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WorksheetsLabor and Delivery
Total questions: 15
Worksheet time: 8mins
1. In performing Leopold's maneuvers, you palpate a somewhat round, soft, and irregular fetal part in the uterine fundus at the right upper quadrant; a smooth, convex contour along the right side of Susan's abdomen; and, a firm, round fetal part over the pelvic inlet.
· Based on your assessment, you determine that the fetus is in a _______ presentation
breech
cephalic/vertex
transverse
A normal fetal heart rate is in which range?
90-140 bpm
110-160 bpm
120-180 bpm
100-150 bpm
To measure the frequency of contractions you examine a 10-minute strip and:
determine the time from the end of one contraction to the beginning of the next
count the number of contractions in a 10-minute strip and divide 10 by that number
determine the time from the beginning of one contraction to the beginning of the next
determine the time from the beginning to the end of each contraction in a 10-minute strip
You determine that the fetus is at zero station. The patient’s husband is curious about what you mean by "the fetus is at zero station." Your response is based on the knowledge that zero station means that:
the baby's presenting part is at the level of the mother's ischial spines
the baby's presenting part is at the level of the mother's pelvic inlet
the biparietal diameter of the fetal skull is at the level of the mother's iliac crests
the baby's head is high in the pelvis and is still ballottable
Based on your assessment of Mary (3 cm dilated, 80% effaced, fetus at zero station) and your interpretation of her data, you determine that she is now in which stage of labor?
Stage 1
Stage 2
Stage 3
Stage 4
Ava is painful with contractions and requesting something for pain. She is 5-6cm dilated, 100% effaced, and the fetus is at zero station. You phone the physician and receive an order for 1mg stadol IV push. In response for the order for stadol, which of the following is indicated?
Question the order for Stadol (butorphanol tartrate) because Susan is within one hour of delivery
Question the order for Stadol (butorphanol tartrate) because the dosage is too high
Administer the Stadol (butorphanol tartrate) as ordered
Claire is 7cm, 100% effaced, and -1 station. You determine she is at which stage of phase one of labor?
Latent phase
Active phase
Transition phase
expulsive phase
Early decelerations are caused by:
cord compression
compression of the fetal head
uteroplacental insufficiency
nuchal cord
In at least the first half hour after an epidural, a priority nursing intervention is to:
keep Susan in a reverse Trendelenburg position to promote spread of the epidural anesthetic
frequently monitor Susan's blood pressure due to increased risk for hypotension
be alert for hypertensive crisis
keep Susan in the supine position to prevent postspinal headache
After the placenta has been expelled, Dr. Cooper asks you to start a Pitocin (oxytocin) drip, at a concentration of 30 units in 500 mL Lactated Ringer's. You know that Pitocin (oxytocin) is administered at this time to:
stimulate the uterus to start contracting down to normal size
start an induction
prevent tetanic uterine contractions
The correct term for the cone shape of a vaginally born infant’s head is:
crowning
squeezing
molding
Shortly after an infant is born, you prepare to give the baby a vitamin K injection. The father asks, "Why does he need to have a shot already?". You respond by saying:
vitamin K is needed to prevent hemorrhage in the early neonatal period
vitamin K provides protection from infection during the first week after birth
vitamin K is necessary to prevent the occurrence of physiologic jaundice in newborns
The purpose of applying erythromycin ophthalmic ointment to the newborn's eyes is to
alleviate conjunctivitis that is common to all newborn infants
protect the infant from gonorrheal or chlamydial infection
protect the infant's sensitive eyes from light
You are closely monitoring your patient’s fundus 1 hour after delivery. What is a normal and expected finding at this time?
Fundus is firm, at the midline, and three fingerbreadths above the umbilicus
Fundus is boggy, at the midline, and at the level of the umbilicus
Fundus is firm, at the midline, and at the level of the umbilicus
Fundus is slightly boggy, to the right of the midline, at two fingerbreadths below the umbilicus
You assess the condition of Josephine’s uterus. The term that describes the expected gradual reduction in size of the uterus after delivery as it contracts to return to normal size is:
Evolution
Involution
expolution
