Nokea
Why is oxytocin administered in the third stage of labor?
- A. To stimulate lactation
- B. To relieve postpartum pain
- C. To stimulate uterine contractions
- D. To sedate the mother so she can rest
Correct Answer: C
Rationale: Oxytocin makes the uterus contract and reduces postpartum hemorrhage.
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During labor the patient screams at her husband to get out of her sight. What would be the most appropriate action for the nurse?
- A. Ask the husband to leave the room.
- B. Assure the husband that such behavior is normal.
- C. Remind the patient that the husband wants to help.
- D. Change the patient's position.
Correct Answer: B
Rationale: During labor the patient frequently becomes angry and outspoken. It is a normal occurrence, but the husband needs to be reassured that such behavior is normal.
A nurse is teaching a group of primigravidas that during delivery pressure on the fetal skull may produce changes in the shape of the skull. What is the reshaping of the skull called?
- A. Pressure response
- B. Overlapping
- C. Molding
- D. Spacing
Correct Answer: C
Rationale: The reshaping of the skull bones in response to pressure is called molding.
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.
For the first hour following delivery how often should the nurse assess the mother?
- A. Every 5 minutes
- B. Every 10 minutes
- C. Every 15 minutes
- D. Every 30 minutes
Correct Answer: C
Rationale: During the first hour, assessments are done every 15 minutes.
A patient arrives at the hospital having contractions. How should the nurse determine that the patient is in true labor?
- A. There is no dilation.
- B. The contractions are in the fundus.
- C. The cervix has softened and effaced.
- D. The contractions are irregular.
Correct Answer: C
Rationale: One sign of true labor is when the cervix has softened and effaced. True labor contractions are regular and rhythmic.