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NURSING 404 OB EXAM 1 NCLEX QUESTIONS WITH COMPLETE ANSWERS

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NURSING 404 OB EXAM 1 NCLEX QUESTIONS WITH COMPLETE ANSWERS

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The first 1 to 2 hours after birth is sometimes referred to as what?


a.Bonding period


b.Third stage of labor


c.Fourth stage of labor


d.Early postpartum period

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ANS: C


The first 2 hours of the birth are a critical time for the mother and her baby
and is often called the fourth stage of labor. Maternal organs undergo their
initial readjustment to a nonpregnant state. The third stage of labor lasts
from the birth of the baby to the expulsion of the placenta. Bonding will
occur over a much longer period, although it may be initiated during the
fourth stage of labor.




When instructing the woman in early labor, the nurse teaches her that an important
aspect of proper breathing technique is


a. Breathing no more than three times the normal rate
b. Beginning and ending with a cleansing breath
c. Holding the breath no longer than 10 seconds
d. Adhering exactly to the techniques as they were taught


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ANS: B
Feedback
A-It is important to prevent hyperventilation; however, the cleansing
breaths are the most important aspect of the breathing techniques.
B-The cleansing breath helps the woman clear her mind to focus on
relaxing and signals the coach that the contraction is beginning or ending.
C-The woman should hold her breath for no more than 6 to 8 seconds.
D-The woman needs to be flexible and change her breathing techniques as
needed to keep her comfortable.




12. A nullipara client has progressed to the active phase of labor. The nurse
understands that this phase of labor, on the average, for a nullipara will last how long?

,a. 50 minutes


b. hours


c. 6 to 7 hours


d. 8 to 10 hours


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ANS: D

The active phase of labor for a nullipara lasts 8 to 10 hours. The second
phase of labor lasts 50 minutes for a nullipara. The transition phase lasts
hours for a nullipara. A multipara's active phase of labor is 6 to 7 hours.

PTS: 1 DIF: Cognitive Level: Analysis REF: 208




Which statement is true with regard to the type of pain associated with childbirth
experience?


a. Pain is constant throughout the labor experience.
b. Labor pain during childbirth is considered to be an abnormal response.
c. Pain associated with childbirth is self-limiting.
d. Pain associated with childbirth does not allow for adequate preparation.


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, ANS: C

The pain associated with childbirth is self-limiting in that it typically stops
once the child is delivered. Pain is intermittent during the labor experience.
Labor pain is considered to be a normal response during childbirth.
Pregnant woman can prepare for the expected pain of childbirth by taking
prepared childbirth classes and using relaxation techniques during the
course of labor.




22. On admission to the labor and birth unit, a 38-year-old female, gravida 4, para 3,
at term in early labor is found to have a transverse lie on vaginal examination. What is
the priority intervention at this time?


a. Perform a vaginal exam to denote progress.


b. Notify the health care provider.


c. Initiate parenteral therapy.


d. Apply oxygen via nasal cannula at 8 L/min


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