Labor Basices
This stage of labor begins with true contractions and ends when the cervix reaches 10 cm.
What is the first stage of labor?
The normal fetal heart rate range is:
What is 110–160 bpm?
Breathing techniques, massage, and hydrotherapy are examples of this type of pain management.
What are nonpharmacologic methods?
Failure of labor to progress may be caused by abnormalities of power, passenger, or this.
What is passage?
Artificial rupture of membranes is commonly abbreviated as:
What is AROM?
The expected location of the fundus shortly after birth is:
What is at or near the umbilicus?
The most common cause of postpartum hemorrhage is:
What is uterine atony?
The first priority of the newborn immediately after birth is establishing:
What is effective respiration?
Contractions that become stronger, closer together, and cause cervical change are called this.
What is true labor?
This fetal heart rate pattern mirrors contractions and is usually reassuring.
What are early decelerations?
This regional anesthesia provides pain relief while allowing the client to remain awake during labor.
What is an epidural?
This complication occurs when the umbilical cord slips below the presenting part.
What is prolapsed cord?
An internal fetal scalp electrode is used to obtain this information.
What is a more accurate fetal heart rate?
A boggy uterus indicates:
What is uterine atony?
A postpartum client develops fever and foul-smelling lochia. The nurse suspects:
What is puerperal infection (endometritis)?
The newborn's temperature is best maintained by preventing this type of heat loss after birth.
What is evaporative heat loss?
The process of the cervix becoming thinner is called this.
What is effacement?
Variable decelerations are most commonly caused by this.
What is umbilical cord compression?
The nurse should assess this before administering systemic opioid medications during labor.
What is labor progress and fetal status?
The priority nursing action for a prolapsed cord is:
What is relieving pressure on the cord while calling for assistance?
This procedure uses a suction cup attached to the fetal head.
What is vacuum-assisted birth?
Lochia rubra is expected during approximately the first:
What are the first 3–4 days postpartum?
Redness, warmth, and pain in one calf may indicate:
What is thrombophlebitis?
Apgar scores are typically assigned at these two times.
What are 1 minute and 5 minutes?
A woman is 6 cm dilated. She is in this phase of labor.
What is the active phase?
A nurse notes recurrent late decelerations. These are associated with:
What is uteroplacental insufficiency?
A common side effect of epidural anesthesia is:
What is maternal hypotension?
A shoulder dystocia occurs when this part of the fetus becomes lodged behind the maternal pelvis.
What is the anterior shoulder?
The most common indication for a cesarean birth is:
What is failure to progress (labor dystocia)?
The acronym BUBBLE-HE helps assess this period.
What is the postpartum period?
A postpartum client reports sadness, tearfulness, and mood swings on day three after birth. This is most likely:
What are postpartum blues?
A newborn with acrocyanosis but pink trunk is generally considered:
What is a normal newborn finding?
The nurse determines a client is entering transition phase. Name two findings expected.
What are intense contractions, increased pressure, nausea/vomiting, irritability, shaking, or urge to push?
A laboring client has recurrent late decelerations. Name three nursing interventions.
What are repositioning, oxygen administration, IV fluid bolus, stopping oxytocin, or notifying provider?
Following epidural placement, the nurse notices fetal bradycardia. The most likely cause is:
What is decreased maternal blood pressure leading to reduced placental perfusion?
A sudden onset of respiratory distress, hypotension, and coagulopathy during labor suggests:
What is amniotic fluid embolism?
Name two nursing priorities before a cesarean birth.
What are informed consent verification, IV access, fetal assessment, NPO status, catheter insertion, or surgical preparation?
A firm fundus with heavy bleeding suggests:
What are lacerations of the birth canal?
A client reports hearing voices telling her to harm the infant. The priority action is:
What is ensuring immediate safety of mother and infant and notifying the provider?
The nurse observes grunting, nasal flaring, and retractions. These findings indicate:
What is respiratory distress?