TEST BANK FOR DAVIS ADVANTAGE FOR MATERNAL i i i i i i
NEWBORN NURSING; CRITICAL COMPONENTS OF NURSING
i i i i i i
CARE 4TH EDITION BY CONNIE DURHAM AND ROBERT
i i i i i i i i
CHAPMAN LATEST QUESTION AND ANSWERS 2025/2026
i i i i i i
A nurse is caring for a patient who is in the active phase of the first stage of labor. How often should the
i i i i i i i i i i i i i i i i i i i i i i
nurse monitor fetal heart rate and contractions during this phase?
i i i i i i i i i i
1. Every 5 to 10 minutes
i i i i i
2. Every 15 to 20 minutes
i i i i i
3. Every 30 to 40 minutes
i i i i i
4. Every 45 to 60 minutes - Answer 2. Every 15 to 20 minutes
i i i i i i i i i i i i i
The nurse should monitor fetal heart rate and contractions every 15 to 20 minutes in the active phase
i i i i i i i i i i i i i i i i i
of the first stage of labor.
i i i i i i
A woman in labor is dilated 9 cm, effaced 100%, and has contractions that occur almost every minute
i i i i i i i i i i i i i i i i i i
i and last 90 seconds. She is exhausted and has trouble concentrating. The nurse recognizes that this
i i i i i i i i i i i i i i i
i woman is in which phase of the first stage of labor?
i i i i i i i i i i
1. Latent phase i i
2. Active phase i i
3. Transitional phase
i i
4. Expulsive phase - Answer 2. Active phase
i i i i i i i
The latent phase is the early and slower part of labor with an average length of 9 hours for primiparous
i i i i i i i i i i i i i i i i i i i
and 5 hours for multiparous women. Women in this phase are talkative and able to relax with the
i i i i i i i i i i i i i i i i i i
contractions. Characteristics of this phase are cervical dilation from 0 to 3 cm with effacement from
i i i i i i i i i i i i i i i i
0% to 40%, along with contractions occurring every 5 to 10 minutes, lasting 30 to 45 seconds, and
i i i i i i i i i i i i i i i i i i
being of mild intensity. Women often describe these contractions as feeling like strong menstrual
i i i i i i i i i i i i i i
cramps.
i
,The active phase is characterized by cervical dilation of 4 to 7 cm with effacement of 40% to 80%.
i i i i i i i i i i i i i i i i i i
Contractions become more intense, occurring every 2 to 5 minutes with a duration of 45 to 60
i i i i i i i i i i i i i i i i i
seconds. The woman tends to be more serious and fatigued in this phase and turns inward.
i i i i i i i i i i i i i i i i
The transition phase is characterized by cervical dilation of 8 to 10 cm with complete (100%)
i i i i i i i i i i i i i i i
effacement. Contractions are intense, occur every 1 to 2 minutes, and last 60 to 90 seconds. It is the
i i i i i i i i i i i i i i i i i i i
shortest but most difficult phase of the first stage of labor, and the woman is typically exhausted and
i i i i i i i i i i i i i i i i i i
has trouble concentrating.
i i i
Expulsive refers to the second stage of labor, not a phase of the first. It involves the delivery of the
i i i i i i i i i i i i i i i i i i i
baby.
i
Early in labor, a patient tells the nurse that she had an awful experience with pain in her last pregnancy
i i i i i i i i i i i i i i i i i i i i
i and would like strongest pain relief option available for a vaginal birth. Which of the following should
i i i i i i i i i i i i i i i i
i the nurse suggest to the patient?
i i i i i
1. Parenteral opioids
i i
2. Nitrous oxide
i i
3. Epidural anesthesia
i i
4. General anesthesia - Answer 3. Epidural anesthesia
i i i i i i i
Parenteral opioids blunt but do not eliminate pain, and therefore are not the strongest form of pain
i i i i i i i i i i i i i i i i
relief in labor and delivery.
i i i i i
Nitrous oxide is a combination of oxygen and nitrous oxide gas that is self-administered by the
i i i i i i i i i i i i i i i
laboring woman using a mouth tube or face mask, when she determines that she needs it. As an
i i i i i i i i i i i i i i i i i i
analgesic, it relieves pain, but does not block it as effectively as an epidural.
