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During the second stage of labor,how often should the nurse should monitor the fetal heart rate?


A) Every 5 minutes
B) Every 15 minutes
C) Every 30 minutes
D) Every hour

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A woman who is 38 weeks' pregnant tells the nurse that the baby has dropped and she is having urinary frequency again.What do these symptoms describe?


A) Lightening
B) Braxton-Hicks contractions
C) Initiation of labor
D) Engagement

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What is the ideal attitude for the fetal body during labor?


A) Extension
B) Lateral
C) Flexion
D) Transverse

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A primigravida patient is admitted to the labor and delivery unit.During initial assessment,the baby is found to be engaged.Which statement is true?


A) The narrowest diameter of the presenting part has reached the pelvic outlet.
B) The descending part is being initiated through the midpelvis.
C) The widest diameter of the presenting part crosses the pelvic inlet.
D) The narrowest diameter of the presenting part is at the ischial spines.

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During labor,the patient screams at her husband to get out of her sight.What would be the most appropriate action for the nurse?


A) Ask the husband to leave the room.
B) Assure the husband that such behavior is normal.
C) Remind the patient that the husband wants to help.
D) Change the patient's position.

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The nurse explains to the patient whose membranes ruptured an hour ago that delivery is usually accomplished in ____ to 24 hours postrupture.

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18
After the rupture...

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When observing the fetal heart monitor,the nurse recognizes the fetal heart rate (FHR) decreases to 120 beats/min at the beginning of a contraction and returns to a baseline of 155 beats/min at the end of the contraction.What should this indicate to the nurse?


A) Early deceleration due to head compression
B) That the fetus is in acute distress
C) Variable decelerations due to cord compression
D) That these are late decelerations

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A primigravida has a pelvis of the android type,which usually means the delivery will be a _______________.

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cesarean
The narrow ...

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After the delivery of a newborn,what is the priority action of the nurse?


A) Place the newborn on the right side.
B) Cover the cord stump.
C) Dry the infant immediately.
D) Suction nose and mouth.

Correct Answer

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The first-time mother has been told by the nurse that the first stage of labor is the longest.What would be an appropriate nursing intervention for comfort during this time?


A) Cool fluids to drink
B) A backrub in the sacral area
C) Assisting to lie in a supine position
D) Decreasing illumination in the room

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The health care provider has decided to induce labor with prostaglandin gel and an amniotomy.When should the nurse expect that labor will start?


A) 1 hour
B) 4 hours
C) 8 hours
D) 12 hours

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For the first hour following delivery,how often should the nurse assess the mother?


A) Every 5 minutes
B) Every 10 minutes
C) Every 15 minutes
D) Every 30 minutes

Correct Answer

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When trying to differentiate false labor from true labor,the nurse realizes which of the following statements regarding true labor is correct?


A) Discomfort of the contraction is in the fundus.
B) Contractions do not follow a pattern.
C) Contractions get stronger with ambulation.
D) Contractions may stop with ambulation.

Correct Answer

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A patient arrives at the hospital having contractions.How should the nurse determine that the patient is in true labor?


A) There is no dilation.
B) The contractions are in the fundus.
C) The cervix has softened and effaced.
D) The contractions are irregular.

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A woman is admitted in active labor,and the nurse assesses the fetal heart rate (FHR) at 124 beats/min.What action should the nurse take based on the assessment?


A) Position patient on her left side.
B) Start oxygen per nasal cannula.
C) Reassure the mother the rate is normal.
D) Notify the health care provider at once.

Correct Answer

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