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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
Correct Answer: A
Rationale: Medically approved methods of inducing labor include prostaglandin gel application that usually induces labor in 1 hour or less.
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Using Leopold maneuvers to assess fetal position the nurse finds a soft rounded prominence at the level of the fundus a hard round prominence just above the symphysis pubis and nodulations on the left side of the uterus. How should the nurse document the fetal position?
- A. Right occiput anterior (ROA) vertex
- B. Left occiput anterior (LOA) vertex
- C. Right occiput transverse (ROT) breech
- D. Left occiput anterior (LOA) breech
Correct Answer: A
Rationale: Fetal position can be determined by the Leopold maneuver, which defines the relationship of the presenting part to the maternal pelvis quadrant. A soft rounded prominence at the level of the fundus, a hard round prominence just above the symphysis pubis, and nodulations on the left side of the uterus indicate a right occiput anterior (ROA), vertex positioning.
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
Correct Answer: B
Rationale: Backache in the sacral area is a common complaint during the first stage of labor. The keyword is "comfort" in the question. Providing a backrub is providing comfort to the laboring patient.
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.
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 mother has entered the second stage of labor. When does the second stage of labor end?
- A. When the mother begins to push
- B. When the baby's head crowns
- C. With delivery of the baby
- D. With delivery of the placenta
Correct Answer: C
Rationale: The second stage of labor begins with complete dilation and ends with the birth of the baby.