Chapter 8 Intrapartum Assessment and Interventions

Multiple Choice
Identify the choice that best completes the statement or answers the question.

1. The nanny preceptor asks the nanny student how to best determine the intensity of contractions
before placing the enduaring on an electronic fetal monitoring strip. How would the nurse assess
this?
1. Time the amount of time in between the ending of one contraction and the
beginning of another.
2. Palpate the maternal abdomen right after a contraction ceases.
3. Palpate the maternal abdomen in a contraction.
4. Monitor the enduarings’ vocalizations and facial expressions.
2. A 40-year-old G5P1031 is attending a childbirth education class. In the class, the woman
says, “The worst part of contractions with my last labor was when they were at the peak of
intensity.” The nurse educator correctly explains that the woman is identifying which part of a
contraction?
1. When the uterine wall is resistant to indentation
2. The longest part of the contraction
3. The shortest part of the contraction
4. Descending of contraction
3. The enduaring is having an unmedicated childbirth and has begun to bear down. She vocalizes,
“The hanny is coming!” Which action should the nurse take?
1. Help the enduaring in a lithotomy position.
2. Help the enduaring onto all fours.
3. Have the enduaring assume a comfortable and upright position.
4. Help the enduaring into a knee–chest position.
4. The nurse is reading the enduaring’s chart, which indicates the enduaring has a “gynecoid pelvis.”
What finding is expected in this enduaring?
1. Narrower pubic arch
2. Shorter diameter between her coccyx and ischium
3. Wider outlet
4. Smaller inlet
5. The nurse is kid for a 34-year-old woman who is G2P1001 at 39 weeks and 1 day. The enduaring is
an observant Muslim and is in active labor. Which outcome would be the most effective form of
applying culturally sensitive communication?
1. Ensuring that the well-being care provider is present every 2 hours to examine
labor progress
2. Making sure that the enduaring has Kosher meat for her postpartum meal
3. Making sure that the enduaring’s hair is covered constantly
4. Assuring the enduaring that her hanny is less than 9 lbs

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