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Chapter 8: Intrapartum Assessment and InterventionsMultiple Choice
1. In caring for a primiparous woman in labor, one of the factors to evaluate is uterine activity. This is referred to as the __________ of labor.a. Passengerb. Passagec. Powersd. PsycheANS: cFeedbacka.The passenger refers to the fetus.b.The passage refers to the pelvis and birth canal.c.Powers refer to the contractions.d.Psyche refers to the response of a woman to labor.2. The provision of support during labor has demonstrated that women experience a decrease in anxiety and a feeling of being in more control. In clinical situations, this has resulted in: a. A decrease in interventions b. Increased epidural rates c. Earlier admission to the hospital d. Improved gestational ageANS: aFeedbacka.Studies have shown that with a support person, be it a family member, friend, or professional such as a Doula or nurse, the patient experiences a decrease in anxiety and has a feeling of being in more control. This, in turn, results in a decrease in interventions, a significantly lower level of pain, and an enhanced overall maternal satisfaction.b.There is decreased use of pain medication with continuous labor support.c.There is no evidence that continuous labor support results in earlier admission to the hospital.d.There is no evidence that continuous labor support results in improved gestational age for the fetus.KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Comprehension | Content Area: Maternity | Client Need: PSI, Psychosocial Integrity | Difficulty Level: Moderate3. When caring for a primiparous woman being evaluated for admission for labor, a key distinction between true versus false labor is:a. True labor contractions result in rupture of membranes, and with false labor, the membranes remain intact.b. True labor contractions result in increasing anxiety and discomfort, and false labor does not.c. True labor contractions are accompanied by loss of the mucus plug and bloody show, and with false labor there is no vaginal
discharge. d. True labor contractions bring about changes in cervical effacement and dilation, andwith false labor there are irregular contractions with little or no cervical changes. ANS: dFeedbacka.Rupture of membranes can occur prior to labor or during labor.b.A woman’s response to labor may not be reflective of her status in labor but is influenced by expectations and emotional status.c.Loss of the mucus plug can occur prior to the onset of labor.d.True labor contractions bring about changes in cervical effacement and dilation, and with falselabor there are irregular contractions with little or no cervical changes.4. The mechanism of labor known as cardinal movements of laborare the positional changes that the fetus goes through to best navigate the birth process. These cardinal movements are: a.