Reference no: EM133483437

Questions

1. The mother's back pain during labor is mainly related to the fetal position:

A-right occipital anterior (ROA)

B-left occiput anterior (LOA)

C-right posterior occiput (ROP)

D-transverse

E-breech

2. Due to the great discomfort that the patient has in the transition phase, you should direct care to:

A-help the patient that the respiratory pattern is regular and uniform

B-help the patient maintain control

C-decrease the rate of the IV

D-administer medication

3. The mother is in the transition phase, it is observed that the bladder is distended during labor. Could this situation present a problem for the patient?

A-predisposes to bleeding

B-interferes with delivery of the placenta

C-interferes with fetal descent

D-predisposes to uterine bleeding

4. What would be the different natural ways to reduce labor pain and stress during labor? Select the correct...

A. Massages

B. Morphine IV

C. Demerol IM

D. Epidural Anesthesia

E. Hydrotherapy

F. Application of hot or cold pads

only A,B,C

A,E,F only

D, E, F only

ALL OF THE ABOVE

5. One hour after childbirth the uterus is palpable firm, in the center of the abdomen, and a finger below the navel. You must...

A-massage the uterus

B-record findings and continue to observe client

C-notify the doctor immediately

D-encourage client to urinate

6. Two hours after childbirth the uterus is firm, two fingers above the navel and to the right side. An appropriate intervention at this time would be.

A-massage the uterus

B-assist the client to the bathroom to empty the bladder

C-watch for signs of bleeding

D-massage the uterus to prevent bleeding

7. The involution is occurring normally, two days after delivery, the fundus of the uterus should be palpated...

A-2 cm below the navel

B-at navel level

C-3 cm above the navel

D-2 cm above the navel

8. A client is 5cm dilated and station -1. Contractions gradually become irregular but more painful. The first thing you should evaluate is:

A-if the client is not breathing well

B-if you have a full bladder

C-if you are in false labor

D-if the fetus is in breech presentation

9. The cervix has dilated to 7cm. The client feels the desire to push. You help the customer:

A-push between contractions

B-put in position to push

C-stimulate doing breathing exercises to prevent him from pushing

D-that I pushed hard with the contractions

10. You are the nurse of patient Maria, who had a vaginal delivery 12 hours ago. What findings require further evaluation?

A-median episiotomy, with moderate edema, mild erythema, no ecchymosis

B-area of ??the abdomen with stretch marks, refers to having pain

C-bright red vaginal bleeding

D-firm fundus 2 cm above the umbilicus and to the right of the midline

11. A client in the active phase is very irritable and is finding it difficult to maintain control of her breaths. The patient can better tolerate the contractions when she is lying on her back. The client is currently complaining of feeling dizzy and you notice that she has turned pale. The first thing you should do is:

A-assess blood pressure

B-start oxygen administration

C-raise the head of the client's bed

D-place the client in the left position