Maternity FINALS Exam Fall 2020_Grade A | Maternity FINALS Exam Fall 2020_School Graded

Maternity FINALS Exam Fall 2020 Chap 16 Question 1 of 10 Which position would the nurse suggest for second-stage labor if the pelvic outlet needs to be increased? CORRECT • Squatting Question 2 of 10 Concerning the third stage of labor, nurses should be aware that: CORRECT • The duration of the third stage may be as short as 3 to 5 minutes. Question 4 of 10 Which sign does not precede the onset of labor? CORRECT • A decline in energy, as the body stores up for labor A surge of energy is a phenomenon that is common in the days preceding labor. After lightening, a return of the frequent need to urinate occurs as the fetal position causes increased pressure on the bladder. In the run-up to labor, women often experience persistent low backache and sacroiliac distress as a result of relaxation of the pelvic joints. Prior to the onset of labor, it is common for Braxton Hicks contractions to increase in both frequency and strength; bloody show may be passed. Question 5 of 10 Fetal circulation can be affected by many factors during labor. Accurate assessment of the laboring woman and fetus requires knowledge of these expected adaptations. Which factor will not affect fetal circulation during labor? CORRECT • Fetal position Question 6 of 10 With regard to primary and secondary powers, the maternity nurse should understand that: CORRECT • Primary powers are responsible for effacement and dilation of the cervix. Question 7 of 10 Which statement is inaccurate with regard to normal labor? CORRECT • It is completed within 8 hours. Question 9 of 10 In order to accurately assess the health of the mother accurately during labor, the nurse should be aware that: CORRECT • The endogenous endorphins released during labor raise the woman’s pain threshold and produce sedation. Question 10 of 10 Nurses can help their clients by keeping them informed about the distinctive stages of labor. What description of the phases of the first stage of labor is accurate? CORRECT • Active: moderate, regular contractions; 4 to 7 cm dilation; duration of 3 to 6 hours Question 3 of 10 Which of the following findings would be a cause for concern for a nurse who is monitoring an obstetric patient who is in early labor? CORRECT • Biparietal diameter of less than 9.25 cm CORRECT • Transverse lie CORRECT • Android pelvis Question 8 of 10 The nurse knows that the second stage of labor, the descent phase, has begun when: CORRECT • The cervix cannot be felt during a vaginal examination. Chap 28 Question 1 of 10 A woman at 39 weeks of gestation with a history of preeclampsia is admitted to the labor and birth unit. She suddenly experiences increased contraction frequency to every 1 to 2 minutes; dark red vaginal bleeding; and a tense, painful abdomen. The nurse suspects the onset of: CORRECT • Placental abruption. Question 2 of 10 The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa) is: CORRECT • Intense abdominal pain. Question 3 of 10 Which of the following presentations is associated with early pregnancy loss, occurring in less than 12 weeks gestation? CORRECT • Chromosomal abnormalities CORRECT • Antiphospholipid syndrome CORRECT • Hypothyroidism The majority of ectopic pregnancies are located in the: CORRECT • Ampulla. Question 4 of 10 A nurse is examining a patient who has been admitted for possible ectopic pregnancy who is approximately 8 weeks pregnant. Which finding would be a priority concern? CORRECT • Ecchymosis noted around umbilicus Question 5 of 10 A nurse is evaluating several obstetric patients for their risk for cervical insufficiency. Which patient would be considered to be most at risk? CORRECT • Primip who undergoes a cervical cone biopsy for cervical dysplasia prior to the pregnancy . Question 7 of 10 In caring for the woman with disseminated intravascular coagulation (DIC), what order should the nurse anticipate? CORRECT • Administration of blood Question 8 of 10 Signs of a threatened abortion (miscarriage) are noted in a woman at 8 weeks of gestation. What is an appropriate management approach for this type of abortion? CORRECT • Prepare the woman for an ultrasound and blood work. Question 9 of 10 A woman diagnosed with marginal placenta previa gave birth vaginally 15 minutes ago. At present she is at the greatest risk for: CORRECT • Hemorrhage. Question 10 of 10 A woman presents to the emergency department complaining of bleeding and cramping. The initial nursing history is significant for a last menstrual period 6 weeks ago. On sterile speculum examination, the primary health care provider finds that the cervix is closed. The anticipated plan of care for this woman is based on a probable diagnosis of which type of spontaneous abortion? - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - -- - Complicated bereavement: CORRECT • Is an extremely intense grief reaction that persists for a long time. Question 10 of 10 After giving birth to a stillborn infant, the woman turns to the nurse and says, “I just finished painting the baby’s room. Do you think that caused my baby to die?” The nurse’s best response to this woman is: CORRECT • “I can understand your need to find an answer to what caused this. What else are you thinking about?” Question 4 of 10 Which priority action would be most beneficial in helping a couple deal with fetal loss following the delivery of a stillborn? CORRECT • Allow the parents to hold and view the baby following delivery if they so request. Question 7 of 10 The most appropriate statement that the nurse can make to bereaved parents is: CORRECT • “I’m sorry.” Chap 19 Question 2 of 12 In a variation of rooming-in called couplet care, the mother and infant share a room and the mother shares the care of the infant with: CORRECT • The nurse. Question 4 of 12 If a woman complains of back labor pain, the nurse might best suggest that she: CORRECT • Lean over a birth ball with her knees on the floor. Question 5 of 12 Under which circumstance would a nurse not perform a vaginal examination on a patient in labor? CORRECT • When accelerations of the fetal heart rate (FHR) are noted Question 6 of 12 A woman who is 39 weeks pregnant expresses fear about her impending labor and how she will manage. The nurse’s best response is: CORRECT • “It’s normal to be anxious about labor. Let’s discuss what makes you afraid.” Question 9 of 12 Which test is performed to determine whether membranes are ruptured? CORRECT • Fern test Question 10 of 12 When managing the care of a woman in the second stage of labor, the nurse uses various measures to enhance the progress of fetal descent. These measures include: CORRECT • Encouraging the woman to try various upright positions, including squatting and standing. Question 11 of 12 When performing vaginal examinations on a laboring woman, the nurse should be guided by what principle? CORRECT • Cleanse the vulva and perineum before and after the examination as needed. Question 1 of 12 Which description of the phases of the second stage of labor is accurate? CORRECT • Descent phase: significant increase in contractions, Ferguson reflux activated, average duration varies Question 3 of 12 Which of the following would not be included in a labor nurse’s plan of care for an expectant mother? CORRECT • Formulation of the woman’s plan of care for labor Question 7 of 12 A nurse teaches a pregnant woman about the characteristics of true labor contractions. The nurse evaluates her understanding of the instructions when the woman states: CORRECT • “True labor contractions will continue and get stronger even if I relax and take a shower.” Question 8 of 12 Evidence-based care practices designed to support normal labor and birth recommend which practice during the immediate newborn period? CORRECT • Skin-to-skin contact of mother and baby should be encouraged. Question 12 of 12 When assessing a multiparous woman who has just given birth to an 8-pound boy, the nurse notes that the woman’s fundus is firm and has become globular. A gush of dark red blood comes from her vagina. The nurse concludes that: CORRECT • The placenta has separated.