4125 Exam One Summer 24

The nurse is monitoring a client and notes: contractions every 5 to 7 minutes, duration of 25 to 40 seconds, varied intensity, cervix 3 cm and 80% effaced. The patient feels most of the contractions in her lower back. The nurse determines the client is currently in which stage or phase of labor?

• Third

• Early/Latent

• Second

• Fourth

A woman is admitted to the labor and birthing suite. Vaginal examination reveals that the presenting part is approximately 1 centimeter below the ischial spines. The nurse documents this finding as:

• -2 Station

• +1 Station

• 0 Station

• -1 Station

You are caring for a patient who is receiving LR at 125 mL/hr. You hang a new bag of 1000 mL at 0900. What time will you need to hang the next bag? Use military time.

Mathematical Equivalence

OFF

Match the following fetal heart rate changes with their causes.

• Cord Compression

• Early Decelerations

• Placental Insufficency

• Variable Decelerations

• Head Compression

• Late Decelerations

• Fetal Well-Being

• Accelerations

Your Patient is having persistent late decelerations. Knowing the cause of these decelerations, your most appropriate action would be 

• Call the provider

• Check patient's vital signs

• Give an IV bolus

• Nothing, these are normal FHR variations

You are the nurse caring for a laboring patient. She has an external fetal monitor in place and you want to assess her contractions. Which of the following CANNOT be assessed with this type of monitoring?

• Frequency

• Intensity

• Duration

• Occasions

Your patient just drank an 8 oz can of cola. You document the input in mL as:

Mathematical Equivalence

OFF

You are admitting a patient to your prenatal clinic. She states her last menstrual period was December 17, 2023. Using Naegle's Rule, what is her Estimated Due Date (EDD)?

You are collecting an obstetrical history on a patient that has just come to your Labor and Delivery triage area to be evaluated for labor. Her history includes one induced abortion at 7 weeks, one spontaneous abortion at 9 weeks, a vaginal delivery at 35 weeks of a live female child, a cesarean delivery of twin boys at 36 weeks (live male child x2), and her current pregnancy. What is her gravidity and parity? Please put the parity in TPAL format. 

Match the following labor stages with correct physiological description

• 10cm dilated and pushing

• Stage Two

• Regular, painful contractions every 2-3m

• Stage One: Active

• Irregular contractions

• Stage Three

• Post-Delivery

• Stage One: Early

• Delivery of Placenta

• Stage Four