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Self-Test Lesson 2 Exercises |
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INSTRUCTIONS: Answer the following exercises by marking the lettered response that best answers the exercise, by completing the incomplete statement, or by writing the answer in the space(s) provided. After you have completed all of these exercises, turn to "Solutions to Exercises" at the end of the lesson and check your answers. For each exercise answered incorrectly, reread the material referenced with the solution. 1. What are the main factors involved in distinguishing between true and false labor?
2. Complete dilatation of the cervix is considered _________ cm. 3. There are forces involved when the cervix is dilating. These forces are called:
4. There are four stages involved in the labor process. Each stage is referred to with different events. Fill in the blanks identifying each event.
5. The first stage of labor is categorized with three phases. They are:
Special Instructions for exercises 6 through 18. Indicate whether the following statements/phrases are true or false by circling the "T" for true and "F" for false. 6. A cleansing enema is always given to the patient when she is in labor. T F 7. Normal fetal heart rate ranges from 120 to 160 beats per minute. T F 8. Rupture of the membranes is performed by the physician to induce or hasten labor. T F 9. The primigravida patient is transferred to the delivery room when her cervix is completely effaced and dilated and the head or presenting part is crowning. T F 10. The multipara patient is transferred to the delivery room when her cervix is completely effaced and dilated. T F 11. A patient who has been transferred to the delivery room can be left alone for 2 minutes. T F 12. APGAR is a method used for evaluating the condition of a newborn baby. T F 13. Oxytocin can be administered prior to delivery of the placenta. T F 14. A boggy uterus may indicate uterine atony or retained placental fragments. T F 15. The contractions of true labor produce progressive dilation and effacement of the cervix. T F 16. Show is present in false labor. T F 17. The fetus heart may increase or decrease by 40 BPM during a contraction. T F 18. A high risk patient is a candidate for continuous fetal monitoring. T F 19. Complete the chart below to indicate what happens during each factor to identify true and false labor.
20. In which phase of the first stage of labor does the contractions become stronger and last longer, usually 45 to 60 seconds? ________________________________________________________________ 21. In which phase of the first stage of labor does contractions become sharp, are more intensified, and last from 60 to 90 seconds? ________________________________________________________________ 22. What are the reasons some physicians consider giving fleets? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 23. Where should you, the practical nurse, place your hands when you are palpating the patient's contractions? ________________________________________________________________ 24. Why is fetal monitoring performed? ________________________________________________________________ ________________________________________________________________ 25. The patient being nauseated and retching, irritable and uncooperative, complains of severe discomfort, and pleas for relief are all impending signs of labor during which stage of labor? ________________________________________________________________ 26. What nursing care is performed in the delivery room? ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 27. The activity of the normal birthing process includes: ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ ________________________________________________________________ 28. Information to be recorded about the delivery includes:
29. What are the characteristics of a full bladder after delivery?
30. What nursing care is performed to the patient after delivery? List 8 of the 16 tasks.
31. List the five factors that may extend or influence the duration of labor.
32. If the patient's uterus should relax after delivery, what nursing care should be given?
33. ________ is the maternal discharge of blood, mucus, and tissue from the uterus. 34. What are the signs of placental separation?
35. The onset of rhythmic contractions, the relaxation of the uterine smooth muscles which results in effacement or progressive thinning of the cervix, and dilation or widening of the cervix is known as:
Check Your Answers SOLUTIONS TO EXERCISES, LESSON 2 1. Contractions.
2. 10 (para 2-3a) 3. Uterine contractions. (para 2-3a) 4. Dilating stage.
5. Latent (early) or prodromal.
6. F (para 2-5c(1)) 7. T (para 2-5f(1)) 8. T (para 2-5m(1)) 9. T (para 2-7a) 10. T (para 2-7b) 11. F (para 2-8a) 12. T (para 2-10c) 13. F (para 2-13c) 14. T (para 2-14e(5)NOTE) 15. T (para 2-2a(1)) 16. F (para 2-2b(2)) 17. F (para 2-5f(1)) 18. T (para 2-5f(5)) 19. See chart. (para 2-2a)
20. Active or accelerated phase. (para 2-4b) 21. Transient or transitional phase. (para 2-4c) 22. Prevent fecal contamination of the perineum during delivery. Cleanse the bowel, providing more room for fetal passage. Stimulate uterine contractions. (para 2-5c(4)) 23. Over the fundal area of the patient's uterus. (para 2-5d(3)) 24. To detect presence of fetal life at time of admission and to detect development of fetal distress during labor. (para 2-5f) 25. Second phase. (para 2-6a(2)) 26. Never leave a patient alone nor turn your back on the perineum.
27. Crowning.
28. Exact date and time of delivery.
29. Bulging of the lower abdomen.
30. Any 8 of the sixteen listed. (para 2-15)
31. Passenger (fetus).
32. Massage the fundus until it is firm. (para 2-15e(2)) 33. Lochia. (para 2-15f) 34. The uterus becomes globular in shape and firmer.
35. Labor. (para 2-1b) End of Lesson 2
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