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

SITUATION:In your area of assignment which is LABOR AND DELIVERY, you get to handle varied cases of birthing mothers. The following conditions apply.86. You are attending to Nicole, whose cervix is completely dilated and with the fetal head is at 2 (-) station. The head of Nicole's fetus has not descended in the past hour. What most appropriate initial assessment should you make?*1 pointA.Determine if Nicole's bladder is distendedB.Assess fetal status, fetal heart tones, and scalp pHC.Submit Nicole for x-rays to determine fetal sizeD.Notify the surgical team so that an operative delivery can be planned

71.  Nursing care during the second stage of labor include:*1 pointA. coach breathing, encourage to bear down with each contractionB. careful evaluation of prenatal historyC. shave the perineumD. administer enema to the patient72.  The nurse is caring for a client on her 2nd postpartum day. The nurse should expect the client's lochia to be:*1 pointA. red and moderateB. brown and scantyC. continuous with red clotsD. thin and white73.  The nurse is assessing a client who gave birth yesterday. Where should the nurse expect to find the top of the client’s fundus?*1 pointA. 1 fingerbreadth above the umbilicusB. at the level of the umbilicusC. 1 fingerbreadth below the umbilicusD. below the symphysis pubis74. The nurse is helping to prepare a client for discharge following childbirth. During teaching a session, the nurse instructs the client to do Kegel exercise. What is the purpose of this exercise?*1 pointA. to tone the abdominal musclesB. to strengthen the perineal musclesC. to prevent urine retention .D. to relieve lower back pain75. Which of the following characteristics best describes that lochia is normal?*1 pointA. lochia amount increases with strenuous exerciseB. lochia is absent during the first 1-3 weeks after a cesarean birth.C. lochia contains no large clotsD. lochia is white for the first 1-3 days postpartum

A pregnant woman came to the hospital with complaints of labor pain and vaginal bleeding. Upon admission, in acquiring her OB Score she told the nurse that she is on her 4th pregnancy, Her previous pregnancy she mention that she has delivered an identical twins for C-Section and she has delivered her second and third child delivered thru NSD. Her last menstrual period was June 28, 2022 and her check up date is November 7, 2022

32. You instruct the prenatal class about symptoms which should be reported. You include which of the following in your teaching:*1 pointA. sudden vaginal discharge, facial swelling, visual changesB. ankle edema, heartburn, leukorrheaC. enlarged varicose veins, fatigue, nauseaD. swollen breast, nausea, urinary frequency33. The lochial discharge postpartally follows a certain sequence. As you discuss the postpartal changes to watch for, you alert Mrs. Aquino to which of the following sequences as the normal pattern to expect:*1 pointA. lochia rubra, lochia alba, lochia serosaB. lochia alba, lochia rubra, lochia serosaC. lochia serosa, lochia rubra, lochia albaD. lochia rubra, lochia serosa, lochia alba34. A new mother has a temperature of 100.8 ˚F (38.2 ˚C) 8 hours after giving birth. This is probably related to:*1 pointA. A response to her epidural anesthesiaB. The beginning of the lactation cycleC. a developing uterine infectionD. dehydration after labor35. The nurse is monitoring for the duration of the contraction, which is:*1 pointA. the length of one contractionB. the end of one contraction to the beginning of the nextC. the time interval between the acme of contraction’D. how many contractions occur in a 5-minute time span36. A 30-year-old client is pregnant with her third child. She begins to have contractions and has come to the hospital for assessment. After examination, her physician tells her the contractions were false labor pains. Which of the following is a sign of false labor?*1 pointA. the cervix becomes progressively thinner and dilatesB. contractions become more uncomfortable, sweeping around the abdomen in a waveC. contractions may go away if the client lies down and relaxesD. contractions are more regular and predictable37. All of which are signs of true labor pain except*1 pointA. accompanied by cervical effacementB. accompanied by cervical dilatationC. generally confined to the abdomen and groinD. increase in duration, frequency and intensity38. At about 2 weeks before delivery, a pregnant client experiences entire relief of abdominal tightness and diaphragmatic pressure brought about by the previous months. This is due to:*1 pointA. engagementB. lighteningC. showD. Braxton hicks’ contraction39. As soon as the baby’s head emerges from the birth canal, the nurse:*1 pointA. feels around the infant’s neck to check for the presence of the cordB. exerts downward pressure on the head to aid in delivery of the anterior shoulderC. exerts upward pressure on the head to aid in delivery of the posterior shoulderD. massages the fundus to force the uterus to contract and expel the infant40. The onset of labor may be initiated by increasing amounts of all the following hormones except:*1 pointA. prostaglandinB. oxytocinC. progesteroneD. none of the choices

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.