Nokea
A pregnant woman is discussing her desire to have her baby in a birthing center. Which factors could exclude the patient from delivering in a birthing center?
- A. The patient is a primigravida.
- B. The patient will be having a planned cesarean delivery.
- C. The mother has preeclampsia.
- D. The baby is a boy.
- E. The mother has no support system.
Correct Answer: B,C
Rationale: Birthing centers are ideal only for women who are considered low risk. Cesarean deliveries would not be done in a birthing center. The mother with preeclampsia would be considered high risk and would probably be excluded from delivering in the birthing center. The number of previous pregnancies, sex of the baby, and mother's support system would not be factors considered when determining risk for delivering in a birthing center.
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What is the ideal attitude for the fetal body during labor?
- A. Extension
- B. Lateral
- C. Flexion
- D. Transverse
Correct Answer: C
Rationale: The ideal attitude for the fetal body is flexion.
When the nurse performs the Nitrazine test on vaginal secretions of a patient who thinks her membranes have ruptured the paper turns yellow. What does this finding indicate?
- A. Acidic discharge membranes intact
- B. Acidic discharge membranes have ruptured
- C. Neutral not enough discharge to measure
- D. Alkaline membranes have ruptured
Correct Answer: A
Rationale: When the Nitrazine paper turns yellow it is indicative of acidic discharge, meaning the membranes are intact. Amniotic fluid is alkaline and turns the paper blue.
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
Correct Answer: A
Rationale: Medically approved methods of inducing labor include prostaglandin gel application that usually induces labor in 1 hour or less.
A nurse is teaching a group of primigravidas that during delivery pressure on the fetal skull may produce changes in the shape of the skull. What is the reshaping of the skull called?
- A. Pressure response
- B. Overlapping
- C. Molding
- D. Spacing
Correct Answer: C
Rationale: The reshaping of the skull bones in response to pressure is called molding.
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.
Correct Answer: C
Rationale: One sign of true labor is when the cervix has softened and effaced. True labor contractions are regular and rhythmic.