This statement about the womb is most correct: It is a mass of muscle nestling deep in the pelvis It is a cylindrical or conical mass that protrudes through the upper anterior vaginal wall It is the deepest portion of the vagina, extending into the recesses created by the extension of the cervix into the vaginal space During pregnancy, it supplies the fetus with oxygen and food A woman's egg cells were formed when she was a/an: 8-week old embryo 12-week old fetus 28-week old fetus 4-week old embryo During ovulation, egg cells are released from the: Ovaries Uterus Vagina Cervix The cervix is located at: The junction between the vagina and uterus The junction between the fallopian tube and ovary The junction between the uterus and fallopian tube The junction between the uterus and ovary Normally, an egg cell awaits fertilization in the: Fallopian tube Uterus Ovary Vagina A fertilized egg journeys from: The fallopian tube to the uterus The ovary to the fallopian tube The uterus to the vagina The fallopian tube to the cervix The head and arms of an embryo normally develop: Six weeks after fertilization Eight weeks after fertilization Nine weeks after fertilization Twelve weeks after fertilization The heart of a fetus starts pumping at: 9 weeks 8 weeks 7 weeks 10 weeks At 12 weeks, the fetus weighs about: 14 grams 20 grams 6 grams 22 grams By mid-pregnancy, the fetus will start to develop: Its five senses Its spinal column Its bones Its brain During pregnancy, the placenta serves the fetus as all of the following, except: Brain Kidneys Heart and lungs Liver During labor, contractions should dilate the cervix to: 10 centimeters 13 centimeters 14 centimeters 16 centimeters The vagina is also referred to as the: Birth canal Perineum Pubic symphysis Mons pubis The cervix is located at: The bottom part of the uterus The topmost part of the uterus The right of the left ovary The left of the fornix In regard to pregnancy, this statement about the uterus is most true: It is a strong, balloon-shaped muscle that houses a baby during pregnancy and contracts during labor It is an organ that connects a developing fetus to the uterine wall It supplies the fetus with oxygen and food and allows fetal waste to be disposed of via the maternal kidneys It functions as a fetomaternal organ with two components - chorion frondosum and decidua basalis According to the video, for first time mothers, lightening may occur: 2 weeks prior to labor A few hours before or during labor 6 weeks prior to labor 4 weeks prior to labor Prior to labor, the mucous plug is released most specifically when: The cervix begins to thin and open The uterus begins to dilate The placenta sends a chemical signal to the vagina to dilate The fornix begins to thicken and contract In regard to pregnancy, nesting instinct refers to: The overwhelming urge of the mother to prepare the home for the baby The movement of the baby deeper into the pelvis prior to birth The 45-degree rotation of the fetal head to restore its normal relationship with the shoulders The thinning and opening of the cervix due to forceful contractions Labor usually begins between the: 37th and 42nd weeks of pregnancy 36th and 42nd weeks of pregnancy 35th and 40th weeks of pregnancy 39th and 42nd weeks of pregnancy According to the lesson, the exact cause of labor is: Unknown Cervical dilation Uterine contraction The nesting instinct In the first stage of labor, contractions: Cause the cervix to thin out and open completely Push the baby through the birth canal Trigger the delivery of the placenta Push the baby through the mother's pelvis Early-labor contractions may last for: 30 to 45 seconds 10 to 20 seconds 20 to 35 seconds 45 to 60 seconds Contractions during early labor cause this to efface: Cervix Uterus Placenta Fornix For first time mothers, the early phase of first-stage labor typically lasts for: 6 to 12 hours 3 to 5 hours 7 to 10 hours 4 to 8 hours On average, first-stage active labor may last for: 3 to 5 hours 1 to 2 hours 1 to 6 hours 5 to 7 hours Each contraction during first-stage active labor may last for: 45 to 60 seconds 20 to 60 seconds 50 to 65 seconds 35 to 40 seconds During active labor, the cervix dilates from: 3 to 7 cm 1 to 6 cm 5 to 8 cm 8 to 10 cm The transition phase of first-stage labor usually lasts for: 30 minutes to 2 hours 10 minutes to 3 hours 10 minutes to 4 hours 50 minutes to 2 hours During the transition phase of first-stage labor, contractions may: Last for 60 to 90 seconds each Intensify slowly and have two or more peaks Push the baby through the mother's pelvis Dilate the cervix from 2 to 4 centimeters Contractions in the transition phase of first-stage labor are usually: 1 to 3 minutes apart 2 to 4 minutes apart 3 to 5 minutes apart 4 to 6 minutes apart Labor progresses to the second stage when: The cervix has dilated fully Contractions have two or more peaks Spots of blood are present in the labia minora Contractions last for 30 to 45 seconds Second-stage contractions are usually: 3 to 5 minutes apart 2 to 4 minutes apart 4 to 6 minutes apart 1 to 3 minutes apart This best characterizes the second stage of labor: The very thick uterus pushes the baby through the pelvis with each contraction The top of the uterus grows thick and strong enough to push the baby down Contractions signal the nearing of the delivery of the placenta The vaginal and urethral openings ooze blood in drops or in very small quantities After giving birth, contractions signal that: The placenta has to be delivered The uterus is returning to its usual size The umbilical cord has to be clamped Blood loss is more than 600 mL According to the lesson, hours after birth, the uterus contracts to about the size of a/an: Cantaloupe Watermelon Baseball Lychee