POEP Module 04 - Process of Labor and Birth (Normal) 2024 Study Questions

You are working with nursing students on the L&D unit. One of the students recalls reading about progesterone levels affecting labor and asks if you could explain this. What is your best response? a. Decreased progesterone levels allow estrogen to stimulate uterine contractility. With lowered levels of progesterone, the myometrium gains resistance as uterine contractions act on the resistance of the cervix. b. Decreased progesterone levels allow estrogen to stimulate uterine contractility. With lowered levels of progesterone, the myometrium loses resistance as uterine contractions act on the resistance of the cervix. c. Increased progesterone levels allow estrogen to stimulate uterine contractility. With higher levels of progesterone, the myometrium gains resistance as uterine contractions act on the resistance of the cervix. d. Increased progesterone levels allow estrogen to stimulate uterine contractility. With - Decreased progesterone levels allow estrogen to stimulate uterine contractility. With lowered levels of progesterone, the myometrium loses resistance as uterine contractions act on the resistance of the cervix. Maria, a 21 year old, G1P0 at 39 2/7 weeks gestation presents to the OB triage with complaints of contractions. You apply the fetal monitor and perform a cervical examination. The cervical examination revealed that Maria is 1 cm dilated and 50% effaced. Maria stated that her cervical examination two days ago at her doctors appointment was the same. Maria asks you what signs to look for to know if she is in labor. What is your best response? (Select all that apply.) A. It is hard to say since this is your first baby. Labor takes time. B. You may experience pain that begins in your lower back and gradually sweep around to your lower abdomen. C. You may feel like the baby has dropped down in the pelvis. This is referred to as lightening. D. You may feel more tired than normal. This is referred to as nesting. - B, C Other signs: bloody show, increased energy and cervical dilation, lower back pain , weight loss Match the fetal lie with correct definition. a. Transverse b. Longitudinal c. Oblique 1. occurs less frequently and usually converts to a different fetal lie during labor 2. occurs when the long axis of the fetus is at a right angle, or perpendicular, to that of the mother 3. occurs when the long axis of the fetus is parallel to the long axis of the mother - a- 2 b. - 3 c. - 1 Abby, G2P1 at 39 3/7 weeks gestation presents to the OB triage with complaints of "her water leaking". You apply the fetal monitor. Abby's vitals are as follows: BP 158/98 mm Hg, P 82 bpm, R 22 bpm, Temp 100.4°F (38°C). Abby has a positive pH paper test indicating her membranes are ruptured and her cervical examination is 3cm dilated and 70% effaced. The FHR is 165 bpm, minimal variability, and recurrent variable decelerations are present. Abby is contracting every 3-4 minutes, 60-70 seconds in duration, the contractions palpate moderate, and her resting tone is soft. What assessment findings indicate immediate provider notification? a. Hypertension, elevated temperature, and indeterminant FHR pattern b. Hypertension, elevated temperature, PPROM, and indeterminant FHR pattern c. Hypertension, elevated temperature, PPROM, cervical dilation, and indeterminant FHR pattern d. Hypertension, elevated temperature, ruptur - You are caring for Sonya, G1P0 at 40 weeks gestation who was admitted in active labor. Sonya's membranes spontaneously ruptured 30 minutes ago. You are orientating a new nurse and he asks you how often Sonya's vital signs should be taken. What is your best response? a. We should take Sonya's pulse, respirations, and blood pressure at least every 4 hours and take her temperature every hour. b. We should take Sonya's pulse, respirations, and blood pressure at least every 4 hours and take her temperature every 2 hours. c. We should take Sonya's pulse, respirations, blood pressure, and temperature at least every 4 hours unless we start oxytocin then we will take them more frequently. d. We should take Sonya's pulse, respirations, blood pressure, and temperature at least every 4 hours until she gets an epidural then we will take them more frequently. - We should take Sonya's pulse, respirations, and blood pressure at least every 4 hours and take her temperature every hour. Match the mechanism of labor with the correct definition.