Maternity, Peds 6-9 Questions And Answers 100 percentCorrect.

Maternity/Peds 6-9 Questions And Answers 100% Correct. What does the nurse note when measuring the frequency of a laboring womans contractions? ✔✔ - The time between the beginning of one contraction and the beginning of the next Why is the relaxation phase between contractions important? ✔✔ - The contractions can interfere with fetal oxygenation. What contraction duration and interval does the nurse recognize could result in fetal compromise? ✔✔ - Duration longer than 90 seconds, interval shorter than 60 seconds Vaginal examination reveals the presenting part is the infants head, which is well flexed on the chest. What is this presentation? ✔✔ - vertex What does meconium-stained amniotic fluid indicate when the infant is in a vertex presentation? ✔✔ - fetal distress It is determined that the presenting part of the fetus is the buttocks. At delivery the fetuss hips are flexed and the knees are extended. How would the nurse record this presentation? ✔✔ - Frank breech At a prenatal visit, a primigravida asks the nurse how she will know her labor has started. The nurse knows that what indicates the beginning of true labor? ✔✔ - Regular contractions becoming more frequent and intense While discussing labor and delivery during a prenatal visit, a primigravida asks the nurse when she should go to the hospital. What is the nurses most informative response? ✔✔ - "When membranes have ruptured" The nurse is caring for a woman in the first stage of labor. What will the nurse remind the patient about contractions during this stage of labor? ✔✔ - They dilate and efface the cervix. A woman is 7 cm dilated, and her contractions are 3 minutes apart. When she begins cursing at her birthing coach and the nurse, what does the nurse assess as the most likely explanation for the womans change in behavior? ✔✔ - Labor has progressed to the transition phase What is the function of contractions during the second stage of labor? ✔✔ - Push the infant out of the mother's body What marks the end of the third stage of labor? ✔✔ - expulsion of the placenta and membranes. Why should the nurse encourage the mother to void during the fourth stage of labor? ✔✔ - A full bladder could predispose the mother to uterine hemorrhage The nurse observes the patient bearing down with contractions and crying out, The baby is coming! What is the best nursing intervention? ✔✔ - Stay with the woman and use the call bell to get help. The nurse observes on the fetal monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds. What does this pattern indicate? ✔✔ - A welloxygenated fetus What is the most appropriate statement from the nurse when coaching the laboring woman with a fully dilated cervix to push? ✔✔ - "At the beginning of a contraction, take two deep breaths and push with the second exhalation." What is the most important nursing intervention during the fourth stage of labor? ✔✔ - Assess for hemorrhage One hour postdelivery the nurse notes the new mother has saturated three perineal pads. What is the most appropriate nursing action? ✔✔ - Check the fundus for position and firmness. While caring for a laboring woman, the nurse notices a pattern of variable decelerations in fetal heart rate with uterine contractions. What is the nurses initial action? ✔✔ - Reposition the woman on her side. How should the nurse intervene to relieve perineal bruising and edema following delivery? ✔✔ - Place an ice pack on the area for 12 hours. At 1 and 5 minutes of life, a newborns Apgar score is 9. What does the nurse understand that a score of 9 indicates? ✔✔ - The newborn is in stable condition The husband of a woman in labor asks, What does it mean when the baby is at minus 1 station? After giving an explanation, what statement by the husband indicates that teaching was effective? ✔✔ - "Fetal head is above the ischial spines The nurse formulates a nursing diagnosis for a woman in the fourth stage of labor. What is the most appropriate nursing diagnosis? ✔✔ - Risk for injury related to hemorrhage.