NEW
Font size
WorksheetsLabor and Delivery
Total questions: 15
Worksheet time: 8mins
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 pelvic inlet.
The biparietal diameter of the fetal skull is at the level of the mother's iliac crests.
The baby's presenting part is at the level of the mother's ischial spines.
The baby's head is high in the pelvis and is still ballottable
Claire is 7cm, 100% effaced, and -1 station. You determine she is at which stage of phase of labor?
expulsive phase
active phase
latent phase
transition phase
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
transverse
cephalic/vertex
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 at the level of the umbilicus
Fundus is firm, at the midline, and three fingerbreadths above the umbilicus
Fundus is boggy, at the midline, and that the level of the umbilicus
Fundus is slightly boggy, to the right of the midline, at two fingerbreadths below the umbilicus.
Ava is painful with contractions and requesting something for pain. She is 5 cm dilated, 100% effaced, and the fetus is at zero station. You phone the physician and receive an order for 1mg Stadol push. In response for the order for Stadol, which of the following is indicated?
Question the order for Stadol (butorphanol tartrate) because the dosage is too high.
Administer the Stadol as ordered
Question the order for Stadol because Ava is within one hour of delivery.
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 infections
protect the infant's sensitive eyes from light.
The correct term for the cone shape of a vaginally born infant's head is:
molding
squeezing
crowning
Based on your assessment of Mary (3cm dilated, 80% effaced, 0 station) and your interpretation of her data, you determine that she is now in which stage of labor?
Stage 4
Stage 3
Stage 2
Stage 1
Early decelerations are caused by
cord compression
uteroplacental insufficiency
nuchal cord
compression of the head
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 is administered at this time to:
stimulate the uterus to start contracting down to normal size
start an induction
prevent tetanic uterine contractions
You assess the condition of Josephine's uterus. The term describes the expected gradual reduction in size after delivery as it contracts to return to normal size is:
expolution
involution
evolution
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 necessary to prevent the occurrence of physiologic jaundice in newborns
Vitamin K provides protection from infection during the first week after birth
Vitamin K is needed to prevent hemorrhage in the early neonatal period
A normal fetal heart rate is in which range?
100-150 bpm
120-180 bpm
110-160 bpm
90-140 bpm
In at least the first half hour after an epidural, a priority nursing intervention is to:
frequently monitor Susan's blood pressure due to increase risk for hypotension
keep Susan in a reverse Trendelenburg position to promote spread of the epidural anesthetic
be alert for hypertensive crisis
keep Susan in the supine position to prevent postspinal headache
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
determine the time from the beginning 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 to the end of each contraction in a 10-minute strip
