Nurses can help their clients by keeping them informed about the distinctive stages of labor. Which description of the phases of the first stage of labor is accurate?
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Question 2 of 43
The nurse expects which maternal cardiovascular finding during labor?
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Question 3 of 43
Which criteria should be verified prior to vacuum or forceps use? Select all that apply.
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Question 4 of 43
A new mother asks the nurse when the soft spot on her son's head will go away. What is the nurse's best response, based upon her understanding of when the anterior frontal closes?
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Question 5 of 43
A laboring woman who has not taken pain medication abruptly stops her previous breathing techniques during a contraction and makes low-pitched grunting sounds. The priority nursing action is to:
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Question 6 of 43
The nurse is directing an unlicensed assistive personnel (UAP) to obtain maternal vital signs between contractions. Which statement is the appropriate rationale for assessing maternal vital signs between contractions raNtheRr thaIn aGt anBot.heCr inMterval? U S N T O
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Question 7 of 43
The nurse is assessing a patient in the active phase of labor. What should the nurse expect during this phase?
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Question 8 of 43
The nurse is providing discharge instructions to a person who was evaluated for possible labor. How does the nurse explain how losing the mucus plug could be a sign of impending labor?
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Question 9 of 43
The nurse midwife caring for a multiparous client who is 5 cm dilated requests intermittent auscultation (IA) of the fetal heart rate. The woman's history reveals no risk factors. How often should IA be performed in this patient?
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Question 10 of 43
The nurse is planning care for a patient during the fourth stage of labor. Which interventions should the nurse plan to implement? (Select all that apply.)
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Question 11 of 43
Pregnant patients can usually tolerate the normal blood loss associated with childbirth because of which physiologic adaptation to pregnancy?
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Question 12 of 43
Choose the abbreviation that represents the fetal presentation and position that is most favorable for vaginal birth.
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Question 13 of 43
Which factor ensures that the smallest anterior-posterior diameter of the fetal head enters the pelvis?
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Question 14 of 43
Which woman is the best candidate for a trial of labor after cesarean (TOLAC)?
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Question 15 of 43
A 35-year-old gravida 1, para 0 is admitted to the labor and delivery unit. She reports intense rectal pressure. Which stage of labor is probable?
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Question 16 of 43
When auscultating the fetal heart rate of a term fetus during labor, the nurse notes a rate of 130 to 140 beats per minute (bpm), with occasional accelerations in the rate. How should the nurse interpret the data?
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Question 17 of 43
The primary difference between the labor of a nullipara and that of a multipara is
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Question 18 of 43
Which statement by the client would lead the nurse to believe that labor has been established?
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Question 19 of 43
What changes in hormones initiate labor?
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Question 20 of 43
How long is the expected length of the third stage of labor?
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Question 21 of 43
What anticipatory guidance should the nurse provide for new parents regarding sociologic changes?
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Question 22 of 43
Which explains why infants who are delivered via cesarean section before the start of labor have more difficulty transitioning to extrauterine life?
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Question 23 of 43
A fetus is positioned in a longitudinal lie with its head in the fundus with both hips and knees flexed. Which presentation is this known as?
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Question 24 of 43
On admission to the labor and birth unit, a 38-year-old female, gravida 4, para 3, at term in early labor is found to have a transverse lie on vaginal examination. What is the priority intervention at this time?
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Question 25 of 43
A woman is admitted in active labor. Her leukocyte count is 14,500/mm3. Based on this information, the nurse should:
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Question 26 of 43
Which statement is the best rationale for assessing the maternal vital signs between uterine contractions?
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Question 27 of 43
Choose the most reliable evidence that true labor has begun.
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Question 28 of 43
Why is precipitous labor most often seen in multiparous women?
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Question 29 of 43
At least five factors affect the process of labor and birth. These are easily remembered as the five Ps. Which factors are included in this process?
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Question 30 of 43
During the COVID-19 pandemic, what was revealed about the importance of labor support?
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Question 31 of 43
What is the nurse's understanding of the appropriate role of primary and secondary powers?
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Question 32 of 43
A gravida 3, para 2 is attempting a vaginal birth without the use of pain medicine or anesthesia. Following spontaneous rupture of membranes, the patient's cervical exam was 5 cm dilated, 60% effaced, -2 station. Which therapeutic intervention is appropriate for this patient?
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Question 33 of 43
A 28-year-old gravida 1, para 0 patient who is at term calls the labor and birth unit stating that she thinks she is in labor. She states that she does have some vaginal discharge and feels wet;
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Question 34 of 43
When does the active phase of labor begin according to ACOG?
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Question 35 of 43
Arrange the seven cardinal movements of labor, in order.
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Question 36 of 43
To determine if the patient is in true labor, the nurse would assess for changes in
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Question 37 of 43
A woman's position is an important component of the labor progress. Which guidance is important for the nurse to provide to the laboring client?
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Question 38 of 43
A patient who is 8 cm dilated develops circumoral numbness and dizziness. What is the nurse's priority intervention?
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Question 39 of 43
The labor and delivery nurse is caring for a 27-year-old primigravida with the following vaginal exam: 2 to 3 cm dilated/70% effaced/-2 station. For the last 2 hours the FHR tracing has displayed a Category I tracing and uterine contractions that are every 2 minutes. The contractions are strong to palpation and the patient is now 3/70%/-2. Which is the nurse's next best action?
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Question 40 of 43
A 28-year-old woman without risk factors has now reached the second stage of labor. What is the optimal position for her at this point?
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Question 41 of 43
During an oxytocin induction, which assessment finding is most concerning to the labor and delivery nurse?
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Question 42 of 43
A woman's pelvis is described as long and narrow with an anteroposterior diameter greater than the transverse diameter. This is known as which type of pelvis?
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Question 43 of 43
Which of the following are signs of impending labor? Select all that apply.
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