NURS 6700 Exam 3 Study Guide
Questions And Already Passed Answers.
What are the five Ps that affect the process of labor and birth? - Answer Passengers (fetus and
placenta)
Passageway (birth canal)
Powers (contractions)
Position of the mother
Psychologic response
pharmacologic pain management should be implemented before pain becomes? - Answer so severe
that catecholamines increase and labor is prolonged
nerve block analgesia and anesthesia - Answer local perineal infiltration anesthesia
pudendal nerve block
neuraxial anesthesia (spinal, epidural, combined spinal and epidural)
advantages- superior pain relief
disadvantages- maternal hypotension, HA, maternal hyperthermia
A nurse is caring for a client who is at 40 weeks of gestation and experiencing contractions every 3 to 5
minutes and becoming stronger. A vaginal exam reveals that the client's cervix is 3/80%/-1. The client
asks for pain medication. Which of the following actions should the nurse take (Select all that apply).
,A.Encourage use of patterned breathing techniques.
B.Insert an indwelling urinary catheter.
C.Administer opioid analgesic medication.
D.Suggest application of cold.
E.Provide ice chips. - Answer a, c, d
A nurse is caring for a client who is in active labor. The client reports lower-back pain. The nurse suspects
that this pain is related to a persistent occiput posterior fetal position. Which of the following
nonpharmacological nursing interventions should the nurse recommend to the client?
A.Abdominal effleurage
B.Sacral counterpressure
C.Showering if not contraindicated
D.Back rub and massage - Answer b
A nurse is caring for a client who is in the second stage of labor. The client's labor has been progressing,
and she is expected to deliver vaginally in 20 minutes. The provider is preparing to administer lidocaine
for pain relief and perform an episiotomy. The nurse should know that which of the following types of
regional anesthetic block is to be administered?
A.Pudendal
,B.Epidural
C.Spinal
D.Paracervical - Answer a
A nurse is caring for a client following the administration of an epidural block and is preparing to
administer an IV fluid bolus. The client's partner asks about the purpose of the IV fluids. Which of the
following is an appropriate response for the nurse to make?
A."It is needed to promote increased urine output."
B."It is need to counteract respiratory depression."
C."It is needed to counteract hypotension."
D."It is needed to prevent oligohydramnios." - Answer c
parenteral opioids - Answer opioid agonist analgesics-meperidine, fentanyl and remifentanil
opioid agonist-antagonist analgescis-nalbuphine
Leopold's Maneuvers - Answer A series of four maneuvers designed to provide a systematic approach
whereby the examiner may determine fetal presentation and position.
answers 3 questions
1. which fetal part is in the uterine fundus
2. where is the fetal back located
, 3. what is the presenting fetal part
can also be used to estimate fetal size
if the cephalic prominence is found on the same side as the small parts, this means that - Answer that
the head must be flexed and the vertex is presenting
Process of Leopold Maneuvers - Answer ask the woman to empty her bladder
position the woman in supine
1. identify the fetal part that occupies the fundus. the head feels round, firm, and freely movable; the
breech feels less regular and softer. this maneuver identifies fetal lie (longitudinal or transverse) and
presentation (cephalic or breech)
2. using the palmar surface of one hand, locate and palpate the smooth convex contour of the fetal back
and the irregular that identify the small parts (feet, hands, knees, elbow) this maneuver helps to identify
fetal presentation
3. determine which fetal part is presenting over the inlet to the true pelvis. gently grasp the lower pole
of the uterus between your thumb and fingers, pressing in slightly. if the the head is presenting and not
engaged, determine the attitude of the head (flexed or extended)
4. turn to face the woman's feet using both hands outline the fetal head with the palmar surface of your
fingers tips. when the presenting part has descended deeply only a small portion of it may be outlined.
palpation of cephalic prominence helps identify the attitude of the head.
if the cephalic prominence is on the same side as the back this indicates that the presenting part is -
Answer extended and the face is presenting
if the cephalic prominence is found on the same side as the small parts, this means? - Answer the head
must be flexed and the vertex is presenting
Questions And Already Passed Answers.
