During the third stage of labor, theGroup of answer choicescervix becomes dilated to about four inches.estrogen levels begin to rise.baby begins to move down into the vagina.placenta is delivered.

24. 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

Which of the following is the final stage of labor?Group of answer choicesA) Delivery of the babyB) Dilation and effacement of the cervixD) Delivery of the placentaC) Latent, moderate contractions

81. This phenomenon may be caused by hormonal changes, particularly the decrease in estrogen and progesterone that occurs with delivery of the placenta.*1 pointA. Postpartal stressB. Postpartal depressionC. Postpartal psychosisD. Postpartal blues82. Uterine involution may be delayed by the following condition, except:*1 pointA. Small fetusC. Birth of twinsB. HydramniosD. Effects of excessive analgesia83. The strength and tone of the vagina will increase more rapidly if a woman practices:*1 pointA. Abdominal crunchesB. Kegel’s exerciseC. Chin to chest exerciseD. Arms raising84. The usual blood loss for vaginal birth is:*1 pointA. 100-150 mlB. 800-1000 mlC. 300-500 mlD. 500-800 ml85. Two ways by which the body eliminates the 2,000 to 3,000 ml excess fluids after birth.*1 pointA. Diuresis and blood lossC. Diaphoresis and uterine contractionB. Diuresis and diarrheaD. Diuresis and diaphoresis

Nicole just had a vaginal delivery of her second child 2 days ago. She breastfeeds her baby without difficulty. You visited her and during your postpartum assessment you EXPECT normal findings to be as:*1 pointA.Fundic height at 1 cm above the umbilicusB.Some feeling of after painsC.Voiding frequently, 50-75 mL per episode of voidingD.Pinkish to brownish vaginal discharge

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