LABOR AND BIRTH PROCESS QUESTIONS.

A woman in her 40th week of pregnancy calls the nurse at the clinic and says she’s not sure
whether she is in true or false labor. Which statement by the client would lead the nurse to
suspect that the woman is experiencing false labor?
A) “I’m feeling contractions mostly in my back.”
B) “My contractions are about 6 minutes apart and regular.”
C) “The contractions slow down when I walk around.”
D) “If I try to talk to my partner during a contraction, I can’t.”

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2. Which of the following would indicate to the nurse that the placenta is separating?
A) Uterus becomes globular
B) Fetal head is at vaginal opening
C) Umbilical cord shortens
D) Mucous plug is expelled

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When assessing cervical effacement of a client in labor, the nurse assesses which of the
following characteristics?
Test Bank- Essentials of Maternity Newborn and Women’s Health Nursing 5th Edition Susan Ricci
A) Extent of opening to its widest diameter
B) Degree of thinning
C) Passage of the mucous plug
D) Fetal presenting part

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A woman calls the health care facility stating that she is in labor. The nurse would urge the
client to come to the facility if the client reports which of the following? A) Increased energy
level with alternating strong and weak contractions
B) Moderately strong contractions every 4 minutes, lasting about 1 minute
C) Contractions noted in the front of abdomen that stop when she walks
D) Pink-tinged vaginal secretions and irregular contractions lasting about 30 seconds

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A woman is in the first stage of labor. The nurse would encourage her to assume which
position to facilitate the progress of labor?
A) Supine
B) Lithotomy
C) Upright
D) Knee–chest

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A client has not received any medication during her labor. She is having frequent contractions
every 1 to 2 minutes and has become irritable with her coach and no longer will allow the nurse
to palpate her fundus during contractions. Her cervix is 8 cm dilated and 90% effaced. The nurse
interprets these findings as indicating: A) Latent phase of the first stage of labor
B) Active phase of the first stage of labor
C) Transition phase of the first stage of labor
D) Pelvic phase of the second stage of labor

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The fetus of a nulliparous woman is in a shoulder presentation. The nurse would most likely
prepare the client for which type of birth?
A) Cesarean
B) Vaginal
C) Forceps-assisted
D) Vacuum extraction

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Assessment of a woman in labor reveals cervical dilation of 3 cm, cervical effacement of 30%,
and contractions occurring every 7 to 8 minutes, lasting about 40 seconds. The nurse determines
that this client is in:
A) Latent phase of the first stage
B) Active phase of the first stage
C) Transition phase of the first stage
D) Perineal phase of the second stage

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