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WorksheetsNURS 2150 Labor & Delivery
Total questions: 15
Worksheet time: 15mins
Name
Class
Date
1.
The factors that affect the process of labor and birth, known commonly as the five Ps, include all except:
a)
Passenger
b)
Passageway
c)
Powers
d)
Pressure
2.
With regard to the position of the laboring woman, maternity nurses should be able to tell the woman that:
a)
The supine position commonly used in the United States increases blood flow.
b)
The "all fours" position, on her hands and knees, is hard on her back.
c)
Frequent changes in position will help relieve her fatigue and increase her comfort.
d)
In a sitting or squatting position her abdominal muscles will have to work harder.
3.
Which description of the four stages of labor is correct for both definition and duration?
a)
First stage: onset of regular uterine contractions to full dilation; less than 1 hour to 20 hours
b)
Second stage: full effacement to 4 to 5 cm; visible presenting part; 1 to 2 hours
c)
Third state: active pushing to birth; 20 minutes (multiparous women), 50 minutes (first-timer)
d)
Fourth stage: delivery of the placenta to recovery; 30 minutes to 1 hour
4.
When a nulliparous woman telephones the hospital to report that she is in labor, the nurse initially should:
a)
Tell the woman to stay home until her membranes rupture
b)
Emphasize that food and fluid intake should stop
c)
Arrange for the woman to come to the hospital for labor evaluation
d)
Ask the woman to describe why she believes she is in labor
5.
To assess the pain experience of the laboring woman, the nurse relies most on
a)
vital signs.
b)
labor progress.
c)
patient's description.
d)
availability of support.
6.
Which of the following is not a realistic perspective of pain during labor?
a)
Psychological processes underlie the experience of pain.
b)
Pain serves a useful purpose.
c)
The belief that childbirth should not be painful.
d)
Pain is frequently intensified by fear, anxiety, and fatigue.
7.
Which physiologic changes are indicative of maternal pain?
a)
Marked agitation, confusion, guarding
b)
Increased urine output, increased intestinal motility
c)
Decreased blood pressure and pulse rate, increased urine output
d)
Increased pulse rate and blood pressure, decreased urine output
8.
During the active phase of labor, the laboring patient screams out "I quit; I cannot do this anymore." The nurse can respond most effectively by
a)
offering an epidural.
b)
offering words of support and encouragement.
c)
encouraging her to ambulate.
d)
offering a backrub.
9.
The laboring patient using pattern-paced breathing reports lightheadedness, dizziness, and tingling of the fingers. The priority intervention for the nurse is to
a)
offer bicarbonate.
b)
instruct her to breathe into her cupped hands.
c)
encourage her to hold her breath.
d)
encourage her to exhale through pursed lips.
10.
An active-labor patient is agitated and sends her husband to ask the nurse if she can have pain medication. Which nursing action takes priority?
a)
Notify the physician.
b)
Change her position and encourage deep breathing.
c)
Assess fetal heart rate, maternal vital signs, and labor progress.
d)
Ask the husband to leave while you help her focus and calm down.
11.
A laboring woman just received an opioid analgesic. Her labor progresses rapidly and birth is imminent. Which of the following medications should be available to counteract the effects of the opiod?
a)
Fentanyl citrate (Sublimaze)
b)
Nalbuphine (Nubain)
c)
Butorphanol (Stadol)
d)
Naloxone (Narcan)
12.
Which of the following is most likely to be effective for promoting comfort when the fetus is in an occiput posterior position?
a)
Counterpressure
b)
Effleurage
c)
Biofeedback
d)
Aromatherapy
13.
Women report a greater sense of satisfaction with their birth experience when
a)
pharmacologic pain control measures are used.
b)
labor is brief and intense.
c)
they are actively engaged in choices concerning pain relief measures.
d)
they give birth at home.
14.
To encourage the rotation of the fetus from a posterior to an anterior position, the nurse recommends which position?
a)
Side-lying
b)
Hands and knees
c)
Sitting
d)
Standing
15.
In supporting culturally influenced childbirth practices, the nurse focuses on which principle?
a)
The baby's father should be the support person for labor.
b)
It is important for the woman to be quiet and sedate during labor and birth.
c)
Women who share the same cultural heritage will have similar responses to pain.
d)
Culture strongly influences how the woman perceives and copes with pain.
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