labor and delivery maternity chapter 16
updated exam with correct answers.A+
GRADE
what does labor begin with
- CORRECT ANSWER-the first uterine contraction
labor continues with hard work during ___ and ___
- CORRECT ANSWER-cervical dilation and birth
what does labor end with
- CORRECT ANSWER-the woman and family begin attachment process with infant
what is the nursing focus of labor
- CORRECT ANSWER-assessment
support
best possible outcome
why should we look at their prenatal record from the midwife? what might you specifically be looking
for?
- CORRECT ANSWER-the nurse reviews the prenatal record to identify the woman's individual needs and
risks. the nurse should review the woman's prenatal records carefully, taking note of her obstetric
pregnancy history, including gravidity; parity; and problems such as history of vaginal bleeding,
gestational hypertension, anemia, pre gestational or gestational diabetes, infections (e.g. bacterial, viral,
sexually transmitted) and immunodeficiency status. in addition, the expected date of birth should be
confirmed. other important data found in the prenatal record include patterns of maternal weight gain;
physiologic measurements such as maternal vital sings; baseline fetal heart rate; and laboratory and
diagnostic test results. if this labor and birth experience is not the woman's first, the nurse needs to note
the characteristics of her previous experiences. this information includes the duration of precious labors,
the the of anesthesia used, the kind of both (e.g. spontaneous vaginal, forceps- assisted, vacuum-
assisted, or cesarean birth) and the condition of the newborn.
, -accurate height and weight measurements are important. a pregnancy weight gain greater than
recommended may place the woman at a higher risk for cephalopelvic disproportion and cesarean birth.
a pregnancy BMI greater than 30 is also a cause for concern. other factors to consider are the woman's
general health status, current medical conditions or allergies, respiratory status, and previous surgical
procedures
what key things should we be asking every laboring woman upon admission
hospital. it could be that her bag of waters (BOW, amniotic membranes) ruptured with or without
contractions. she may have come in for an obstetric check to determine if she is truly in labor and could
be admitted into a birth unit for a period of observation
-if this labor and birth experience is not her first the nurse needs to note characteristics of previous
experiences (duration of previous labor, type of anessthesia used, kind of birth (spontaneous, vaginal,
forceps- assisted, vacuum assisted, or cesarean), condition of newborn
- CORRECT ANSWER--the laboring woman should be asked her primary reason for coming in to the -
nurse should ask woman about her perception of her previous labor and birth experiences because this
perception could influence her attitude toward her current experience. she is asked to recall:
~time and onset of contractions and progress (frequency, duration, intensity)
~location and character of discomfort of contractions (back pain, abdominal or suprapubic discomfort)
~persistence of contractions despite maternal positioning and activity walking or lying down)
~presence of vaginal discharge or "show"
~the status of amniotic membranes such as a gush or seepage of fluid (SORM= spontaneous rupture of
membranes)
-nurse obtains information not found in prenatal record such as the birth plan, choice of infant feeding
method, type of pain management preferred, and name of pediatric healthcare provider. a patient
profile should be created that identifies the woman's preparation for childbirth, support person or
family members desired during birth and their availability, and ethnic or cultural expectations and
needs. determine woman's use of alcohol, drugs and tobacco before or during pregnancy
why are we considering psychosocial factors?
- CORRECT ANSWER-the woman's general appearance and behavior (and that of her partner) provide
valuable clues to the type of supportive care she will need
-woman with a history of sexual abuse:
~labor can trigger members of sexual abuse, especially during intrusive procedures such as vaginal
examinations
updated exam with correct answers.A+
GRADE
what does labor begin with
- CORRECT ANSWER-the first uterine contraction
labor continues with hard work during ___ and ___
- CORRECT ANSWER-cervical dilation and birth
what does labor end with
- CORRECT ANSWER-the woman and family begin attachment process with infant
what is the nursing focus of labor
- CORRECT ANSWER-assessment
support
best possible outcome
why should we look at their prenatal record from the midwife? what might you specifically be looking
for?
- CORRECT ANSWER-the nurse reviews the prenatal record to identify the woman's individual needs and
risks. the nurse should review the woman's prenatal records carefully, taking note of her obstetric
pregnancy history, including gravidity; parity; and problems such as history of vaginal bleeding,
gestational hypertension, anemia, pre gestational or gestational diabetes, infections (e.g. bacterial, viral,
sexually transmitted) and immunodeficiency status. in addition, the expected date of birth should be
confirmed. other important data found in the prenatal record include patterns of maternal weight gain;
physiologic measurements such as maternal vital sings; baseline fetal heart rate; and laboratory and
diagnostic test results. if this labor and birth experience is not the woman's first, the nurse needs to note
the characteristics of her previous experiences. this information includes the duration of precious labors,
the the of anesthesia used, the kind of both (e.g. spontaneous vaginal, forceps- assisted, vacuum-
assisted, or cesarean birth) and the condition of the newborn.
, -accurate height and weight measurements are important. a pregnancy weight gain greater than
recommended may place the woman at a higher risk for cephalopelvic disproportion and cesarean birth.
a pregnancy BMI greater than 30 is also a cause for concern. other factors to consider are the woman's
general health status, current medical conditions or allergies, respiratory status, and previous surgical
procedures
what key things should we be asking every laboring woman upon admission
hospital. it could be that her bag of waters (BOW, amniotic membranes) ruptured with or without
contractions. she may have come in for an obstetric check to determine if she is truly in labor and could
be admitted into a birth unit for a period of observation
-if this labor and birth experience is not her first the nurse needs to note characteristics of previous
experiences (duration of previous labor, type of anessthesia used, kind of birth (spontaneous, vaginal,
forceps- assisted, vacuum assisted, or cesarean), condition of newborn
- CORRECT ANSWER--the laboring woman should be asked her primary reason for coming in to the -
nurse should ask woman about her perception of her previous labor and birth experiences because this
perception could influence her attitude toward her current experience. she is asked to recall:
~time and onset of contractions and progress (frequency, duration, intensity)
~location and character of discomfort of contractions (back pain, abdominal or suprapubic discomfort)
~persistence of contractions despite maternal positioning and activity walking or lying down)
~presence of vaginal discharge or "show"
~the status of amniotic membranes such as a gush or seepage of fluid (SORM= spontaneous rupture of
membranes)
-nurse obtains information not found in prenatal record such as the birth plan, choice of infant feeding
method, type of pain management preferred, and name of pediatric healthcare provider. a patient
profile should be created that identifies the woman's preparation for childbirth, support person or
family members desired during birth and their availability, and ethnic or cultural expectations and
needs. determine woman's use of alcohol, drugs and tobacco before or during pregnancy
why are we considering psychosocial factors?
- CORRECT ANSWER-the woman's general appearance and behavior (and that of her partner) provide
valuable clues to the type of supportive care she will need
-woman with a history of sexual abuse:
~labor can trigger members of sexual abuse, especially during intrusive procedures such as vaginal
examinations
