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What does the nurse note when measuring the frequency of a laboring womans
contractions? - CORRECT ANSWER-The time between the beginning of one
contraction and the beginning of the next
R: The frequency of contractions is the elapsed time from the beginning of one
contraction to the beginning of the next contraction.
What contraction duration and interval does the nurse recognize could result in fetal
compromise? - CORRECT ANSWER-Duration longer than 90 seconds, interval shorter
than 60 seconds
R: Persistent contraction durations longer than 90 seconds or contraction intervals less
than 60 seconds may reduce fetal oxygen supply.
Vaginal examination reveals the presenting part is the infants head, which is well flexed
on the chest. What is this presentation? - CORRECT ANSWER-Vertex
R: In the vertex presentation, the fetal head is the presenting part. The head is fully
flexed on the chest.
What does meconium-stained amniotic fluid indicate when the infant is in a vertex
presentation? - CORRECT ANSWER-Fetal distress
, R: Green-stained amniotic fluid means that the fetus passed the first stool before birth,
and it is an indicator of fetal compromise.
Why is the relaxation phase between contractions important? - CORRECT ANSWER-
The contractions can interfere with fetal oxygenation.
R: Blood flow from the mother into the placenta gradually decreases during
contractions. During the interval between contractions, the placenta refills with
oxygenated blood for the fetus.
It is determined that the presenting part of the fetus is the buttocks. At delivery the
fetuss hips are flexed and the knees are extended. How would the nurse record this
presentation? - CORRECT ANSWER-Frank breech
R: When a fetus presents in a frank breech position, the legs are flexed at the hips and
extend toward the shoulders.
At a prenatal visit, a primigravida asks the nurse how she will know her labor has
started. The nurse knows that what indicates the beginning of true labor? - CORRECT
ANSWER-Regular contractions becoming more frequent and intense
R: In true labor, contractions gradually develop a regular pattern and become more
frequent, longer, and more intense.
While discussing labor and delivery during a prenatal visit, a primigravida asks the
nurse when she should go to the hospital. What is the nurses most informative
response? - CORRECT ANSWER-When membranes have ruptured
R: Ruptured membranes are an indication that the woman should go to the hospital or
birthing center.