What are the five Ps that affect the process of labor and birth? - Answer Passengers (fetus and
placenta)
Passageway (birth canal)
Powers (contractions)
Position of the mother
Psychologic response
pharmacologic pain management should be implemented before pain becomes? - Answer so severe
that catecholamines increase and labor is prolonged
nerve block analgesia and anesthesia - Answer local perineal infiltration anesthesia
pudendal nerve block
neuraxial anesthesia (spinal, epidural, combined spinal and epidural)
advantages- superior pain relief
disadvantages- maternal hypotension, HA, maternal hyperthermia
A nurse is caring for a client who is at 40 weeks of gestation and experiencing contractions every 3 to 5
minutes and becoming stronger. A vaginal exam reveals that the client's cervix is 3/80%/-1. The client
asks for pain medication. Which of the following actions should the nurse take (Select all that apply).
,A.Encourage use of patterned breathing techniques.
B.Insert an indwelling urinary catheter.
C.Administer opioid analgesic medication.
D.Suggest application of cold.
E.Provide ice chips. - Answer a, c, d
A nurse is caring for a client who is in active labor. The client reports lower-back pain. The nurse suspects
that this pain is related to a persistent occiput posterior fetal position. Which of the following
nonpharmacological nursing interventions should the nurse recommend to the client?
A.Abdominal effleurage
B.Sacral counterpressure
C.Showering if not contraindicated
D.Back rub and massage - Answer b
A nurse is caring for a client who is in the second stage of labor. The client's labor has been progressing,
and she is expected to deliver vaginally in 20 minutes. The provider is preparing to administer lidocaine
for pain relief and perform an episiotomy. The nurse should know that which of the following types of
regional anesthetic block is to be administered?
A.Pudendal
,B.Epidural
C.Spinal
D.Paracervical - Answer a
A nurse is caring for a client following the administration of an epidural block and is preparing to
administer an IV fluid bolus. The client's partner asks about the purpose of the IV fluids. Which of the
following is an appropriate response for the nurse to make?
A."It is needed to promote increased urine output."
B."It is need to counteract respiratory depression."
C."It is needed to counteract hypotension."
D."It is needed to prevent oligohydramnios." - Answer c
parenteral opioids - Answer opioid agonist analgesics-meperidine, fentanyl and remifentanil
opioid agonist-antagonist analgescis-nalbuphine
Leopold's Maneuvers - Answer A series of four maneuvers designed to provide a systematic approach
whereby the examiner may determine fetal presentation and position.
answers 3 questions
1. which fetal part is in the uterine fundus
2. where is the fetal back located
, 3. what is the presenting fetal part
can also be used to estimate fetal size
if the cephalic prominence is found on the same side as the small parts, this means that - Answer that
the head must be flexed and the vertex is presenting
Process of Leopold Maneuvers - Answer ask the woman to empty her bladder
position the woman in supine
1. identify the fetal part that occupies the fundus. the head feels round, firm, and freely movable; the
breech feels less regular and softer. this maneuver identifies fetal lie (longitudinal or transverse) and
presentation (cephalic or breech)
2. using the palmar surface of one hand, locate and palpate the smooth convex contour of the fetal back
and the irregular that identify the small parts (feet, hands, knees, elbow) this maneuver helps to identify
fetal presentation
3. determine which fetal part is presenting over the inlet to the true pelvis. gently grasp the lower pole
of the uterus between your thumb and fingers, pressing in slightly. if the the head is presenting and not
engaged, determine the attitude of the head (flexed or extended)
4. turn to face the woman's feet using both hands outline the fetal head with the palmar surface of your
fingers tips. when the presenting part has descended deeply only a small portion of it may be outlined.
palpation of cephalic prominence helps identify the attitude of the head.
if the cephalic prominence is on the same side as the back this indicates that the presenting part is -
Answer extended and the face is presenting
if the cephalic prominence is found on the same side as the small parts, this means? - Answer the head
must be flexed and the vertex is presenting
