Chapter 27: Labor and Delivery - Nurselytic

Questions 35

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Chapter 27 Questions

Question 1 of 5

A woman who is 38 weeks' pregnant tells the nurse that the baby has dropped and she is having urinary frequency again. What do these symptoms describe?

Correct Answer: A

Rationale: The symptoms of lightening are a return of urinary frequency, and the patient is able to breathe more normally.

Question 2 of 5

How do Braxton-Hicks contractions differ from labor contractions?

Correct Answer: C

Rationale: Braxton-Hicks contractions do not dilate the cervix. Braxton-Hicks contractions remain irregular, can range from mild to moderate in severity, and increase in duration as the pregnancy progresses.

Question 3 of 5

The nurse is trying to differentiate true labor from false labor. Which of the following is correct regarding true labor?

Correct Answer: C

Rationale: Contractions get stronger with ambulation in true labor. True labor is also marked by the onset of regular, rhythmic contractions.

Question 4 of 5

Why is the size and shape of the true pelvis more important than that of the false pelvis?

Correct Answer: A

Rationale: The size and shape of the true pelvis is more important than the false pelvis because the fetal head must be able to pass through for vaginal delivery to occur.

Question 5 of 5

What method is used to visualize soft tissue and to determine adequacy of the pelvis with no detrimental effects to the fetus?

Correct Answer: C

Rationale: In more than 20 years of use, ultrasonography has had no detrimental effects on the fetus. Pelvimetry and x-ray uses radiation to visualize bony prominences. Pelvimetry is not used in the pregnant patient due to detrimental effects to the fetus. Palpation does not allow for visualization of soft tissue.

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