Nokea
What area of the uterus provides the force during a contraction?
- A. Lower portion
- B. Middle portion
- C. Upper portion
- D. Cervical portion
Correct Answer: C
Rationale: The upper portion of the uterus provides the force during contractions.
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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.
After the delivery of a newborn what is the priority action of the nurse?
- A. Place the newborn on the right side.
- B. Cover the cord stump.
- C. Dry the infant immediately.
- D. Suction nose and mouth.
Correct Answer: D
Rationale: To prevent aspiration of amniotic fluid, the baby should be suctioned, then quickly dried to prevent hypothermia.
A nurse shows the patient an x-ray of the fetal spine in parallel alignment with the mother's to demonstrate a ___ lie.
Correct Answer: longitudinal
Rationale: A longitudinal lie is when the fetal spine and the maternal spine are parallel to each other.
A woman who is 38 weeks' pregnant tells the nurse that the baby has dropped and she is having urinary frequency again. What do these symptoms describe?
- A. Lightening
- B. Braxton-Hicks contractions
- C. Initiation of labor
- D. Engagement
Correct Answer: A
Rationale: The symptoms of lightening are a return of urinary frequency, and the patient is able to breathe more normally.
A primigravida patient is admitted to the labor and delivery unit. During initial assessment the baby is found to be engaged. Which statement is true?
- A. The narrowest diameter of the presenting part has reached the pelvic outlet.
- B. The descending part is being initiated through the midpelvis.
- C. The widest diameter of the presenting part crosses the pelvic inlet.
- D. The narrowest diameter of the presenting part is at the ischial spines.
Correct Answer: C
Rationale: Engagement occurs when the biparietal diameter, which is the widest part of the fetal head, crosses the pelvic inlet.