Nokea
How can anxiety affect labor?
- A. By decreasing a woman's pain sensitivity
- B. By reducing blood flow to the uterus
- C. By increasing the ability to tolerate pain
- D. By enhancing maternal pushing through greater muscle tension
Correct Answer: B
Rationale: Excessive anxiety reduces uterine blood flow, making uterine contractions less effective, and creates muscle tension that counteracts the expulsion powers of contractions.
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What does the nurse explain is used to soften the cervix with a 'cervical ripening' agent?
- A. Prostaglandin gel insertion
- B. Intravenous oxytocin
- C. Warm saline douches
- D. Nipple stimulation
Correct Answer: A
Rationale: Prostaglandin gel is inserted in the cervix and the woman remains in bed for 1 to 2 hours, being monitored for uterine contractions.
What will the nurse include in the educational plan?
- A. Onset is slow.
- B. Duration is short.
- C. Administration is by mouth.
- D. No known side effects.
- E. It is not the same drug as sufentanil.
Correct Answer: B,E
Rationale: Fentanyl has a rapid onset and short duration of action. Fentanyl, sufentanil, and alfentanil are distinct drugs. Fentanyl can cause respiratory depression but less than meperidine and is not administered by mouth.
What nursing assessment should be reported immediately after an amniotomy?
- A. Fetal heart rate is regular at 154 beats/minute.
- B. Amniotic fluid is clear with flecks of vernix.
- C. Amniotic fluid is watery and pale green.
- D. Maternal temperature is 37.8?°C.
Correct Answer: C
Rationale: Amniotic fluid should be clear. Green fluid indicates the fetus has passed meconium, which is associated with fetal compromise.
What is this labor pattern considered?
- A. Normal
- B. Hypotonic
- C. Hypertonic
- D. FALSE
Correct Answer: B
Rationale: The woman with labor dysfunction related to decreased uterine muscle tone begins labor normally, but contractions diminish after the active phase.
What conditions would contraindicate labor induction?
- A. Maternal gynecoid pelvis
- B. Placenta previa
- C. Horizontal cesarean incision
- D. Prolapsed cord
- E. Gestational diabetes
Correct Answer: B,D
Rationale: Labor induction is contraindicated with placenta previa or a prolapsed umbilical cord.