Nokea
What does meconium-stained amniotic fluid indicate when the infant is in a vertex presentation?
- A. Fetal distress
- B. Fetal maturity
- C. Intact gastrointestinal tract
- D. Dehydration in the mother
Correct Answer: A
Rationale: Green-stained amniotic fluid means that the fetus passed the first stool before birth, and it is an indicator of fetal compromise.
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Why should the nurse encourage the mother to void during the fourth stage of labor?
- A. A full bladder could interfere with cervical dilation.
- B. A full bladder could obstruct progress of the infant through the birth canal.
- C. A full bladder could obstruct the passage of the placenta.
- D. A full bladder could predispose the mother to uterine hemorrhage.
Correct Answer: D
Rationale: A full bladder immediately after birth can cause excessive bleeding because it pushes the uterus upward and interferes with contractions.
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.
What is the most important nursing intervention during the fourth stage of labor?
- A. Monitor the frequency and intensity of contractions.
- B. Provide comfort measures.
- C. Assess for hemorrhage.
- D. Promote bonding.
Correct Answer: C
Rationale: Immediately after giving birth, every woman is assessed for signs of hemorrhage.
While caring for an Arab woman in labor, the nurse should provide cultural sensitivity through which interventions?
- A. Provide for extreme modesty.
- B. Assign a male caregiver.
- C. Arrange for the husband/partner to participate in labor.
- D. Provide adequate pain control.
- E. Respect protective amulets.
Correct Answer: A,D,E
Rationale: Arab women are extremely modest, usually have a low pain tolerance, and wear protective amulets. Female caregivers are preferred, and the husband is present but not a participant.
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.