Kahoot for Unit 2

What does the nurse note when measuring the frequency of a laboring woman’s contractions?

• Time between the beginning of one contraction to the beginning of the next

• Duration of each contraction

• Intensity of the contraction

• Time from the end of one contraction to the start of the next

Answer explanation

The nurse measures the frequency of contractions by noting the time between the beginning of one contraction to the beginning of the next. This helps assess the labor progress.

Why should the nurse encourage the mother to void during the fourth stage of labor?

• A full bladder could predispose the mother to uterine hemorrhage

• It helps the mother to relax and sleep better

• Voiding increases the production of breast milk

• It prevents postpartum depression

Answer explanation

Encouraging the mother to void during the fourth stage of labor is crucial because a full bladder can lead to uterine hemorrhage, which is a serious complication. Keeping the bladder empty helps maintain uterine tone.

When is one example of when a pregnant person should go to the hospital?

• Membranes have ruptured

• Feeling hungry

• Mild headache

• Watching TV

Answer explanation

A pregnant person should go to the hospital if their membranes have ruptured, as this can indicate the onset of labor or potential complications. Other options like feeling hungry or having a mild headache do not require immediate medical attention.

What marks the end of the third stage of labor?

• Expulsion of the placenta and membranes

• Onset of uterine contractions

• Full cervical dilation

• Delivery of the baby

Answer explanation

The third stage of labor ends with the expulsion of the placenta and membranes, which follows the delivery of the baby. This is a crucial step in the birthing process, marking the completion of labor.

What should the nurse explain regarding giving a narcotic analgesic medication in the transition stage of labor?

• It may result in respiratory depression to the newborn

• It will always speed up the labor process

• It prevents all pain during delivery

• It is completely safe for the newborn

Answer explanation

Narcotic analgesics can cross the placenta and may cause respiratory depression in the newborn, especially if given during the transition stage of labor. This is a critical consideration for the safety of the infant.

One hour postdelivery the nurse notes the mother has saturated three perineal pads. What is the most appropriate action?

• Check the fundus for position and firmness.

• Offer the mother fluids to prevent dehydration.

• Encourage the mother to ambulate to promote circulation.

• Apply an ice pack to the perineum to reduce swelling.

Answer explanation

Checking the fundus for position and firmness is crucial as it helps assess for uterine atony, a common cause of postpartum hemorrhage. Saturating three perineal pads indicates potential excessive bleeding that needs immediate evaluation.

What is the most appropriate nursing action to take when a laboring woman hyperventilates?

• Help her breathe into her cupped hands

• Encourage her to walk around the room

• Increase her IV fluid rate

• Place her in a supine position

Answer explanation

Helping the laboring woman breathe into her cupped hands can help regulate her breathing pattern and increase carbon dioxide levels, alleviating symptoms of hyperventilation. This is the most appropriate action.

What chemical substance in the body acts as a natural pain reliever?

• Endorphins

• Adrenaline

• Insulin

• Hemoglobin

Answer explanation

Endorphins are natural chemicals produced by the body that help relieve pain and induce feelings of pleasure. They act as natural pain relievers, making them the correct answer to the question.

What would the nurse guide a labor coach to do to comfort a woman tensing her muscles with contractions?

• Encourage the patient to pant

• Ask the patient to hold her breath

• Tell the patient to ignore the pain

• Advise the patient to walk around

Answer explanation

Encouraging the patient to pant helps to relax the muscles and manage pain during contractions. This technique promotes controlled breathing, reducing tension and discomfort, making it the best choice for comfort.

The nurse is assessing a newborn. What sign of hypoglycemia does the nurse record?

• High-pitched cry

• Flushed skin

• Bradycardia

• Hyperactivity

Answer explanation

A high-pitched cry in a newborn can indicate hypoglycemia, as it is a sign of distress. Other options like flushed skin, bradycardia, and hyperactivity are not typical signs of low blood sugar in newborns.

Tags

NGSS.HS-LS1-3