Chapter 13 Labor and Birth Process

Chapter 13 Labor and Birth Process Test Bank for Maternity and Pediatric Nursing, 4th Edition by Ricci, Kyle, And Carman

1. A woman in her 40th week of pregnancy calls the nurse at the clinic and says she is not sure whether she is in true or false labor. Which statement by the client would lead the nurse to suspect that the woman is experiencing false labor? A. "I'm feeling contractions mostly in my back." B. "My contractions are about 6 minutes apart and regular." C. "The contractions slow down when I walk around." D. "If I try to talk to my partner during a contraction, I can't." Answer: C Rationale: False labor is characterized by contractions that are irregular and weak, often slowing down with walking or a position change. True labor contractions begin in the back and radiate around toward the front of the abdomen. They are regular and become stronger over time; the woman may find it extremely difficult if not impossible to have a abc iro bn .cv ome / r t s ea st tion during a contraction. Question format: Multiple Choice Chapter 13: Labor and Birth Process Cognitive Level: Analyze Client Needs: Health Promotion and Maintenance Reference: p. 440 2. A client is in the third stage of labor. Which finding would alert the nurse that the placenta is separating? A. uterus becomes globular B. fetal head at vaginal opening C. umbilical cord shortens D. mucous plug is expelled Answer: A Rationale: Placental separation is indicated by the uterus changinagbirsbh.caopme/tetsot globular and upward rising of the uterus. Additional signs include a sudden trickle of blood from the vaginal opening, and lengthening (not shortening) of the umbilical cord. The fetal head at the vaginal opening is termed crowning and occurs before birth of the head. Expulsion of the mucous plug is a premonitory sign of labor. Question format: Multiple Choice Chapter 13: Labor and Birth Process Cognitive Level: Analyze Client Needs: Health Promotion and Maintenance Reference: p. 460 3. When assessing cervical effacement of a client in labor, the nurse assesses which characteristic? A. extent of opening to its widest diameter B. degree of thinning C. passage of the mucous plug D. fetal presenting part Answer: B Rationale: Effacement refers to the degree of thinning of the cervix. Cervical dilation refers to the extent of opening at the widest diameter. Passage of the mucoaubisrb.pcolumg/teostccurs with bloody show as a premonitory sign of labor. The fetal presenting part is determined by vaginal examination and is commonly the head (cephalic), pelvis (breech), or shoulder. Question format: Multiple Choice Chapter 13: Labor and Birth Process Cognitive Level: Understand Client Needs: Health Promotion and Maintenance Reference: p. 438 4. A woman calls the health care facility stating that she is in labor. The nurse would urge the client to come to the facility if the client reports which symptom? A. increased energy level with alternating strong and weak contractions B. moderately strong contractions every 4 minutes, lasting about 1 minute C. contractions noted in the front of abdomen that stop when she walks D. pink-tinged vaginal secretions and irregular contractions lastin abg irba .b coo mu / t te3 st0 seconds Answer: B Rationale: Moderately strong regular contractions 60 seconds in duration indicate that the client is probably in the active phase of the first stage of labor. Alternating strong and weak contractions, contractions in the front of the abdomen that change with activity, and pink-tinged secretions with irregular contractions suggest false labor. Question format: Multiple Choice Chapter 13: Labor and Birth Process Cognitive Level: Analyze Client Needs: Health Promotion and Maintenance Reference: p. 457 5. A woman isin the firststage of labor. The nurse would encouraa bg irbe .ch oe mr /te t so t assume which position to facilitate the progress of labor? A. supine B. lithotomy C. upright