Ricci, Kyle & Carmen Chapter 13 -
Labor and Birth Process
1. A lady in her 40th week of being pregnant calls the nurse at the medical institution and says
she's now not positive whether or not she is in real or fake labor. Which announcement by the
customer could lead the nurse to suspect that the girl is experiencing false hard work?
A) "I'm feeling contractions generally in my lower back."
B) "My contractions are approximately 6 mins aside and ordinary."
C) "The contractions sluggish down once I walk round."
D) "If I attempt to talk to my companion all through a contraction, I can not." - ANS-Ans: C
Feedback:
False exertions is characterised via contractions which are abnormal and weak, regularly
slowing down with walking or a position change. True hard work contractions start in the lower
back and radiate around toward the the front of the stomach. They are everyday and come to be
stronger through the years; the lady may additionally discover it extraordinarily tough if now not
impossible to have a verbal exchange during a contraction.
10. A girl telephones her health care company and reports that her "water simply broke." Which
inspiration by way of the nurse might be maximum suitable?
A) "Call us returned when you start having contractions."
B) "Come to the hospital or emergency branch for an evaluation."
C) "Drink 3 to four glasses of water and lie down."
D) "Come in as soon as you feel the urge to push." - ANS-Ans: B
Feedback:
When the amniotic sac ruptures, the barrier to contamination is long gone and there's the threat
of twine prolapse if engagement has not befell. Therefore, the nurse must propose that the lady
are available for an evaluation. Calling back when contractions start, ingesting water, and
mendacity down are beside the point due to the elevated hazard for infection and cord prolapse.
Telling the client to attend until she feels the urge to push is inappropriate because this takes
place all through the second one level of hard work.
11. After coaching a collection of college students approximately the maternal bony pelvis,
which statement via the organization suggests that the teaching changed into successful?
A) The bony pelvis plays a lesser position in the course of labor than soft tissue.
B) The pelvic outlet is associated with the authentic pelvis.
C) The false pelvis lies under the imaginary linea terminalis.
D) The false pelvis is the passageway thru which the fetus travels. - ANS-Ans: B
Feedback:
, The maternal bony pelvis includes the real and false quantities. The genuine pelvis is made up
of three planes—the inlet, the mid pelvis, and the opening. The bony pelvis is the greater
important part of the passageway because it's miles exceptionally unyielding. The false pelvis
lies above the imaginary linea terminalis. The actual pelvis is the bony passageway through
which the fetus need to journey.
12. A fetus is assessed at 2 cm above the ischial spines. The nurse would file fetal station as:
A) +four
B) +2
C) zero
D) -2 - ANS-Ans: D
Feedback:
When the imparting element is above the ischial spines, it is cited as a negative station. Since
the size is 2 cm, the station could be -2. A zero station shows that the fetal imparting component
is at the level of the ischial spines. Positive stations suggest that the supplying component is
beneath the level of the ischial spines.
13. Assessment of a fetus identifies the buttocks because the offering component, with the legs
extended upward. The nurse identifies this as which type of breech presentation?
A) Frank
B) Full
C) Complete
D) Footling - ANS-Ans: A
Feedback:
In a frank breech, the buttocks present first, with both legs extended up in the direction of the
face. In a full or whole breech, the fetus sits move-legged above the cervix. In a footling breech,
one or both legs are offering.
14. A female in her 0.33 trimester involves the sanatorium for a prenatal go to. During
evaluation the girl reports that her breathing has grow to be much simpler within the ultimate
week however she has noticed expanded pelvic strain, cramping, and lower returned ache. The
nurse determines that which of the subsequent has most in all likelihood happened?
A) Cervical dilation
B) Lightening
C) Bloody show
D) Braxton-Hicks contractions - ANS-Ans: B
Feedback:
Lightening takes place whilst the fetal supplying component starts offevolved to descend into
the maternal pelvis. The uterus lowers and actions into the maternal pelvis. The form of the
abdomen modifications because of the exchange in the uterus. The lady usually notes that her
respiration is a great deal less complicated. However, she may bitch of multiplied pelvic strain,
cramping, and lower lower back pain. Although cervical dilation also may be happening, it does
no longer account for the lady's proceedings. Bloody display refers to passage of the mucous
plug that fills the cervical canal during being pregnant. It happens with the onset of exertions.
