Maternal-Newborn and Women's Health ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Nursing - Exam 2 (ATI 11, 12, 13, 14, 15, 16) ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\
A client calls a provider's office and reports having
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
contractions for 2 hrs that increased with activity and ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
did not dec w/ rest and hydration. The client denies
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
leaking of vaginal fluid but did notice blood when ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
wiping after voiding. Which of the following ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
manifestations is the client experiencing? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A. Braxton Hicks Contractions
||\\||\\ ||\\||\\ ||\\||\\
B. Rupture of Membranes
||\\||\\ ||\\||\\ ||\\||\\
C. Fetal descent ||\\||\\ ||\\||\\
D. True Contractions - correct answers ✔✔D. True
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Contractions
,true contractions dont go away with hydration or ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
walking; regular in freq, duration, intensity, and ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
become stronger w/ walking ||\\||\\ ||\\||\\ ||\\||\\
A nurse is caring for a client having contractions q 8
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
min that are 30 to 40 sec in duration. The client's
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
cervix is 2cm dilated, 50% effaced, and the fetus is at ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a -2 station w/ a FHR around 140/min. Which of the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
following stages and phases of labor is the client ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
experiencing?
A. First stage, latent phase ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. First stage, active phase
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. First stage, transition phase
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. second stage of labor - correct answers ✔✔A. First
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
stage, latent phase
||\\||\\ ||\\||\\ ||\\||\\
, in stage 1, latent phase- cervix dilates from 0 to 3 cm
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
and contraction duration ranges from 30 to 45 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
seconds
stage 1, active: cervix dilates 4 to 7cm; contraction 40 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to 70 sec
||\\||\\ ||\\||\\ ||\\||\\
stage 1, transition: dilates 8 to 10 cm; contraction 45 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to 90 sec ||\\||\\ ||\\||\\
second stage of labor consists of expulsion of fetus ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A nurse is caring for a client who is 40 weeks of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
gestation and reports having large gush of fluid from ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the vagina while walking from the bathroom. Which||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
of the following actions should the nurse take first?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A. Examine the amniotic fluid for meconium
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Nursing - Exam 2 (ATI 11, 12, 13, 14, 15, 16) ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
exam with correct answers ||\\||\\ ||\\||\\ ||\\||\\
A client calls a provider's office and reports having
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
contractions for 2 hrs that increased with activity and ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
did not dec w/ rest and hydration. The client denies
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
leaking of vaginal fluid but did notice blood when ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
wiping after voiding. Which of the following ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
manifestations is the client experiencing? ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A. Braxton Hicks Contractions
||\\||\\ ||\\||\\ ||\\||\\
B. Rupture of Membranes
||\\||\\ ||\\||\\ ||\\||\\
C. Fetal descent ||\\||\\ ||\\||\\
D. True Contractions - correct answers ✔✔D. True
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
Contractions
,true contractions dont go away with hydration or ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
walking; regular in freq, duration, intensity, and ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
become stronger w/ walking ||\\||\\ ||\\||\\ ||\\||\\
A nurse is caring for a client having contractions q 8
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
min that are 30 to 40 sec in duration. The client's
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
cervix is 2cm dilated, 50% effaced, and the fetus is at ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
a -2 station w/ a FHR around 140/min. Which of the
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
following stages and phases of labor is the client ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
experiencing?
A. First stage, latent phase ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
B. First stage, active phase
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
C. First stage, transition phase
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
D. second stage of labor - correct answers ✔✔A. First
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
stage, latent phase
||\\||\\ ||\\||\\ ||\\||\\
, in stage 1, latent phase- cervix dilates from 0 to 3 cm
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
and contraction duration ranges from 30 to 45 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
seconds
stage 1, active: cervix dilates 4 to 7cm; contraction 40 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to 70 sec
||\\||\\ ||\\||\\ ||\\||\\
stage 1, transition: dilates 8 to 10 cm; contraction 45 ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
to 90 sec ||\\||\\ ||\\||\\
second stage of labor consists of expulsion of fetus ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A nurse is caring for a client who is 40 weeks of
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
gestation and reports having large gush of fluid from ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
the vagina while walking from the bathroom. Which||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
of the following actions should the nurse take first?
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
A. Examine the amniotic fluid for meconium
||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\ ||\\||\\
