Solved Solutions.
Which of the following is a reassuring pattern of contractions? - Answer Three minutes and
less than 90 seconds
The fetal heart rate decelerates to the 90's for three minutes after a 90 second contraction. The
nurse documents: - Answer Prolong decelerations to the 90's, provider notified
CPD (cephalopelvic disproportion) is: - Answer The most common indication for cesarean
section
The patient is complaining of severe headache and blurry vision. The nurse should: - Answer
Take the BP (rule out pre-eclampsia)
A pregnant woman should go to the hospital when she begins to experience: - Answer
frequent and intense contractions (q 5 min and lasts >=50 seconds)
The patient presents for induction of labor due to oligohydramnios. The nurse knows to
carefully monitor for: - Answer Late decelerations (because of placental insufficiency)
Which of the following is a characteristic of false labor? - Answer Walking relieves contractions
The provider wants to perform an episiotomy on the patient. Which anesthetic technique will
the ob perform? - Answer Pudendal block
The patient requests an epidural anesthetic. What must the nurse know prior to calling
anesthesia? - Answer What is the platelet count?
The four stages of labor are: - Answer Dilation and effacement, expulsion, placenta delivery,
and recovery
The provider performs AROM and the fluid is green. This indicates: - Answer Anal patency in
the fetus
, Prostaglandins are responsible for: - Answer Menstrual cramps
A patient at 42 weeks comes in for induction of labor. After evaluation, the patient wants to
know what a score of "5" is. The nurse tells the patient: - Answer She will need Cervidil to help
her go into labor (less than 6 needs cervical ripening)
The apgar score system assesses: - Answer Fetal heartrate, respiratory effort, reflex irritability,
muscle tone, and color
Three signs of impending labor are: - Answer Bloody show, irregular contractions, and
cramping
What are the four interrelated components that make up the process of labor and birth? -
Answer Powers, passage, passenger, and psyche
Artificial rupture of the membranes is called - Answer Amniotomy
When the umbilical cord vessels are implanted in the membranes it is called: - Answer
velementous insertion (vasa previa is a type of this)
Dilaton, effacement, position, station, and consistency are components of: - Answer The
Bishop Score
Which is the most important assessment immediately after a woman recieves an epidural? -
Answer Blood pressure
Vaginal examinations reveals the presenting part is the infant's head which is well flexed upon
the chest. What is this presentation? - Answer Vertex (Cephalic)
What does the nurse note when measuring the frequency of the laboring woman's
contractions? - Answer The time between the start of one contraction and the start of the
next
The peak of the contraction is called the: - Answer Acme