Maternal Newborn Exam 3 Study Guide: Ch. 16 & 17 with Complete Solutions

Maternal Newborn Exam 3 Study Guide: Ch. 16 & 17 with Complete Solutions The nurse recognizes that a woman is in true labor when she states: A. "I passed some thick, pink mucous when I was urinating this morning" B. "My bag of waters just broke" C. "The contractions in my uterus are getting stronger and closer together" D. "My baby just dropped, and I have to urinate more now" - CORRECT ANSWER C. "The contractions in my uterus are getting stronger and closer together" The nurse teaches a pregnant woman about the characteristics of true labor contractions. The nurse evaluates the woman's understanding of the instructions, when she states, "True labor contractions will: A. Subside when I walk around B. Cause discomfort over the top of my uterus C. Continue and get stronger even if I relax and take a shower D. Remain irregular but become stronger - CORRECT ANSWER C. Continue and get stronger even if I relax and take a shower When a nulliparous woman telephones the hospital to report that she is in labor, the nurse initially should: A. Tell the woman to stay home until her membranes rupture B. Emphasize that food and fluid intake should stop C. Arrange for the woman to come tot he hospital for a labor evaluation D. Ask the woman to describe why she is in labor - CORRECT ANSWER D. Ask the woman to describe why she is in labor What is an expected characteristics of amniotic fluid? A. Deep yellow color B. Pale, straw color with small white particles C. Acidic result on nitrazine test D. Absence of ferning - CORRECT ANSWER B. Pale, straw color with small white particles When planning care for a laboring woman who membranes have ruptured, the nurse recognizes that the woman's risk for _______________ has increased. A. Intrauterine infection B. Hemorrhage C. Precipitous labor D. Supine hypotension - CORRECT ANSWER A. Intrauterine infection Which action is correct when palpating is used to assess the characteristics and pattern of uterine contractions? A. Place the hand on the abdomen below the bellybutton and palpate uterine tone with the fingertips B. Determine the frequency by timing from the end of one contraction to the end of the next C. Evaluate the intensity by pressing the fingertips into the uterine fundus D. Assess uterine contractions q30mins throughout the first stage of labor - CORRECT ANSWER C. Evaluate the intensity by pressing the fingertips into the uterine fundus When assessing a woman in the first stage of labor, the nurse recognizes that the most conclusive sign that uterine contractions are effective would be: A. Dilation of the cervix B. Descent of the fetus C. Rupture of the amniotic fluid D. Increase in bloody show - CORRECT ANSWER A. Dilation of the cervix