Labor and Birth Process
1. A lady in her 40th week of being pregnant calls the nurse at the medical institution and says
she's now not positive whether or not she is in real or fake labor. Which announcement by the
customer could lead the nurse to suspect that the girl is experiencing false hard work?
A) "I'm feeling contractions generally in my lower back."
B) "My contractions are approximately 6 mins aside and ordinary."
C) "The contractions sluggish down once I walk round."
D) "If I attempt to talk to my companion all through a contraction, I can not." - ANS-Ans: C
Feedback:
False exertions is characterised via contractions which are abnormal and weak, regularly
slowing down with walking or a position change. True hard work contractions start in the lower
back and radiate around toward the the front of the stomach. They are everyday and come to be
stronger through the years; the lady may additionally discover it extraordinarily tough if now not
impossible to have a verbal exchange during a contraction.
10. A girl telephones her health care company and reports that her "water simply broke." Which
inspiration by way of the nurse might be maximum suitable?
A) "Call us returned when you start having contractions."
B) "Come to the hospital or emergency branch for an evaluation."
C) "Drink 3 to four glasses of water and lie down."
D) "Come in as soon as you feel the urge to push." - ANS-Ans: B
Feedback:
When the amniotic sac ruptures, the barrier to contamination is long gone and there's the threat
of twine prolapse if engagement has not befell. Therefore, the nurse must propose that the lady
are available for an evaluation. Calling back when contractions start, ingesting water, and
mendacity down are beside the point due to the elevated hazard for infection and cord prolapse.
Telling the client to attend until she feels the urge to push is inappropriate because this takes
place all through the second one level of hard work.
11. After coaching a collection of college students approximately the maternal bony pelvis,
which statement via the organization suggests that the teaching changed into successful?
A) The bony pelvis plays a lesser position in the course of labor than soft tissue.
B) The pelvic outlet is associated with the authentic pelvis.
C) The false pelvis lies under the imaginary linea terminalis.
D) The false pelvis is the passageway thru which the fetus travels. - ANS-Ans: B
Feedback:
, The maternal bony pelvis includes the real and false quantities. The genuine pelvis is made up
of three planes—the inlet, the mid pelvis, and the opening. The bony pelvis is the greater
important part of the passageway because it's miles exceptionally unyielding. The false pelvis
lies above the imaginary linea terminalis. The actual pelvis is the bony passageway through
which the fetus need to journey.
12. A fetus is assessed at 2 cm above the ischial spines. The nurse would file fetal station as:
A) +four
B) +2
C) zero
D) -2 - ANS-Ans: D
Feedback:
When the imparting element is above the ischial spines, it is cited as a negative station. Since
the size is 2 cm, the station could be -2. A zero station shows that the fetal imparting component
is at the level of the ischial spines. Positive stations suggest that the supplying component is
beneath the level of the ischial spines.
13. Assessment of a fetus identifies the buttocks because the offering component, with the legs
extended upward. The nurse identifies this as which type of breech presentation?
A) Frank
B) Full
C) Complete
D) Footling - ANS-Ans: A
Feedback:
In a frank breech, the buttocks present first, with both legs extended up in the direction of the
face. In a full or whole breech, the fetus sits move-legged above the cervix. In a footling breech,
one or both legs are offering.
14. A female in her 0.33 trimester involves the sanatorium for a prenatal go to. During
evaluation the girl reports that her breathing has grow to be much simpler within the ultimate
week however she has noticed expanded pelvic strain, cramping, and lower returned ache. The
nurse determines that which of the subsequent has most in all likelihood happened?
A) Cervical dilation
B) Lightening
C) Bloody show
D) Braxton-Hicks contractions - ANS-Ans: B
Feedback:
Lightening takes place whilst the fetal supplying component starts offevolved to descend into
the maternal pelvis. The uterus lowers and actions into the maternal pelvis. The form of the
abdomen modifications because of the exchange in the uterus. The lady usually notes that her
respiration is a great deal less complicated. However, she may bitch of multiplied pelvic strain,
cramping, and lower lower back pain. Although cervical dilation also may be happening, it does
no longer account for the lady's proceedings. Bloody display refers to passage of the mucous
plug that fills the cervical canal during being pregnant. It happens with the onset of exertions.
