Perinatal Chapter 13: Nursing Care During Labor and
Birth(with solved solutions)
Crowning correct answers Appearance of the fetal presenting part at the vaginal opening
Ferning correct answers Characteristic appearance of dry amniotic fluid when viewed under a
microscope
Funic souffle correct answers Sound of blood going through the umbilical cord
pH test correct answers Paper or swab used to detect ruptured membranes
Uterine souffle correct answers Sound of blood going through the uterine blood vessels
What are two nursing determinations when a woman enters a birth center? correct answers a.
Condition of the mother and fetus
b. nearness to birth
Describe characteristics of fetal heart rate that are reassuring when the FHR is auscultated in a
term fetus. correct answers Heart rate at term with a lower limit of 110 bpm, upper limin 160
bpm; regular rhythm; presence of accelerations; absence of decelerations. These signs would also
be reassuring if the fetus were monitored electronically.
When should the nurse not perform a vaginal examination at a woman's admission? Why?
correct answers Vaginal examination should not be routinely performed:
a. If the woman is bleeding actively, because the examination may increase bleeding; bloody sow
is not a contraindication to vaginal examination
b. If fetal gestation is 36 weeks or less because of stimulation of preterm labor or preterm
membrane rupture.
What are important nursing assessments after the membranes rupture. Describe normal and
abnormal assessment results. correct answers Time of rupture; whether rupture was spontaneous
or artificial; quantity of fluid; FHR for at least 1 minute; color of fluid (clear, possibly with bits
of vernix, is normal; green indicates fetal meconium passage; yellow or cloudy suggests
infection); odor (foul or strong indicates infection)
Why is it important to place a small pillow under one hip if the mother must lie briefly on her
back? correct answers To prevent supine hypotension from aortocaval compression by the heavy
uterus.
Describe ow contractions feel to the nurse when palpated if they are:
a. Mild:
b. Moderate:
c. Strong: correct answers a. Mild:Uterus is easily indented; like the tup of the nose
b. Moderate: Can be indented, but with more difficulty; like the chin
Birth(with solved solutions)
Crowning correct answers Appearance of the fetal presenting part at the vaginal opening
Ferning correct answers Characteristic appearance of dry amniotic fluid when viewed under a
microscope
Funic souffle correct answers Sound of blood going through the umbilical cord
pH test correct answers Paper or swab used to detect ruptured membranes
Uterine souffle correct answers Sound of blood going through the uterine blood vessels
What are two nursing determinations when a woman enters a birth center? correct answers a.
Condition of the mother and fetus
b. nearness to birth
Describe characteristics of fetal heart rate that are reassuring when the FHR is auscultated in a
term fetus. correct answers Heart rate at term with a lower limit of 110 bpm, upper limin 160
bpm; regular rhythm; presence of accelerations; absence of decelerations. These signs would also
be reassuring if the fetus were monitored electronically.
When should the nurse not perform a vaginal examination at a woman's admission? Why?
correct answers Vaginal examination should not be routinely performed:
a. If the woman is bleeding actively, because the examination may increase bleeding; bloody sow
is not a contraindication to vaginal examination
b. If fetal gestation is 36 weeks or less because of stimulation of preterm labor or preterm
membrane rupture.
What are important nursing assessments after the membranes rupture. Describe normal and
abnormal assessment results. correct answers Time of rupture; whether rupture was spontaneous
or artificial; quantity of fluid; FHR for at least 1 minute; color of fluid (clear, possibly with bits
of vernix, is normal; green indicates fetal meconium passage; yellow or cloudy suggests
infection); odor (foul or strong indicates infection)
Why is it important to place a small pillow under one hip if the mother must lie briefly on her
back? correct answers To prevent supine hypotension from aortocaval compression by the heavy
uterus.
Describe ow contractions feel to the nurse when palpated if they are:
a. Mild:
b. Moderate:
c. Strong: correct answers a. Mild:Uterus is easily indented; like the tup of the nose
b. Moderate: Can be indented, but with more difficulty; like the chin
