Nokea
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: C
Rationale: During the first hour, assessments are done every 15 minutes.
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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.
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
Correct Answer: A
Rationale: This indicates early decelerations because of head compression.
Why is oxytocin administered in the third stage of labor?
- A. To stimulate lactation
- B. To relieve postpartum pain
- C. To stimulate uterine contractions
- D. To sedate the mother so she can rest
Correct Answer: C
Rationale: Oxytocin makes the uterus contract and reduces postpartum hemorrhage.
A nurse shows the patient an x-ray of the fetal spine in parallel alignment with the mother's to demonstrate a ___ lie.
Correct Answer: longitudinal
Rationale: A longitudinal lie is when the fetal spine and the maternal spine are parallel to each other.
The nurse is trying to differentiate true labor from false labor. Which of the following is correct regarding true labor?
- 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: C
Rationale: Contractions get stronger with ambulation in true labor. True labor is also marked by the onset of regular, rhythmic contractions.