NEW ATI MATERNITY 2 STUDY GUIDE FOR THE 2022-2023 EXAM

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NEW ATI MATERNITY 2 STUDY GUIDE FOR THE 2022-2023 EXAM A primigravida asks the nurse about signs she can look for that would indicate that the onset of labor is getting closer. The nurse should d... escribe: A)weight gain of 1 to 3 lbs. B)quickening. C)fatigue and lethargy. D) bloody show. The nurse should tell a primigravida that the definitive sign indicating that labor has begun would be: A)progressive uterine contractions with cervical change. B)lightening. C)rupture of membranes. D)passage of the mucous plug (operculum). On completion of a vaginal examination on a laboring woman, the nurse records: 50%, 6 cm, -1. What is a correct interpretation of the data? A)The fetal presenting part is 1 cm above the ischial spines. B)Effacement is 4 cm from completion. C)Dilation is 50% completed. D)The fetus has achieved passage through the ischial spines. In order to accurately assess the health of the mother accurately during labor, the nurse should be aware that: A)The woman's blood pressure increases during contractions and falls back to prelabor normal between contractions. B)Use of the Valsalva maneuver is encouraged during the second stage of labor to relieve fetal hypoxia. C)Having the woman point her toes reduces leg cramps. D)The endogenous endorphins released during labor raise the woman's pain threshold and produce sedation. The nurse knows that the second stage of labor, the descent phase, has begun when: A)the amniotic membranes rupture. B)The cervix cannot be felt during a vaginal examination. C) The woman experiences a strong urge to bear down. D) The presenting part is below the ischial spines. Nurses can help their clients by keeping them informed about the distinctive stages of labor. What description of the phases of the first stage of labor is accurate? A)Latent: mild, regular contractions; no dilation; bloody show; duration of 2 to 4 hours B)Active: moderate, regular contractions; 4 to 7 cm dilation; duration of 3 to 6 hours C)Lull: no contractions; dilation stable; duration of 20 to 60 minutes D)Transition: very strong but irregular contractions; 8 to 10 cm dilation; duration of 1 to 2 hours Which position would the nurse suggest for second-stage labor if the pelvic outlet needs to be increased? A)Semirecumbent B)Sitting C) Squatting D) Side-lying Concerning the third stage of labor, nurses should be aware that: A)the placenta eventually detaches itself from a flaccid uterus B)The duration of the third stage may be as short as 3 to 5 minutes C)it is important that the dark, roughened maternal surface of the placenta appear before the shiny fetal surface D)the major risk for women during the third stage is a rapid heart rate The charge nurse on the maternity unit is orienting a new nurse to the unit and explains that the 5 Ps of labor and birth are: (Select all that apply.) A)passenger. B)placenta. C) passageway. D) psychologic response. E) powers. F) position. Nurses can advise their patients that which of these signs precede labor? (Select all that apply.) A. A return of urinary frequency as a result of increased bladder pressure B. Persistent low backache from relaxed pelvic joints C.Stronger and more frequent uterine (Braxton Hicks) contractions D.A decline in energy, as the body stores up for labor E.Uterus sinks downward and forward in first-time pregnancies. The maternity nurse should notify the health care provider about which assessment findings during labor? (Select all that apply.) A.Positive urine drug screen B.Blood glucose level of 78 mg/dL C.Increased systolic blood pressure during first stage [Show More]

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