During Intrapartum care, the following is considered for care / relief:

During Intrapartum care, the following is considered for care / relief:QUESTION 1ANSWERa.Massageb.All answers are correctc.Hot packsd.Swiss ball usage

Antenatal care

61. A nurse is caring for a woman in the taking-in phase of the puerperium. Which of the following is appropriate for the client?*1 pointA. Have her begin postpartum exercisesB. Instruct her on how to bath an infantC. Educate her about family planningD. Allow her as much rest as needed62. Your postpartum client experienced period of overwhelming sadness that resolved after a few days. What is this condition called?*1 pointA. Postpartum psychosisB. Postpartum bluesC. postpartum depressionD. postpartum hallucinations63.A breast-feeding mother should increase her daily caloric intake by how much above the intake recommended during pregnancy?*1 pointA. 500 added caloriesB. 1,000 added caloriesC. no added caloriesD. 300 added calories64.     What is the smallest diameter of the fetal head?*1 pointA. SuboccipitobregmaticB. BiparietalC. OccipitomentalD. Occipitofrontal65.  All pregnant women should be thought how to recognized preliminary signs of labor which is:*1 pointA. rupture of membranesB. bright red vaginal bleedingC. increase in level of activityD. bandl’s ring66.     This is the most common presentation in which the head is sharply flexed and allows the suboccipitobregmatic diameter to present to the cervix.*1 pointA. mentumB. faceC. vertexD. brow67.  The physician performs on Mrs. Santos. All of the following statements reflect reasons for performing an episiotomy at the beginning of the second stage of labor except:*1 pointA. an incision is easier to repair, heals faster and can be controlled directionallyB. trauma to the fetal head is decreased as the opening is enlargedC. the second stage of labor is lengthenedD. stretching and tissue necrosis of vaginal mucosa are prevented68.  The best way for the nurse to assess the amount of blood loss following delivery is to:*1 pointA. count or weigh perineal padsB. monitor pulse and blood pressureC. measure the height of the fundusD. check hemoglobin and hematocrit69.  The nurse teaches a primigravida how to measure the frequency of uterine contractions. The nurse should explain to the client that the frequency of uterine contractions is determined:*1 pointA. from the beginning of one contraction to the end of the next contractionB. from the beginning of one contraction to the end of the same contractionC. by the number of contractions that occur within a given period of timeD. by the strength of the contraction at its peak70.  A woman is admitted to a labor unit in active labor. Which of the following assessments would alert you to the possibility that she may have difficulty accepting this child?*1 pointA. ”I’m so tired of being pregnant.”B. ”I haven’t been able to sleep well lately.”C. ”I want this baby to be a boy.”D. ”I am so exhausted.

21. Aware of the signs of an impending postpartum hemorrhage secondary to laceration of the cervix, the nurse assesses a postpartum client for a firm uterus and:*1 pointA. a decrease in pulse rateB. persistent muscular twitchingC. an increase in blood pressureD. continuous trickling of blood22. A new mother’s episiotomy is edematous, red and painful 8 hours after delivery. Which of the following interventions should you plan initially?*1 pointA. teach the client on how to immerse the buttocks and perineum in warm waterB. call the physician for additional pain medicationC. apply an ice bag to the perineumD. suggest a warm shower with water directly at the perineum23. Which of the following physiological responses is typical for the early postpartum period?*1 pointA. Rapid diuresis of 2,000 to 3,000 mlB. Increased motility of the GI systemC. Rapid decreased in blood pressureD. A feeling of urinary urgency and dysuria24. As a primigravida progresses with her labor, she begins to bear down with her contractions. You tell her that pushing in the absence of contractions before the cervix is fully dilated will lead to:*1 pointA. more rapid dilationB. cord prolapsedC. more rapid effacementD. development of cervical edema25. Complete flexion of the fetal head is advantageous for vaginal delivery because:*1 pointA. the fetus presents the smallest anteroposterior diameter of his skullB. the occipitomental diameter will be presented for deliveryC. the fetus presents the largest anteroposterior diameter of his skullD. the long axis of the fetus is parallel to the mother’s spine26. A postpartum nurse is providing instructions to a client after delivery of a healthy newborn infant. The nurse instructs the client that she should expect normal bowel elimination to return:*1 pointA. 3 days postpartumB. 7 days postpartumC. On the day of deliveryD. Within 2 weeks postpartum27. Mr. Young’s wife has requested her PRN medicines for pain. Of the following actions, which has the highest priority in relation to administering the medications?*1 pointA. providing privacy during the injectionB. assessing maternal vital signs and fetal heart rateC. assessing uterine contractions and the progress of laborD. informing her that she may become drowsy and/or nauseated28. The nurse encourages a multigravida to empty her bladder every 2 to 3 hours while she is in labor because:*1 pointA. a full bladder impedes the descent of the fetusB. a full bladder may rupture during laborC. a bruised bladder may predispose to pyelonephritisD. urine specimens are needed for glucose and albumin29. Which of the following fetal heart rates would be expected in the fetus of a laboring woman who is full -term?    *1 pointA. 80-100 beats per minuteB. 100-120 beats per minuteC. 120-160 beats per minuteD. 160-180 beats per minute30. Best time to get FHT:*1 pointA. at the beginning of uterine contractionB. just after a uterine contractionC. 10 minutes after a uterine contractionD. at the beginning and at the end of contraction

21. Aware of the signs of an impending postpartum hemorrhage secondary to laceration of the cervix, the nurse assesses a postpartum client for a firm uterus and:*1 pointA. a decrease in pulse rateB. persistent muscular twitchingC. an increase in blood pressureD. continuous trickling of blood22. A new mother’s episiotomy is edematous, red and painful 8 hours after delivery. Which of the following interventions should you plan initially?*1 pointA. teach the client on how to immerse the buttocks and perineum in warm waterB. call the physician for additional pain medicationC. apply an ice bag to the perineumD. suggest a warm shower with water directly at the perineum23. Which of the following physiological responses is typical for the early postpartum period?*1 pointA. Rapid diuresis of 2,000 to 3,000 mlB. Increased motility of the GI systemC. Rapid decreased in blood pressureD. A feeling of urinary urgency and dysuria