1. Based on the hormonal theory of labor, the nurse A. Cortisol
anticipates a rise in which of the following
to be- gin a chain of hormonal events that
cause labor?
A. Cortisol
B. Oxytocin
C. Progesterone
D. Estrogen
2. The nurse would recognize that the client has ex- A. "I can breath much
better"
perienced lightening when the pregnant Fetus has descended into
woman reports: pelvis, relieving pressure on
A. "I can breath much better" diaphragm
B. "My ankles are less swollen"
C. "I don't have to urinate as often now"
D. "My lower back pain has been relieved"
3. The primary nurse performs a vaginal
examina- tion and finds a prolapsed cord. C. Make arrangements for
The nurses pri- ority action will be to: an emergency cesarean
A. Give medication to hasten a vaginal section Position client to take
delivery pressure ott cord while
B. Keep the client in a back-lying position awaiting surgery
C. Make arrangements for an emergency
cesare- an section
D. Get the cord back to its original location
4. When the fetus is found to be in a vertex presen- D. Occiput
tation, the nurse anticipates the
presenting fetal part will be the:
A. Forehead
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B. Face
C. Buttocks
D. Occiput
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, Maternal/Newborn Test 2 NCLEX Questions Correctly Answered.
5. A nurse is caring for a client in labor who C. Increase the intensity
com- plains of feeling faint. The nurse Also less frequent
turns the client onto her side in order to
have what effect on contractions?
A. Little or no effect
B. Increase the frequency
C. Increase the intensity
D. Stop the contractions
6. The nurse recognizes that the client is in B. Onset of contractions to 4cm
latent phase of the first stage of Labor.
This phase is best described as lasting
from:
A. Undilated cervix to a 2cm dilation
B. Onset of contractions to 4cm
C. Cervix is dilated 4cm to dilation of 8cm
D.No contraction to contractions every 3
minutes D. 4-6h
7. The nurse, working on a labor and delivery
unit, anticipates active labor for a
primagravida will last how long?
A. 16-18h
B. 12-14h
C. 8-10h
D. 4-6h
8. A client is in the transition phase of labor irritably C. Remind the client to
focus on
tells the nurse not to touch her. The nurses B. Tell the client
best action would be to: to be cooperative
A. Ask for someone else to support the and do as you
client say
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C. Remind the client to focus on relaxation relaxation and breathing
and
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