Maternity and Pediatrics Exam 2

Maternity and Pediatrics Exam 2 When determining the frequency of contractions, the nurse would measure which of the following? a. Start of one contraction to the start of next contraction b. Beginning of one contraction to the end of the same contraction c. Peak of one contraction to the peak of the next contraction d. End of one contraction to the beginning of the next contraction - (correct answers)A. Frequency is measured by the start of one contraction to the start of the next one. Which fetal lie is most conducive to a spontaneous vaginal birth? a. Transverse b. Longitudinal C. Perpendicular D. Oblique - (correct answers)B. Longitudinal - places fetus in a vertical position Which of the following observations would suggest that placental separation is occuring? A. Uterus stops contracting altogether B. Umbilical cord pulsations stop C. Uterine shape changes to globular D. Maternal blood pressure drops - (correct answers)C. After the placenta separates from the uterine wall, the shape of the uterus changes from discoid to globular. As the nurse is explaining the difference between true versus false labor to her childbirth class, she states that the major difference between them is: A. Discomfort level is greater with false labor B. Progressive cervical changes occur in true labor C. There is a feeling of nausea with false labor D. There is more fetal movement with true labor - (correct answers)B. Progressive cervical changes occur in true labor, not in false labor. The shortest but most intense phase of labor is the: A. Latent phase B. Active phase C. Transition phase D. Placental expulsion phase - (correct answers)C. Transition phase. Is when contractions are 1-2 min apart and the final dilation is taking place. A laboring woman is admitted to the labor and birth suite at 6 cm dilation. She would be in which phase of the first stage of labor? A. Latent B. Active C. Transition D. Early - (correct answers)B. Active. In this stage the cervix dilates from 3-7cm with 40-80% effacement occurring. Which assessment would indicate that a woman is in true labor? A. Membranes are ruptures and fluid is clear. B. Presenting part is engaged and not floating C. Cervix is 4 cm dilated, 90% effeced. D. Contractions last 30 seconds every 5-10 min. - (correct answers)D. True labor is characterized by contractions occurring at regular intervals that increase in frequency, duration, and intensity Interventions that are underutilized in promoting a normal birth. Select all that apply. A. Oral nutrition and fluids in labor. B. Open glottis pushing in the second stage of labor. C. Skin-to-skin contact after birth for infant bonding. D.Routine artificial rupture of membranes (amniotomy) E. Labor induction with Pitocin given intravenously