a client in
labor is in the vertex presentation. The nurse determines that
which part is presenting?
a. shoulders
b. occiput
c. brow
d. buttocks