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How do Braxton-Hicks contractions differ from labor contractions?
- A. Last several minutes.
- B. Are always regular.
- C. Do not dilate the cervix.
- D. Are only mild.
Correct Answer: C
Rationale: Braxton-Hicks contractions do not dilate the cervix. Braxton-Hicks contractions remain irregular, can range from mild to moderate in severity, and increase in duration as the pregnancy progresses.
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During the second stage of labor how often should the nurse monitor the fetal heart rate?
- A. Every 5 minutes
- B. Every 15 minutes
- C. Every 30 minutes
- D. Every hour
Correct Answer: A
Rationale: Fetal heart rate should be assessed every 5 minutes during the second stage of labor.
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.
Why is the size and shape of the true pelvis more important than that of the false pelvis?
- A. The fetal head must be able to pass through the true pelvis.
- B. The true pelvis are the mother's measurements.
- C. The size of the false pelvis can change.
- D. The size of the true pelvis needs to be larger.
Correct Answer: A
Rationale: The size and shape of the true pelvis is more important than the false pelvis because the fetal head must be able to pass through for vaginal delivery to occur.
A nurse is assessing the printout from the fetal monitor. What is the legal responsibility of the nurse?
- A. Correctly identifying abnormal FHR patterns and prescribing medication
- B. Correctly identifying abnormal FHR patterns and notifying the health care provider
- C. The nurse is not legally responsible for fetal monitoring
- D. Providing technical assessment to the monitor technicians
Correct Answer: B
Rationale: Nurses are responsible for the timely notification of the primary caregiver in the event of an abnormal fetal heart rate (FHR) pattern. The nurse cannot write a medication order.