Chapter 7 Nursing Care of Mother and Infant During Labor and Birth - Leifer Maternity and Pediatric Nursing

Chapter 7 Nursing Care of Mother and Infant During Labor and Birth - Leifer Maternity and Pediatric Nursing NURSINGTB.COM 1. What does the nurse note when measuring the frequency of a laboring womans contractions? a. How long the patient states the contractions last b. The time between the end of one contraction and the beginning of the next c. The time between the beginning and the end of one contraction d. The time between the beginning of one contraction and the beginning of the next ANS: D The frequency of contractions is the elapsed time from the beginning of one contraction to the beginning of the next contraction. DIF: Cognitive Level: Comprehension REF: Page 126 TOP: Frequency of Contractions KEY: Nursing Process Step: Data Collection MSC: NCLEX: Physiological Integrity: Physiological Adaptation 2. Why is the relaxation phase between contractions important? a. The laboring woman needs to rest. b. The uterine muscles fatigue without relaxation. c. The contractions can interfere with fetal oxygenation. d. The infant progresses toward delivery at these times. ANS: C Blood flow from the mother into the placenta gradually decreases during contractions. During the interval between contractions, the placenta refills with oxygenated blood for the fetus. DIF: Cognitive Level: Comprehension REF: Page 127 OBJ: 6 TOP: Interval KEY: Nursing Process Step: N/A MSC: NCLEX: Physiological Integrity: Physiological Adaptation 3. What contraction duration and interval does the nurse recognize could result in fetal compromise? a. Duration shorter than 30 seconds, interval longer than 75 seconds b. Duration shorter than 90 seconds, interval longer than 120 seconds c. Duration longer than 90 seconds, interval shorter than 60 seconds d. Duration longer than 60 seconds, interval shorter than 90 seconds ANS: C Persistent contraction durations longer than 90 seconds or contraction intervals less than 60 seconds may reduce fetal oxygen supply. DIF: Cognitive Level: Comprehension REF: Page 128 OBJ: 9 TOP: Contraction/Fetal Compromise KEY: Nursing Process Step: Data Collection MSC: NCLEX: Physiological Integrity: Reduction of Risk 4. Vaginal examination reveals the presenting part is the infants head, which is well flexed on the chest. What is this presentation? a. Vertex b. Military c. Brow d. Face ANS: A In the vertex presentation, the fetal head is the presenting part. The head is fully flexed on the chest. DIF: Cognitive Level: Comprehension REF: Page 128 OBJ: 9 TOP: Fetal Position