NUR 113 Test #2: Intrapartum CH 16 & 17 & 18 (LowderMilk)

What integumentary change is commonly observed during labor?

What is the most likely cause of 1+ protein in a laboring woman’s urine?

Where should the tocotransducer be placed?

 a tennis ball to apply pressure to a woman’s sacrum during labor. The woman says it helps. What technique is this?

SATA: Which actions demonstrate correct application of counterpressure?

Blood glucose levels rise during labor due to hormonal surges.

Which of the following factors can interfere with urination during labor? (Select all that apply)

Which of the following describes general flexion?

Which drug used during labor can cause fetal tachycardia?

What happens to GI motility and stomach emptying during labor?

Which maternal factor may decrease fetal circulation during labor?

Which herbal tea might a woman in labor drink to help with nausea?

The IUPC does not measure the UC intensity

Which suture runs longitudinally between the two parietal bones of the fetal skull?

Which is required before placing an IUPC? SATA

Fetal respiratory movements increase during labor to prepare for breathing.

Which bones form the fetal skull? (Select all that apply)

What is the effect of endogenous endorphins during labor?

An increase in WBCs during labor is most likely due to:

Why might some nurses underutilize nonpharmacologic methods of pain relief?

When using IA, which action should the nurse perform to assess uterine resting tone?

During which stage of labor is amnesia between contractions most likely to occur?

Which change in blood pressure is expected during uterine contractions?

The posterior fontanel closes by:

What is the appropriate breathing technique for active labor or when contractions peak?

Which of the following may cause accelerations? (Select all that apply)

 Which FHR variability suggests adequate oxygenation?

Which of the following are recognized fetal lies? (Select all that apply)

 When can warm compresses help with perineal pain?

Which statements are TRUE about fetal station and engagement? (Select all that apply)

What does engagement mean in labor?

Which may cause minimal variability? (Select all that apply)

During second-stage labor, the woman wants to push but is only 9 cm dilated. Which breathing cue is best?

What should a nurse do if a woman begins to hyperventilate during labor?

What is the normal fetal attitude during labor?

Which factor most influences a laboring woman’s perception of her pain experience?

What’s the nurse’s priority when using heat packs?

What mechanical event during labor helps clear fetal lung fluid?

Most healthy fetuses can tolerate reduced circulation during contractions because:

Which of the following are true about the powers of labor? (Select all that apply)

Which client would the nurse question using aromatherapy on during labor?

Cervical effacement generally occurs before dilation in first-time pregnancies.

The fetal position ROA indicates:

Which maternal condition could cause fetal tachycardia? (Select all that apply)

Which factors can affect fetal circulation during labor? (Select all that apply)

Which hormone decreases in preparation for labor?

What does effacement of the cervix mean?

In a breech presentation, which part of the fetus usually presents first?

Which of the following determine the fetal presenting part? (Select all that apply)

What is the purpose of using a shower stool during hydrotherapy in labor?

What are considered the primary powers during labor?

What does the second letter in the fetal position abbreviation represent?

The Anterior fontanel closes by:

 Which of the following women is the best candidate for water immersion therapy?

In a 30-week fetus, an acceleration is defined as

Which of the following are appropriate nursing interventions to support relaxation during labor? (Select all that apply)

Which of the following presentations is associated with a transverse lie?

Which nonpharmacologic method is considered cutaneous stimulation? SATA

What role does anxiety play in respiratory changes during labor?

Which hormone is responsible for increasing uterine contractions during labor?

Which of the following are true about fetal attitude and head diameters? (Select all that apply)

Which method involves applying pressure to the sacrum to relieve back labor pain?

Which emotional state is most common in early labor?

Which of the following are potential effects of hyperventilation during labor? (Select all that apply)

What is the function of the secondary powers of labor?

A smooth, wavelike pattern on the FHR tracing lasting ≥20 minutes is called:

A nurse prepares to perform an intradermal water block. Which supplies should the nurse gather?

Which of the following is a normal cause of difficulty with urination during labor?

What triggers the laboring woman’s urge to push during the second stage of labor?

What are you next action? (See Picture below)

Which of the following GI symptoms may be observed in labor? (Select all that apply)

Which of the following changes occur during labor to help initiate fetal respirations? SATA

What typically happens to fetal circulation during a contraction?

Which baseline FHR reading indicates fetal bradycardia?

Which statement is true about a fetus in transverse lie?

A nurse observes a 20 bpm rise in FHR lasting 18 seconds. What’s the interpretation?

What is the downside of intermittent auscultation?

Which of the following are common musculoskeletal responses to labor? (Select all that apply)

Despite the ability of the vaginal tissue to stretch, what may still occur?

SATA: What does the tocotransducer measure?

Uterine contractions improve fetal oxygenation by increasing blood flow through the intervillous space.

Fetal bradycardia lasting 12 minutes is observed. Which action is priority?

You use the TENS unit during the early first stage of labor?

Which device uses high-frequency waves to detect FHR?