i i i i i i i i i i i i i i
, Epidural anesthesia involves placement of a very small catheter and injection of local anesthesia
i i i i i i i i i i i i i
and/or analgesia between the fourth and fifth vertebrae into the epidural space. It has the potential
i i i i i i i i i i i i i i i i
of 100% blockage of pain.
i i i i i
General anesthesia is not typically used in vaginal births.
i i i i i i i i
4.Early in labor, a patient tells the nurse that she would like an unmedicated birth, in general, but
i i i i i i i i i i i i i i i i i i
i would like some pain relief that is fast-acting, that she can administer hersef, and that will not
i i i i i i i i i i i i i i i i
i interfere with the normal physiology and progress of labor. Which of the following should the nurse
i i i i i i i i i i i i i i i
i suggest to the patient? i i i
1. Parenteral opioids
i i
2. Nitrous oxide
i i
3. Epidural anesthesia
i i
4. General anesthesia - Answer 1. Parenteral opioids
i i i i i i i
Parenteral opioids are considered a medication and can cause neonatal respiratory depression, so
i i i i i i i i i i i i
they do not meet the criteria of the patient.
i i i i i i i i i
Nitrous oxide is a combination of oxygen and nitrous oxide gas that is self-administered by the
i i i i i i i i i i i i i i i
laboring woman using a mouth tube or face mask, when she determines that she needs it. It can be
i i i i i i i i i i i i i i i i i i i
started and stopped at any point during labor, according to the needs and preferences of the woman.
i i i i i i i i i i i i i i i i i
It takes effect in about 50 seconds after the first breath, and the effect is transient. It is has no adverse
i i i i i i i i i i i i i i i i i i i i i
effects on the normal physiology and progress of labor.
i i i i i i i i i
Epidural anesthesia involves placement of a very small catheter and injection of local anesthesia and
i i i i i i i i i i i i i i
or analgesia between the fourth and fifth vertebrae into the epidural space. It involves the
i i i i i i i i i i i i i i i
administration of a medication and is rather involved to set up, so it does not meet the criteria of the
i i i i i i i i i i i i i i i i i i i i
patient.
i
General anesthesia is not typically used in vaginal births.
i i i i i i i i
NEWBORN NURSING; CRITICAL COMPONENTS OF NURSING
i i i i i i
CARE 4TH EDITION BY CONNIE DURHAM AND ROBERT
i i i i i i i i
CHAPMAN LATEST QUESTION AND ANSWERS 2025/2026
i i i i i i
A nurse is caring for a patient who is in the active phase of the first stage of labor. How often should the
i i i i i i i i i i i i i i i i i i i i i i
nurse monitor fetal heart rate and contractions during this phase?
i i i i i i i i i i
1. Every 5 to 10 minutes
i i i i i
2. Every 15 to 20 minutes
i i i i i
3. Every 30 to 40 minutes
i i i i i
4. Every 45 to 60 minutes - Answer 2. Every 15 to 20 minutes
i i i i i i i i i i i i i
The nurse should monitor fetal heart rate and contractions every 15 to 20 minutes in the active phase
i i i i i i i i i i i i i i i i i
of the first stage of labor.
i i i i i i
A woman in labor is dilated 9 cm, effaced 100%, and has contractions that occur almost every minute
i i i i i i i i i i i i i i i i i i
i and last 90 seconds. She is exhausted and has trouble concentrating. The nurse recognizes that this
i i i i i i i i i i i i i i i
i woman is in which phase of the first stage of labor?
i i i i i i i i i i
1. Latent phase i i
2. Active phase i i
3. Transitional phase
i i
4. Expulsive phase - Answer 2. Active phase
i i i i i i i
The latent phase is the early and slower part of labor with an average length of 9 hours for primiparous
i i i i i i i i i i i i i i i i i i i
and 5 hours for multiparous women. Women in this phase are talkative and able to relax with the
i i i i i i i i i i i i i i i i i i
contractions. Characteristics of this phase are cervical dilation from 0 to 3 cm with effacement from
i i i i i i i i i i i i i i i i
0% to 40%, along with contractions occurring every 5 to 10 minutes, lasting 30 to 45 seconds, and
i i i i i i i i i i i i i i i i i i
being of mild intensity. Women often describe these contractions as feeling like strong menstrual
i i i i i i i i i i i i i i
cramps.
