Nokea
The nurse coaches the primigravida not to bear down until the cervix is completely dilated. What may premature bearing down cause?
- A. Increased use of oxygen
- B. Cervical laceration
- C. Uterine rupture
- D. Compression of the cord
Correct Answer: B
Rationale: Bearing down against a cervix that is not dilated can cause edema and laceration to the cervix.
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A woman who is 6 cm dilated has the urge to push. What will the nurse instruct the woman to do during the contraction?
- A. Use slow-paced breathing.
- B. Hold her breath and push.
- C. Blow in short breaths.
- D. Use rapid-paced breathing.
Correct Answer: C
Rationale: If a laboring woman feels the urge to push before the cervix is fully dilated, then she is taught to blow in short breaths to avoid bearing down.
The nurse is caring for a laboring patient who is not reporting pain. What sign would alert the nurse of the need for pain relief?
- A. Frequently asking for ice chips
- B. Facial grimacing
- C. Changing positions in bed
- D. Covering her face with her hands
Correct Answer: B
Rationale: Facial grimacing may be an indicator of unexpressed pain.
Several hours into labor, a woman complains of dizziness, numbness, and tingling of her hands and mouth. What does the nurse recognize these symptoms signify?
- A. Hypertension
- B. Anxiety
- C. Anoxia
- D. Hyperventilation
Correct Answer: D
Rationale: Hyperventilation is sometimes a problem if a woman is breathing rapidly.
What is the Dick-Read method of childbirth preparation based on?
- A. Mild sedation throughout labor
- B. Relaxation techniques
- C. Skin stimulation
- D. Deep massage
Correct Answer: B
Rationale: The Dick-Read method depends on the use of relaxation techniques to reduce the discomforts of labor.
A woman in labor will receive general anesthesia prior to cesarean section. The nurse reminds the patient that food and fluids need to be restricted for several hours prior to delivery. What will this prevent?
- A. Nausea and vomiting
- B. Vomiting and aspiration
- C. Abdominal cramping
- D. Intestinal obstruction
Correct Answer: B
Rationale: The major adverse effect of general anesthesia is aspiration of stomach contents.