The part of the fetus that lies closest to the internal cervical os is called the:

Which nonpharmacologic method involves needle insertion into specific points?

Temporary accelerations in FHR may be caused by: SATA

During the first stage of labor, cardiac output increases primarily due to:

Which fetal lie is most compatible with a vaginal birth?

Which of the following is a contraindication for epidural anesthesia?

The analgesic effects of nonpharmacologic methods can be comparable to parenteral opioids.

Which of the following are true about secondary powers? (Select all that apply)

What is the primary purpose of patterned breathing techniques in labor?

What is a benefit of intermittent auscultation during labor?

What does absent variability most likely indicate? SATA

Secondary powers begin before the cervix is fully dilated.

Which factor does not influence the presenting part?

What are correct nursing actions with hot/cold therapy in labor? SATA

Which statement is true about the intradermal water block technique?

What is the primary purpose of focusing and relaxation techniques during labor?

What is the shape and approximate size of the anterior fontanel?

Which is a likely cause of leg cramps during labor?

Focusing on a still object in the room can help prevent the laboring woman from losing control.

What happens to maternal respiratory rate during labor?

Which hormonal changes are associated with onset of labor? (Select all that apply)

A nurse suggests five-element music to a laboring client. Which outcome supports its use?

Which statements about labor breathing techniques are true? (Select all that apply)

SATA: TENS works primarily by:

RN teach nonpharmacologic pain relief strategies for labor. what is effleurage & Counterpressure. SATA

Which of the following are types of breech presentations? (Select all that apply)

During the second stage of labor, oxygen consumption almost doubles in an unmedicated woman.

The Valsalva maneuver increases cardiac output and improves fetal oxygenation.

in a cephalic presentation, what is typically the presenting part?

 Which of the following are TRUE about TENS use in labor? SATA

Which breathing pattern helps prevent pushing before full cervical dilation?

What is the normal fetal heart rate range at term?

Why might a nurse advocate for allowing oral intake (like herbal tea) during labor?

A lady in labor is complaining of severe back pain. The fetal position is suspected to be OP. Which NON Pharm to do?

Which modern birth education program focuses on deep relaxation and self-hypnosis?

What does a spiral electrode monitor?

What is the shape and approximate size of the anterior fontanel?

She now has FHR 100, Minimal Variability, No accels, BP 88/54, UC are 3-4 lasting 60 seconds. What do you do

Which of the following are neurologic responses observed during labor? (Select all that apply)

Nonpharmacologic pain relief techniques are only appropriate before active labor begins.

Secondary powers are the result of:

The Ferguson reflex is triggered when:

What is the name of the smallest anteroposterior diameter of the fetal head in complete flexion?

Which of the following best describes fetal head molding?

Which best defines fetal lie?

What GI symptom may occur as a reflex response to full cervical dilation?

What allows the nurse to determine fetal position and attitude during a vaginal exam after membrane rupture?

Which statements about fetal skull molding are accurate? (Select all that apply)

 Normal range of MVUs for spontaneous labor:

Heat relieves labor pain by:

What is the key action of acupressure in labor pain relief?

What should the nurse teach about massage in labor? SATA

Which of these are normal findings on a EFM strip? SATA (SEE BELOW PICTURE) CLICK ON #s to anwser TOP goes from 1-6)

A laboring woman wants to use music for pain management. What should the nurse recommend?

Which of the following was a historically popular birth preparation method in the U.S.?

Modern birth education emphasizes choosing a specific method like Lamaze or Bradley.

What is the role of chemoreceptors in fetal circulation during labor?

What defines fetal tachycardia?

Which of the following women should NOT use hydrotherapy? (Select all that apply)

Which woman should avoid hypnosis for pain management during labor?

Which finding is associated with increased musculoskeletal activity during labor?

What is the average FHR at 20 weeks gestation?

A laboring woman flinches when touched. What should the nurse do?

Hyperventilation during labor may result in which of the following?

Which of the following are sensory stimulation strategies for labor pain relief? (Select all that apply)

. Which factor may interfere with external FHR signals? (Select all that apply)

The FHR increases as the fetus nears term.

A nurse explains the gate-control theory to a student. Which statement by the student shows understanding?

What is the name of the connective tissue junction where multiple fetal skull bones meet?

Why do blood glucose levels tend to fall during labor?

The shoulder diameter is typically larger than the skull and complicates birth.

Bradycardia can be caused by which of the following? (Select all that apply)

Which of the following increase the risk for supine hypotension during labor? (Select all that apply)

educating a woman about nonpharmacologic pain relief techniques. Which defines effleurage?

Which of the following are responsible for effacement and dilation of the cervix?

Which fetal presentation is most common in term births?

A fetus with an extended head may have difficulty passing through the pelvis.

G1 P0 in labor. Wants an unmedicated birth. Partner is present. She’s handling contractions well but back hurts. Action

Which of the following statements are true about primary powers? (Select all that apply)