Nokea
Which patient at term should proceed to the hospital or birth center the immediately after labor begins?
- A. Gravida 2, para 1, who lives 10 minutes away
- B. Gravida 1, para 0, who lives 40 minutes away
- C. Gravida 2, para 1, whose first labor lasted 16 hours
- D. Gravida 3, para 2, whose longest previous labor was 4 hours
Correct Answer: D
Rationale: The correct answer is D because the patient is gravida 3, para 2, with a history of the shortest previous labor of 4 hours. This indicates a high likelihood of rapid labor progression, necessitating immediate hospital or birth center access to ensure timely delivery. Choice A lives 10 minutes away, which may not be enough time in case of rapid labor. Choice B, living 40 minutes away, poses a risk of delivering en route. Choice C's previous labor duration of 16 hours suggests a longer labor, making immediate hospital arrival less critical.
You may also like to solve these questions
The nurse is reviewing the cardinal maneuvers of labor and birth with a group of nursing students. Which maneuver will immediately follow the birth of the baby's head?
- A. Expulsion
- B. Restitution
- C. Internal rotation
- D. External rotation
Correct Answer: A
Rationale: After the baby's head is born, the immediate next step is the expulsion of the baby's body. This is because the expulsion maneuver refers to the delivery of the rest of the baby's body following the birth of the head. Restitution, internal rotation, and external rotation occur before the birth of the baby's head and are part of the cardinal movements of labor and birth. Restitution involves the realignment of the baby's head with their body after the head is born. Internal rotation refers to the baby's head turning to navigate through the birth canal. External rotation involves the baby's head turning back to its original position after delivery. So, the correct answer is A (Expulsion), as it directly follows the birth of the baby's head.
Which patient will most likely have increased anxiety and tension during labor?
- A. Gravida 2 who refused any medication
- B. Gravida 2 who delivered a stillborn baby last year
- C. Gravida 1 who did not attend prepared childbirth classes
- D. Gravida 3 who has two children younger than 3 years
Correct Answer: B
Rationale: The correct answer is B. A patient who delivered a stillborn baby last year is more likely to experience increased anxiety and tension during labor due to previous traumatic experience. This can trigger fear and worry about the current pregnancy outcome, leading to heightened emotional distress.
Incorrect Choices:
A: Refusing medication does not necessarily correlate with increased anxiety during labor.
C: Not attending childbirth classes may result in lack of knowledge but does not directly relate to increased anxiety during labor.
D: Having two children younger than 3 years may cause stress but does not specifically indicate increased anxiety during labor.
The nurse provides counter pressure to relieve pain and open the pelvis to help with fetal descent. What type of counter pressure is the nurse providing?
- A. hip squeeze
- B. perineal pressure
- C. shoulder pressure
- D. knee press
Correct Answer: A
Rationale: The correct answer is A: hip squeeze. The nurse uses hip squeeze to provide counter pressure during labor. This technique helps relieve pain, open the pelvis, and facilitate fetal descent. By applying pressure on the hips, the nurse can help alleviate discomfort and create more space for the baby to move down the birth canal. Perineal pressure (B) focuses on the perineum, shoulder pressure (C) is not typically used in this context, and knee press (D) is not a common technique for labor pain management.
Which intervention is an essential part of nursing care for a laboring patient?
- A. Helping the woman manage the pain
- B. Eliminating the pain associated with labor
- C. Feeling comfortable with the predictable nature of intrapartal care
- D. Sharing personal experiences regarding labor and birth to decrease her anxiety
Correct Answer: A
Rationale: The correct answer is A because helping the woman manage the pain is essential in nursing care for a laboring patient to ensure her comfort and well-being during labor. This intervention includes providing pain relief measures, such as positioning, massage, breathing techniques, and administering pain medication if needed. The focus is on supporting the woman's coping mechanisms and enhancing her overall birthing experience.
Choice B is incorrect because eliminating pain completely is not always possible or recommended in labor, as some pain is a natural part of the process. Choice C is incorrect as comfort with the predictable nature of care is not as crucial as providing active pain management. Choice D is incorrect because sharing personal experiences may not be relevant or helpful to the laboring patient and may not address her specific needs during labor.
Which fetal position increases the likelihood of a longer and more painful labor?
- A. Left occiput posterior
- B. Left occiput anterior
- C. Right occiput anterior
- D. Right occiput transverse
Correct Answer: A
Rationale: The correct answer is A: Left occiput posterior. In this position, the baby's head is facing the mother's sacrum, making labor longer and more painful due to the baby's position causing more pressure on the mother's back and pelvis. Left occiput anterior (B) and Right occiput anterior (C) are favorable positions for a smoother labor. Right occiput transverse (D) can also lead to a longer and more complicated labor, but not as much as Left occiput posterior.