N352 Chapter 8 Exam Questions With
Correct Answers
What are the 5 P's of labor? - ANSWER Powers (contractions)
Passage (pelvis & birth canal)
Passenger (fetus)
Psyche (response of the woman)
Position (maternal position)
What stage of labor do you assess fetal heart rate and uterine contractions and
use Leopolds maneuver to determine fetal position? - ANSWER First stage
What stage of labor is the fetus traversing the pelvic outlet and stretching the
maternal soft tissues with an obvious bulging of the vagina and rectum -
ANSWER Second Stage
How long does the second stage of labor last for a first time mom? - ANSWER 1-2
hours
What stage of labor should open glottis bearing down, comfortable positioning
of the patient's choosing, and positive encouragement occur in? - ANSWER
Second stage
The patient is encouraged to breathe through contractions, fetal heart rate and
uterine activity are recorded every 15 minutes, and maternal response is often
irritable, overwhelmed, and panicky during which stage of labor - ANSWER First
stage
The uterus will rise up into a firm ball and contract. Often, a sudden gush of
blood will be seen during which stage of labor? - ANSWER Third stage
Nursing actions will include reviewing the birth plan, orienting the patient and
her support to the labor room, and reinforcing comfort measures and breathing
techniques during which stage of labor? - ANSWER First stage
Assess maternal vital signs every 15 minutes, administer IV or IM oxytocin (10
international units) if indicated, and administer pain medications or other
uterotonics as needed is done during which stage? - ANSWER Third stage
, The estimation of blood loss and the beginning of the golden hour occurs at
which stage of labor? - ANSWER Third stage
Mary is a G1P0 who has been in active labor for about 9 hours. She has been
focused on breathing through her contractions which have become more
intense and are occurring every two minutes. The nurse does a quick
assessment to check the progress of the labor and notices the bulging of the
vagina and rectum. Where is Mary in the labor process? - ANSWER Second
stage
How is true labor defined? - ANSWER Cervical Change
The preferred method of delivery includes which of the following? - ANSWER
The patient in a comfortable position of her choosing while open glottis pushing.
A sudden gush of blood and a lengthening of the umbilical cord indicate
_____________. - ANSWER Placental delivery in the third stage
The discussion of comfort measures, breathing techniques, and the patient's
birth plan should take place at which stage of labor? - ANSWER First stage,
latent phase
While caring for a client, which interventions would the nurse include in the
nursing care plan to provide culturally competent care? Select all that apply. -
ANSWER Identify who the woman prefers to care for her during her labor and
delivery
provide the clients preferred foods as appropriate or encourage the clients
family to bring foods from home
Determine who is the clients support person(s) and how they will participate in
her care
Which nursing interventions would support a normal, physiologic birth? Select
all that apply. - ANSWER Waiting until 40 weeks gestation to induce labor
Assisting the mother to change positions frequently
Collaborating with a doula or other support person to manage discomfort
Allowing the bag of waters to rupture spontaneously
The nurse instructs the client on second stage positioning and pushing
techniques. The nurse recognizes that the client understands the teaching when
the client states: - ANSWER Pushing on my side can increase blood flow to the
baby
The nurse is instructing a woman and her partner on non-pharmacological pain
relief interventions such as effleurage and using heat/cold. The client asks how
these techniques work to manage pain. Which is the best statement by the
Correct Answers
What are the 5 P's of labor? - ANSWER Powers (contractions)
Passage (pelvis & birth canal)
Passenger (fetus)
Psyche (response of the woman)
Position (maternal position)
What stage of labor do you assess fetal heart rate and uterine contractions and
use Leopolds maneuver to determine fetal position? - ANSWER First stage
What stage of labor is the fetus traversing the pelvic outlet and stretching the
maternal soft tissues with an obvious bulging of the vagina and rectum -
ANSWER Second Stage
How long does the second stage of labor last for a first time mom? - ANSWER 1-2
hours
What stage of labor should open glottis bearing down, comfortable positioning
of the patient's choosing, and positive encouragement occur in? - ANSWER
Second stage
The patient is encouraged to breathe through contractions, fetal heart rate and
uterine activity are recorded every 15 minutes, and maternal response is often
irritable, overwhelmed, and panicky during which stage of labor - ANSWER First
stage
The uterus will rise up into a firm ball and contract. Often, a sudden gush of
blood will be seen during which stage of labor? - ANSWER Third stage
Nursing actions will include reviewing the birth plan, orienting the patient and
her support to the labor room, and reinforcing comfort measures and breathing
techniques during which stage of labor? - ANSWER First stage
Assess maternal vital signs every 15 minutes, administer IV or IM oxytocin (10
international units) if indicated, and administer pain medications or other
uterotonics as needed is done during which stage? - ANSWER Third stage
, The estimation of blood loss and the beginning of the golden hour occurs at
which stage of labor? - ANSWER Third stage
Mary is a G1P0 who has been in active labor for about 9 hours. She has been
focused on breathing through her contractions which have become more
intense and are occurring every two minutes. The nurse does a quick
assessment to check the progress of the labor and notices the bulging of the
vagina and rectum. Where is Mary in the labor process? - ANSWER Second
stage
How is true labor defined? - ANSWER Cervical Change
The preferred method of delivery includes which of the following? - ANSWER
The patient in a comfortable position of her choosing while open glottis pushing.
A sudden gush of blood and a lengthening of the umbilical cord indicate
_____________. - ANSWER Placental delivery in the third stage
The discussion of comfort measures, breathing techniques, and the patient's
birth plan should take place at which stage of labor? - ANSWER First stage,
latent phase
While caring for a client, which interventions would the nurse include in the
nursing care plan to provide culturally competent care? Select all that apply. -
ANSWER Identify who the woman prefers to care for her during her labor and
delivery
provide the clients preferred foods as appropriate or encourage the clients
family to bring foods from home
Determine who is the clients support person(s) and how they will participate in
her care
Which nursing interventions would support a normal, physiologic birth? Select
all that apply. - ANSWER Waiting until 40 weeks gestation to induce labor
Assisting the mother to change positions frequently
Collaborating with a doula or other support person to manage discomfort
Allowing the bag of waters to rupture spontaneously
The nurse instructs the client on second stage positioning and pushing
techniques. The nurse recognizes that the client understands the teaching when
the client states: - ANSWER Pushing on my side can increase blood flow to the
baby
The nurse is instructing a woman and her partner on non-pharmacological pain
relief interventions such as effleurage and using heat/cold. The client asks how
these techniques work to manage pain. Which is the best statement by the
