MATERNITY NEWBORN AND WOMEN’S HEALTH NURSING: Chapter 16 Labor and Delivery: O'Meara Maternity Newborn and Women's Health Nursing A Case-Based Approach

MATERNITY NEWBORN AND WOMEN’S HEALTH NURSING: Chapter 16 Labor and Delivery: O'Meara Maternity Newborn and Women's Health Nursing A Case-Based Approach 2 | Page 1. What does the nurse note when measuring the frequency of a laboring womans contractions? a. How long the patient states the contractions last b. The time between the end of one contraction and the beginning of the next c. The time between the beginning and the end of one contraction d. The time between the beginning of one contraction and the beginning of the next - ANSWER ANS: D The frequency of contractions is the elapsed time from the beginning of one contraction to the beginning of the next contraction. 2. Why is the relaxation phase between contractions important? a. The laboring woman needs to rest. b. The uterine muscles fatigue without relaxation. c. The contractions can interfere with fetal oxygenation. d. The infant progresses toward delivery at these times. - ANSWER-ANS: C Blood flow from the mother into the placenta gradually decreases during contractions. During the interval between contractions, the placenta refills with oxygenated blood for the fetus. 3. What contraction duration and interval does the nurse recognize could result in fetal compromise? a. Duration shorter than 30 seconds, interval longer than 75 seconds b. Duration shorter than 90 seconds, interval longer than 120 seconds c. Duration longer than 90 seconds, interval shorter than 60 seconds d. Duration longer than 60 seconds, interval shorter than 90 seconds - ANSWER-ANS: C Persistent contraction durations longer than 90 seconds or contraction intervals less than 60 seconds may reduce fetal oxygen supply. 4. Vaginal examination reveals the presenting part is the infants head, which is well flexed on the chest. What is this presentation? a. Vertex b. Military c. Brow 3 | Page d. Face - ANSWER-ANS: A In the vertex presentation, the fetal head is the presenting part. The head is fully flexed on the chest. 5. What does meconium-stained amniotic fluid indicate when the infant is in a vertex presentation? a. Fetal distress b. Fetal maturity c. Intact gastrointestinal tract d. Dehydration in the mother - ANSWER-ANS: A Green-stained amniotic fluid means that the fetus passed the first stool before birth, and it is an indicator of fetal compromise. 6. It is determined that the presenting part of the fetus is the buttocks. At delivery the fetuss hips are flexed and the knees are extended. How would the nurse record this presentation? a. Complete breech b. Frank breech c. Double footling d. Buttocks presentation - ANSWER-ANS: B When a fetus presents in a frank breech position, the legs are flexed at the hips and extend toward the shoulders 7. 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? a. Contractions that are relieved by walking b. Discomfort in the abdomen and groin c. A decrease in vaginal discharge d. Regular contractions becoming more frequent and intense - ANSWER-ANS: D In true labor, contractions gradually develop a regular pattern and become more frequent, longer, and more intense.