Nokea
When caring for the laboring patient, the nurse determines that the fetus is located in the right occiput posterior (ROA). What will the nurse anticipate?
- A. Urinary retention
- B. Severe lower back pain
- C. A shorter labor process
- D. Nausea
Correct Answer: B
Rationale: If the fetal occiput is in a posterior pelvic quadrant, each contraction pushes it against the mother's sacrum, resulting in persistent and poorly relieved back pain (back labor). Labor is often longer with this fetal position.
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A patient who received an epidural block asks why her blood pressure is taken so often. What is the nurse's best response to explain the frequent blood pressure assessments?
- A. They ensure that unsafe levels of hypertension do not occur.
- B. They help assess for the need for further pain relief.
- C. They monitor the progress of labor.
- D. They ensure adequate placental perfusion.
Correct Answer: D
Rationale: The hypotension that accompanies an epidural block may cause inadequate perfusion of the placenta, leading to fetal hypoxia.
What typical types of classes are available to help expectant parents prepare for parenthood? (Select all that apply.)
- A. Infant care
- B. Breastfeeding
- C. Gestational diabetes
- D. Sources of financial aid
- E. Yoga
Correct Answer: A,B,C
Rationale: Prenatal classes include such topics as infant care, breastfeeding, gestational diabetes, exercising, and sibling and grandparent preparation. Yoga and financial information are not traditional content for prenatal instruction.
What assessment should be taken immediately after the anesthesiologist administers an epidural block to a laboring woman?
- A. Bladder for distention
- B. Blood pressure
- C. Sensation in the lower extremities
- D. Intravenous fluid flow rate
Correct Answer: B
Rationale: Blood pressure is checked every 5 minutes when the epidural block is first begun. Bladder assessment is also important but not an initial assessment.
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 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.