The nurse documents: - ANSWER Prolong decelerations to the 90's, provider notified
Which of the following is a reassuring pattern of contractions? - ANSWER Three minutes
and less than 90 seconds
CPD (cephalopelvic disproportion) is: - ANSWER The most common indication for cesar-
ean section
The patient is complaining of severe headache and blurry vision. The nurse should: - AN-
SWER Take the BP (rule out pre-eclampsia)
A pregnant woman should go to the hospital when she begins to experience: - ANSWER
frequent and intense contractions (q 5 min and lasts >=50 seconds)
The patient presents for induction of labor due to oligohydramnios. The nurse knows to
carefully monitor for: - ANSWER Late decelerations (because of placental insufficiency)
Which of the following is a characteristic of false labor? - ANSWER Walking relieves con-
tractions
The provider wants to perform an episiotomy on the patient. Which anesthetic technique
will the ob perform? - ANSWER Pudendal block
The patient requests an epidural anesthetic. What must the nurse know prior to calling anes-
thesia? - ANSWER What is the platelet count?
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, The four stages of labor are: - ANSWER Dilation and effacement, expulsion, placenta de-
livery, and recovery
The provider performs AROM and the fluid is green. This indicates: - ANSWER Anal pa-
tency in the fetus
A multipara at 39 weeks comes in complaining of bleeding. The nurse should: - ANSWER
Assess the amount of bleeding the patient is having
The apgar score system assesses: - ANSWER Fetal heartrate, respiratory effort, reflex irri-
tability, muscle tone, and color
Prostaglandins are responsible for: - ANSWER Menstrual cramps
A patient at 42 weeks comes in for induction of labor. After evaluation, the patient wants to
know what a score of "5" is. The nurse tells the patient: - ANSWER She will need Cervidil
to help her go into labor (less than 6 needs cervical ripening)
Three signs of impending labor are: - ANSWER Bloody show, irregular contractions, and
cramping
What are the four interrelated components that make up the process of labor and birth? -
ANSWER Powers, passage, passenger, and psyche
Artificial rupture of the membranes is called - ANSWER Amniotomy
When the umbilical cord vessels are implanted in the membranes it is called: - ANSWER
velementous insertion (vasa previa is a type of this)
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