Update) Primary Care of Childbearing Woman
Review| Qs & As | Grade A| 100% Correct (Verified
Answers)- Regis
The 14-year-old pregnant adolescent arrives at the hospital in early labor. The nurse knows
that because the adolescent is still growing herself, she is at greater risk for
cephalopelvic disproportion.
A woman who is about 2 weeks before her due date tells the nurse that the baby has
dropped and she is having urinary frequency again. The nurse assesses this as
lightening
Braxton-Hicks contractions that may begin in the first trimester and become increasingly
stronger during the pregnancy differ from labor contractions in that they
do not dilate the cervix.
_________________ refers to the sensation that a pregnant woman feels when the baby
drops. This is the time when the presenting (lowermost) part of the fetus descends into the
maternal pelvis.
Lightening
____________ ________ _________________ are intermittent weak contractions of the
uterus occurring during pregnancy.
Braxton-Hicks Contractions
The nurse helps to differentiate false from true labor in that with true labor
contractions get stronger with ambulation.
Contractions get stronger with ambulation with _______ _________.
,true labor
pelvis is divided into two parts, the false and true pelvis. The nurse explains that the size of
the true pelvis is most important because
the fetal head must pass through this part.
The relationship of fetal body parts to one another during labor is called fetal attitude. The
nurse explains why the ideal attitude for the fetal body is ________.
flexion
The relationship of fetal body parts to one another during labor is called fetal attitude. The
nurse explains why the ideal attitude for the fetal body is
flexion
The ideal attitude for the fetal body is __________.
flexion
The nurse clarifies that the type of monitor that will assess the intensity of the contractions
is a(n)
internal monitor.
The nurse observing the fetal heart monitor recognizes the fetal heart rate (FHR) decreases
to 120 beats per minute at the beginning of a contraction and returns to baseline 155 beats
per minute at the end of the contraction. This indicates
early deceleration due to head compression.
The first-time mother has been told by the nurse that the first stage of labor is the longest.
An appropriate nursing intervention for comfort during this time would be
a backrub in the sacral area.
Backache in the sacral area is a common complaint during the _________ __________ of
labor.
first stage
, The nurse monitoring the FHR assesses there are indications that the FHR is
nonreassuring. This indicates to the nurse that the fetus is experiencing fetal distress
probably related to
hypoxia
Fetal distress resulting from ___________ is indicated by nonreassuring FHR.
hypoxia
A mother is admitted in active labor. The nurse assesses the FHR at 124 beats per minute;
and based on that assessment the nurse will
reassure the mother the rate is normal.
The client's membranes have just ruptured. The nurse is with her and knows that the first
thing that must be done is to
check the FHR.
The __________ should be assessed immediately after rupture of the membranes to assure
the well-being of the baby.
FHR
The client arrives at the hospital and is not sure if she is in true labor. The nurse does an
assessment and assures her she is in true labor because
there is cervical dilatation.
The sign of true labor is when the _______ ___________.
cervix dilates.
The nurse is alarmed as she assesses a protruding umbilical cord from the vagina. The
immediate action the nurse should take is
hold fetal head up off the protruding cord
The mother is in beginning labor and asks the nurse how long this will last. The nurse
explains that the first stage of labor lasts from the beginning of regular contractions to