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NUR 230 Exam 2 Questions And Answers
When caring for a nulliparous client in labor, the nurse knows that the experience for a
nulliparous client is different from that of a multiparous client in what way?
The nulliparous client experiences less sensory pain during labor.
The nulliparous client experiences greater sensory pain during the second stage of labor.
The nulliparous client experiences greater fatigue as a result of longer duration of labor.
The nulliparous client experiences greater affective pain in the second stage of labor. -
Answers✔The nulliparous client experiences greater fatigue as a result of longer duration of
labor.
When assessing uterine activity, the nurse is aware of which consideration?
The examiner's hand should be placed on the fundus before, during, and after contractions.
The frequency and duration of contractions are measured in seconds for consistency.
Contraction intensity is given a judgement number of 1-7 by the nurse and client together.
The resting tone between contractions is described as either placid or turbulent. -
Answers✔The examiner's hand should be placed on the fundus before, during, and after
contractions.
Which condition is occurring in a multiparous client who has just given birth, her fundus is firm
and globular, and she has a gush of dark red blood from her vagina?
The placenta has separated.
A cervical tear occurred during birth.
The client is beginning to hemorrhage.
Clots have formed in the upper uterine segment. - Answers✔The placenta has separated.
Which is characteristic of true labor contractions?
Subsides when walking around.
Causes discomfort over the top of the uterus.
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Continues and gets stronger, even if the client relaxes and takes a shower.
Remains irregular but becomes stronger. - Answers✔Continues and gets stronger, even if the
client relaxes and takes a shower.
Which stage of labor is indicated for a client who has been laboring for several hours, whose
cervix is dilated 9 cm, and who is having strong uterine contractions, each lasting for 45-90
seconds?
Latent phase of the first stage of labor.
Active phase of the first stage of labor.
Active stage of the second stage of labor.
Transition phase of the first stage of labor. - Answers✔Transition phase of the first stage of
labor.
Which nursing instruction would reduce the risk of urinary retention in a client during labor?
"Void in a lateral position."
"Increase your fluid intake."
"Empty your bladder every 4 hours."
"I can show you some techniques to help stimulate voiding." - Answers✔"I can show you some
techniques to help stimulate voiding."
Which characteristic is associated with false labor contractions?
Painless
Decrease in intensity with ambulation.
Regular pattern of frequency established.
Progressive in terms of intensity and duration. - Answers✔Decrease in intensity with
ambulation.
Which are characteristics of the second stage of labor? Select all that apply.
A. The second stage of labor is the stage in which the infant is born.
B. In this stage, the birthing table is usually set up for the nulliparous client
C. The progress of labor is enhanced when the client changes position frequently during this
stage of labor.
D. This stage begins with full cervical dilation (10 cm) and complete effacement (100%) and
ends with the baby's birth.
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