i
,The active phase is characterized by cervical dilation of 4 to 7 cm with effacement of 40% to 80%.
i i i i i i i i i i i i i i i i i i
Contractions become more intense, occurring every 2 to 5 minutes with a duration of 45 to 60
i i i i i i i i i i i i i i i i i
seconds. The woman tends to be more serious and fatigued in this phase and turns inward.
i i i i i i i i i i i i i i i i
The transition phase is characterized by cervical dilation of 8 to 10 cm with complete (100%)
i i i i i i i i i i i i i i i
effacement. Contractions are intense, occur every 1 to 2 minutes, and last 60 to 90 seconds. It is the
i i i i i i i i i i i i i i i i i i i
shortest but most difficult phase of the first stage of labor, and the woman is typically exhausted and
i i i i i i i i i i i i i i i i i i
has trouble concentrating.
i i i
Expulsive refers to the second stage of labor, not a phase of the first. It involves the delivery of the
i i i i i i i i i i i i i i i i i i i
baby.
i
Early in labor, a patient tells the nurse that she had an awful experience with pain in her last pregnancy
i i i i i i i i i i i i i i i i i i i i
i and would like strongest pain relief option available for a vaginal birth. Which of the following should
i i i i i i i i i i i i i i i i
i the nurse suggest to the patient?
i i i i i
1. Parenteral opioids
i i
2. Nitrous oxide
i i
3. Epidural anesthesia
i i
4. General anesthesia - Answer 3. Epidural anesthesia
i i i i i i i
Parenteral opioids blunt but do not eliminate pain, and therefore are not the strongest form of pain
i i i i i i i i i i i i i i i i
relief in labor and delivery.
i i i i i
Nitrous oxide is a combination of oxygen and nitrous oxide gas that is self-administered by the
i i i i i i i i i i i i i i i
laboring woman using a mouth tube or face mask, when she determines that she needs it. As an
i i i i i i i i i i i i i i i i i i
analgesic, it relieves pain, but does not block it as effectively as an epidural.
i i i i i i i i i i i i i i
, Epidural anesthesia involves placement of a very small catheter and injection of local anesthesia
i i i i i i i i i i i i i
and/or analgesia between the fourth and fifth vertebrae into the epidural space. It has the potential
i i i i i i i i i i i i i i i i
of 100% blockage of pain.
i i i i i
General anesthesia is not typically used in vaginal births.
i i i i i i i i
4.Early in labor, a patient tells the nurse that she would like an unmedicated birth, in general, but
i i i i i i i i i i i i i i i i i i
i would like some pain relief that is fast-acting, that she can administer hersef, and that will not
i i i i i i i i i i i i i i i i
i interfere with the normal physiology and progress of labor. Which of the following should the nurse
i i i i i i i i i i i i i i i
i suggest to the patient? i i i
1. Parenteral opioids
i i
2. Nitrous oxide
i i
3. Epidural anesthesia
i i
4. General anesthesia - Answer 1. Parenteral opioids
i i i i i i i
Parenteral opioids are considered a medication and can cause neonatal respiratory depression, so
i i i i i i i i i i i i
they do not meet the criteria of the patient.
i i i i i i i i i
Nitrous oxide is a combination of oxygen and nitrous oxide gas that is self-administered by the
i i i i i i i i i i i i i i i
laboring woman using a mouth tube or face mask, when she determines that she needs it. It can be
i i i i i i i i i i i i i i i i i i i
started and stopped at any point during labor, according to the needs and preferences of the woman.
i i i i i i i i i i i i i i i i i
It takes effect in about 50 seconds after the first breath, and the effect is transient. It is has no adverse
i i i i i i i i i i i i i i i i i i i i i
effects on the normal physiology and progress of labor.
i i i i i i i i i
Epidural anesthesia involves placement of a very small catheter and injection of local anesthesia and
i i i i i i i i i i i i i i
or analgesia between the fourth and fifth vertebrae into the epidural space. It involves the
i i i i i i i i i i i i i i i
administration of a medication and is rather involved to set up, so it does not meet the criteria of the
i i i i i i i i i i i i i i i i i i i i
patient.
i
General anesthesia is not typically used in vaginal births.
i i i i i i i i
