A patient in the latent phase of labor begins to experience nausea, feelings of helplessness and has become very irritable. The nurse suspects that the patient is now in the

Not satisfied with the nonpharmacological comfort measures

active phase of labor

Going to require more pain medication

Going to have a long labor

Answer and Explanation

The Correct Answer is B

A. Not satisfied with the nonpharmacological comfort measures. This describes dissatisfaction with pain management but does not specifically indicate a change in labor phase.

B. Active phase of labor. Nausea, irritability, and feelings of helplessness are classic signs of transitioning from the latent phase to the active phase of labor, when contractions become stronger and more intense.

C. Going to require more pain medication: Although the patient may need additional pain relief, the question is asking about labor progression, not pain management.

D. Going to have a long labor. Irritability and nausea are signs of labor progression, not necessarily an indicator of a long labor.

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Correct Answer is A

Explanation

A. Fetal head compression. Early decelerations are typically caused by fetal head compression during contractions. This is usually a benign finding and indicates that labor is progressing.

B. Uteroplacental insufficiency. Uteroplacental insufficiency causes late decelerations, not early decelerations. Late decelerations are more concerning and indicate fetal distress.

C. Cord compression. Cord compression causes variable decelerations, not early decelerations. Variable decelerations can occur at any time during a contraction.

D. Maternal hypertension. Maternal hypertension is not a direct cause of early decelerations. It may contribute to uteroplacental insufficiency, which causes late decelerations.

A. Nothing-this is a normal finding B. Place patient on her left side C. Give oxygen D. Call provider

Correct Answer is A

Explanation

A. Nothing—this is a normal finding. Fetal heart rate accelerations are reassuring and indicate good fetal oxygenation and well-being. No intervention is needed.

B. Place patient on her left side. Changing position is an intervention for decelerations or abnormal fetal heart rate patterns, not for accelerations.

C. Give oxygen: Oxygen is administered in cases of fetal distress, such as prolonged decelerations or bradycardia, but not for normal accelerations.

D. Call provider. Accelerations are a positive sign, and there is no need to call the provider for this normal finding.

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A patient in the latent phase of labor begins to experience nausea, feelings of helplessness and has become very irritable. The nurse suspects that the patient is now in the

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Naxlex Comprehensive Predictor Exams

What is the most common cause of early decelerations in fetal heart rate?

Correct Answer is A

Explanation

A nurse is reading a Fetal monitor strip and notes accelerations. What interventions would the nurse anticipate to do next?

Correct Answer is A

Explanation

A patient in the latent phase of labor begins to experience nausea, feelings of helplessness and has become very irritable. The nurse suspects that the patient is now in the

A nurse is assisting in the care of a client who is in active labor. The nurse notes tachycardia on the external fetal monitor tracing. Which of the following conditions should the nurse identify as a potential cause of the heart rate?

What stage of labor ends with the physiologic stabilization of the mother?

Leopold's maneuvers are performed to:

A nurse is assisting with the care of a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take first?

A laboring patient reports to the nurse that "I think my water just broke!" The first action the nurse should take is:

A nurse is assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone. Which of the following statements should the nurse make?

The 5 factors that affect and define the labor and birth process are: