Ch 8 OB Practice Questions

palpate the maternal abdomen during a contraction

the shortest part of the contraction

have the patient assume a comfortable and upright position

wider outlet

making sure the patient’s hair is covered contantly

Your response to pregnancy, labor, and delivery will differ from that of an adult because your cognitive development is not yet complete

passage

increased discharge

effleurage is performed in rhythm with breathing during a contraction

We will inject 0.5 mL of sterile water subcutaneously, and it will last for an hour and 90 minutes

Call the health care provider regarding the patient’s pruritus to order an antipruritic medication

help the patient change her position from side to side every 30 minutes

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There is more pressure on the cervix, which causes the start of contractions by releasing oxytocin

Oxytocin stimulates uterine muscles to contract

The placenta beings to age and deteriorate and this triggers the start of contractions

The fetus releases a stress hormone, cortisol, and this starts contractions

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Shortens the length of labor

Reduces the likelihood that a patient will require an epidural

Increases patients' happiness and satisfaction with the outcome of their birth

The ob nurse is assessing the laboring pt for pain. Which of the following should the nurse identify in a pain assessment? Select all that apply.

1. intensity of contractions

2. presence of pain in the neck or back

3. freq and duration of contractions

4. signs of anxiety

5. presence of FHR with intermittent auscultation

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Intensity of contractions

Presence of pain in the neck or back

Freq and duration of contractions

Signs of anxiety

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Christa has been in labor for 4 hours. She has been having contractions every 3 minutes. Contractions last a minute and are intense. She has had cervical change from 3 to 5 cm over the past 4 hours

The medication Christa wants is an epidural. After she receives the epidural, the FHR tracing is within normal limits

Christa has a history of opiate abuse and therefore it was understood that she might require higher doses of medications to experience relief

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The gas takes effect in about 50 seconds after the first breath, and the patient will feel calm
There is no effect on the labor progress from active labor to deliver, and therefore you do not need to worry about longer labors with the medication.

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epidural with lidocaine for pain in labor
spinal block with lidocaine for a cesarean delivery
lidocaine without epinephrine for forceps use

The nurse is teaching the patient about the trend and risks of epidural anesthesia. Which of the following should the nurse relay about the risks of epidural anesthesia? Select all that apply.

1. There is a higher rate of instrumental vaginal delivery.

2. When using an epidural, women are less likely to sweat with a fever.

3. There is a higher rate of spontaneous vaginal delivery.

4. Labor may be longer with an epidural.

5. There is a higher rate of fever and sepsis

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There is a higher rate of instrumental vaginal delivery.

When using an epidural, women are less likely to sweat with a fever.

Labor may be longer with an epidural.

There is a higher rate of fever and sepsis

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lateral position with head flexed toward chest
sitting position with elbows on knees