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11. A nurse is caring for a client in the second stage of labor. The client is experiencing
uterine contractions every 2 minutes and cries out in pain with each contraction. The
nurse recognizes this behavior as:
a. Fear of losing control
b. Involuntary grunting
c. Valsava’s maneuver
d. Exhaustion
12. A nurse is caring for a client in the active phases of labor. The nurse is assessing the fetal
patterns and notes a late deceleration on the monitor strip. The most appropriate nursing
action is to :
a. Place the mom in the supine position
b. Document the findings and continue to monitor FHR
c. Administer oxygen via face mask
d. Increase the rate of pitocin IV infusion
13. In the nursing process during stage second, how much time does it take to measure FHR
in women at high risk ?
a. Every 15 minutes
b. Every 10 minutes
c. Every 5 minutes
d. Every 3 minutes
14. How long does the opening occur in primigravidas women ?
a. 2 cm/hour
b. 1,5 cm/hour
c. 1 cm/hour
d. 0,5 cm/hour
15. How long is the birth of the placenta from the birth of the baby ?
a. 10 – 30 minutes
b. 5 – 15 minutes
c. 5 – 35 minutes
d. 5 – 30 minutes
16. What is the name of the tool used to clamp the cord ?
a. Clamps
b. Umbilical cord
c. Scissors
d. threads
17. On leopold examination which aims to determine the age of pregnancy and what body
parts contained i the uterine fundus are...
a. Lepold 1
b. Leopold 2
c. Leopold 3
d. Leopold 4
18. Normal for FHR measurement is...
a. 120 – 170 bpm
b. 110 – 160 bpm
c. 100 – 130 bpm
d. 110 – 150 bpm
19. Is method for monitoring the state of the fetus in the womb by nothing any changes in
fetal heart rate and uterine activity is the understanding of....
a. FHR
b. CST
c. EFM
d. OCT