Nokea
What are the advantages of a freestanding birth center?
- A. Homelike setting
- B. Designed for high-risk pregnancies
- C. Lower costs
- D. Attended by certified obstetricians
- E. Immediate emergency access
Correct Answer: A,C
Rationale: Advantages of a freestanding birth center include a homelike setting and lower costs, as they do not require expensive departments like emergency or critical care.
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The nurse observes on the fetal monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds. What does this pattern indicate?
- A. A well-oxygenated fetus
- B. Compression of the umbilical cord
- C. Compression of the fetal head
- D. Uteroplacental insufficiency
Correct Answer: A
Rationale: Accelerations in the fetal heart rate suggest that the fetus is well oxygenated.
What does the nurse note when measuring the frequency of a laboring woman's contractions?
- A. How long the patient states the contractions last
- B. The time between the end of one contraction and the beginning of the next
- C. The time between the beginning and the end of one contraction
- D. The time between the beginning of one contraction and the beginning of the next
Correct Answer: D
Rationale: The frequency of contractions is the elapsed time from the beginning of one contraction to the beginning of the next contraction.
What is the function of contractions during the second stage of labor?
- A. Align the infant into the proper position for delivery.
- B. Dilate and efface the cervix.
- C. Push the infant out of the mother's body.
- D. Separate the placenta from the uterine wall.
Correct Answer: C
Rationale: The contractions push the infant out of the mother's body as the second stage of labor ends with the birth of the infant.
What signs and symptoms would lead the nurse to suspect false (prodromal) labor?
- A. Leaking of vaginal fluid
- B. Contractions intensify with ambulation
- C. Pink spotting
- D. Painless tightening of abdominal muscles
- E. Cervix thick and not effaced
Correct Answer: D,E
Rationale: Painless tightening of abdominal muscles (Braxton Hicks contractions) and a cervix that is thick and not effaced indicate false (prodromal) labor.
What is the most appropriate statement from the nurse when coaching the laboring woman with a fully dilated cervix to push?
- A. At the beginning of a contraction, hold your breath and push for 10 seconds.'
- B. Take a deep breath and push between contractions.'
- C. Begin pushing when a contraction starts and continue for the duration of the contraction.'
- D. At the beginning of a contraction, take two deep breaths and push with the second exhalation.'
Correct Answer: D
Rationale: When the cervix is fully dilated, the woman should take a deep breath and exhale at the beginning of a contraction, and then take another deep breath and push while exhaling.