MCN LEC MIDTERM

A pregnant client experiencing difficult labor or DYSTOCIA on the delivery room and as a student nurse, do you know that there are 4 main components of the labor process and this is:

Statement 1: The power, or the force that propels the fetus (Uterine Contractions); The passenger (The fetus); The passageway (The birth canal); or the psyche (The woman`s and family perception of the event)

Statement 2: The passageway, or the force that propels the fetus (Uterine Contractions); The passenger (The fetus); The power, (The birth canal); or the psyche (The woman`s and family perception

• Statement 1 only

• Statement 2 only

• Both are correct

• Both are incorrect

In patient experiencing DYSTOCIA or difficult labor, she needs someone who is both knowledgeable about the deviation and what measures need to be taken as well as able to feel empathetic to her sense of helplessness and the necessary change in her birth plan. Who`s person this patient needs the most in this situation?

• Nurses

• Husband

• Physician

• OB Gynecologist

One of the major nursing roles with a woman who is having a variation in labor is a conscientious assessment of labor progress. One of the major assessment tools used to detect deviations is a?

• fetal and uterine monitor

• fetal and maternal monitor

If a woman develops a complication of labor or birth, what is the most priority?

• Increase the fetal heart rate (FHR) or to strengthen uterine contractions

• Safety of the mother only

• Safety of the baby only

• Safety of the mother and child

Which of the statements are CORRECT about Complications with the Power (The force of Labor)?

Statement 1: Inertia is a time-honored term to denote sluggishness of contractions, or that the force of labor, is less than usual.

Statement 2: Inertia is a time-honored term to denote sluggishness of contractions, or that the force of labor, is greater than usual.

• Statement 1 only

• Statement 2 only

• Both of the statements are correct

• Both of the statements are incorrect

As an assigned nurse during the delivery, What will be your nursing interventions in the FIRST HOUR AFTER BIRTH following a patient with a labor of hypotonic contractions to ensure postpartal contractions are not also hypotonic and therefore not adequate to halt postpartal hemorrhage.

• Palpate the uterine fundus

• Obtain the woman’s blood pressure

• Assess the amount of lochia every 15 minutes

• Assess the amount of lochia every 10 minutes

• Normal uterine contractions

• Hypotonic contractions; notice that the rise in pressure is no more than 10 mmHg

• Hypertonic contractions; notice the high resting pressure (35–40 mmHg)

Which of the statements are CORRECT about Complications with the Power (The force of Labor)?

Statement 1: Dysfunctional labor CAN OCCUR AT ANY POINT IN LABOR, but it is generally classified as primary (i.e., occurring at the onset of labor) or secondary (i.e., occurring later in labor).

Statement 2: The risk of maternal post-partal infection, hemorrhage, and infant mortality is higher in women who have a prolonged labor than in those who do not. Therefore, it is vital to recognize and prevent dysfunctional labor to the extent possible

• Statement 1 only

• Statement 2 only

• Both of the statements are correct

• Both of the statements are incorrect

Which of the statements are CORRECT about Complications with the Power (The force of Labor)?

Statement 1: Prolonged labor appears to result from several factors but is MOST LIKELY TO OCCUR if a fetus is large or if the contractions are hypotonic, hypertonic, or uncoordinated contractions occur

Statement 2: Common Causes of Dysfunctional Labor are Primigravida status and A ripe cervix

• Statement 1 only

• Statement 2 only

• Both of the statements are correct

• Both of the statements are incorrect

Answer explanation

Primigravida status and A nonripe cervix

Which of the statements are CORRECT about the Common Causes of Dysfunctional Labor?

Statement 1: Pelvic bone contraction that has narrowed the pelvic diameter so a fetus can pass (cephalopelvic disproportion [CPD]) such as could occur in a woman with rickets

Statement 2: Posterior rather than anterior fetal position or extension rather than flexion of the fetal head

• Statement 1 only

• Statement 2 only

• Both of the statements are correct

• Both of the statements are incorrect

Answer explanation

Pelvic bone contraction that has narrowed the pelvic diameter so a fetus cannot pass (cephalopelvic disproportion [CPD]) such as could occur in a woman with rickets