Labor and Delivery

Front

In performing Leopold's maneuvers, you palpate a somewhat round, soft, and irregular fetal part in the uterine fundus at the right upper quadrant; a smooth, convex contour along the right side of Susan's abdomen; and, a firm, round fetal part over the pelvic inlet. Based on your assessment, you determine that the fetus is in a _______ presentation

Back

cephalic/vertex

Front

A normal fetal heart rate is in which range? Options: 90-140 bpm, 110-160 bpm, 120-180 bpm, 100-150 bpm

Back

110-160 bpm

Front

To measure the frequency of contractions you examine a 10-minute strip and: determine the time from the beginning of one contraction to the beginning of the next

Back

determine the time from the beginning of one contraction to the beginning of the next

Front

What does it mean when the fetus is at zero station?

Back

the baby's presenting part is at the level of the mother's ischial spines

Front

Based on your assessment of Mary (3 cm dilated, 80% effaced, fetus at zero station), you determine that she is now in which stage of labor?

Back

Stage 1

Front

Ava is painful with contractions and requesting something for pain. She is 5-6cm dilated, 100% effaced, and the fetus is at zero station. You phone the physician and receive an order for 1mg stadol IV push. In response for the order for stadol, which of the following is indicated?

Back

Administer the Stadol (butorphanol tartrate) as ordered

Front

Claire is 7cm, 100% effaced, and -1 station. You determine she is at which stage of phase one of labor?

Back

Active phase

Front

Early decelerations are caused by: cord compression, compression of the fetal head, uteroplacental insufficiency, nuchal cord

Back

compression of the fetal head

Front

In at least the first half hour after an epidural, a priority nursing intervention is to:

Back

frequently monitor Susan's blood pressure due to increased risk for hypotension

Front

After the placenta has been expelled, Dr. Cooper asks you to start a Pitocin (oxytocin) drip, at a concentration of 30 units in 500 mL Lactated Ringer's. Why is Pitocin (oxytocin) administered at this time?

Back

stimulate the uterus to start contracting down to normal size