) Maternal-Child Nursing |
Questions & Answers | 100% Correct |
Grade A - Chamberlain
1. What is the primary role of the nurse during the first stage of labor?
a. Encourage immediate pushing
b. Monitor cervical dilation
c. Administer general anesthesia
d. Restrict maternal movement
Correct Answer: b
Expert-Verified Explanation: Monitoring cervical dilation assesses labor progress during the
first stage. Relevance: Guides labor management and timing of interventions.
2. What is the normal fetal heart rate range during labor?
a. 80-100 bpm
b. 110-160 bpm
c. 160-200 bpm
d. 200-240 bpm
Correct Answer: b
Expert-Verified Explanation: Normal fetal heart rate is 110-160 bpm, assessed via electronic
fetal monitoring. Relevance: Indicates fetal well-being during labor.
3. What is a sign of fetal distress on electronic fetal monitoring?
a. Early decelerations
b. Variable decelerations
c. Accelerations
d. Baseline variability
, Correct Answer: b
Expert-Verified Explanation: Variable decelerations indicate possible cord compression, a sign
of fetal distress. Relevance: Requires immediate intervention.
4. What is a nursing intervention for variable decelerations during labor?
a. Restrict oxygen administration
b. Reposition the mother to left lateral
c. Encourage pushing
d. Administer tocolytics
Correct Answer: b
Expert-Verified Explanation: Repositioning to the left lateral position improves uteroplacental
perfusion, relieving cord compression. Relevance: Enhances fetal oxygenation.
5. What characterizes the active phase of the first stage of labor?
a. Cervical dilation of 0-3 cm
b. Cervical dilation of 4-7 cm
c. Cervical dilation of 8-10 cm
d. Complete cervical effacement
Correct Answer: b
Expert-Verified Explanation: The active phase involves cervical dilation from 4-7 cm with
regular contractions. Relevance: Indicates progression to transition phase.
6. What is a nonpharmacologic pain management strategy during labor?
a. Epidural anesthesia
b. Hydrotherapy
c. Opioid administration
d. Spinal block
Correct Answer: b
Expert-Verified Explanation: Hydrotherapy (e.g., warm shower or bath) reduces labor pain
nonpharmacologically. Relevance: Promotes maternal comfort and autonomy.
7. What is a common side effect of epidural anesthesia during labor?