According to the lesson, emotions after giving birth normally include all of the following, except: Frustration Joyfulness Relief Tiredness During pregnancy, the fetus is connected to the placenta by the: Umbilical cord Endometrium Umbilicus Uterus This is responsible for nourishing the baby throughout pregnancy: The placenta The umbilical cord The uterine lining The uterus This is the strongest layer of the abdomen: Fascia Peritoneum Rectus muscle Skin The first trimester of pregnancy is characterized by: Nausea and vomiting Strong fetal movements Excessive back ache Braxton Hick's contractions Prenatal vitamins should be taken during pregnancy to: Provide essential nutrition in case a proper diet is not being eaten Ensure that the fetus is firmly attached to the uterus Prevent the mother from experiencing excessive discomfort Eliminate the possibility of health complications Healthy weight gain during the first trimester of pregnancy is generally between: 25 to 35 lbs 35 to 45 lbs 45 to 55 lbs 55 to 65 lbs Screening for Down syndrome and other neonatal complications can begin by: The 15th week of pregnancy The 7th week of pregnancy The 10th week of pregnancy The 8th week of pregnancy All of the following are considered normal during the first trimester of pregnancy, except: Weak bladder control Sleepless nights Feeling bloated Breast tenderness All of the following are considered normal during the first trimester of pregnancy, except: Swollen ankles Irritability Fatigue PMS-like symptoms Subchorionic hematoma is characterized by: Bleeding of varying degrees, from light spotting to heavy gushing with clots Painless contractions that occur 6 to 10 times per day Increased venous stasis and IVC compression Disproportionate enlargement of the uterus and abdominal tenderness Subchorionic hematoma is usually monitored through: Ultrasound Urine test Blood test Abdominal palpation All of the following should be monitored throughout the period of pregnancy, except: Height Heart rate Weight Blood pressure During the second trimester of pregnancy, women usually experience increased: Fetal movements Morning sickness Nausea and vomiting Defecation During the second trimester of pregnancy, the nurse should promote all of the following, except: Bed rest Nutrition Proper diet Exercise Women in the second trimester of pregnancy should exercise to most specifically prevent: Blood clots Chills Hypertension Dizziness During the second trimester of pregnancy, clients should drink at least: 8 glasses of fluid 12 glasses of fluid 6 glasses of fluid 10 glasses of fluid A pregnant women in her second trimester should get at least this much calcium per day: 4 servings 8 servings 2 servings 6 servings According to the lesson, for pregnant women, a good source of calcium is: Tofu Cashew nuts Pork Potatoes During the second trimester of pregnancy, the heartbeat of the infant should range between: 120 - 160 beats per minute 90 - 100 beats per minute 80 - 110 beats per minute 140 - 180 beats per minute During an oral glucose tolerance test for gestational diabetes, a blood sample is taken: 60 minutes after drinking the sweetened liquid 30 minutes after drinking the sweetened liquid 2 hours after drinking the sweetened liquid 1 day after drinking the sweetened liquid Assessment of a client in the second trimester of pregnancy should include all of the following, except: Edema Fundal height Baby's heartbeat Diabetes screening Clients in their third trimester are usually assessed for all of the following, except: Tachypnea Headaches High blood pressure Swelling All of the following are red flags during pregnancy, except: Chloasma Toxemia Hypertension Proteinuria During the third trimester of pregnancy, the urine of the client should be tested for: Glucose and protein Sodium and protein Calcium and sodium Glucose and sodium A pregnant client in her third trimester is most uncomfortable when: Lying supine Lying on one side Sitting upright Standing All of the following may help minimize discomfort during the third trimester of pregnancy, except: Hot and cold compresses Sleeping on one side Placing pillows under the belly Placing pillows in between the legs All of the following are signs of impending labor, except: Nausea and vomiting Severe back pain Strong uterine contractions Water break Breastfeeding should begin to become comfortable for both the mother and baby after: 2 to 3 weeks 4 to 5 weeks 6 to 7 weeks 8 to 9 weeks To prevent pre-eclampsia, the health care provider should look for signs of: Hypertension Candidiasis Endometriosis Respiratory distress A client in her third trimester should immediately inform her health care provider if she experiences any of the following, except: Fetal movement in the left part of the abdomen Excessive swelling Blurred vision Headaches that do not go away with rest During pregnancy, a client should contact her physician if she experiences this many contractions per hour: 6 contractions 5 contractions 4 contractions 3 contractions This may be administered to treat preterm labor by delaying contractions: Magnesium sulfate Ritodrine or terbutaline Pitocin Nifedipine In preterm labor, magnesium sulfate is usually effective for about: 48 hours 72 hours 12 hours 36 hours Kangaroo care can be best defined as: A method of care for preterm infants wherein the infant is held in close skin-to-skin contact with a parent A practice of carrying a baby in a sling to promote attachment parenting A care technique for preterm infants which decreases the risk of cranial distortion and plagiocephaly A practice of wrapping infants in swaddling cloths or blankets to develop proper posture To avoid some possible complications of prematurity, a preterm neonate should receive this type of therapy: Phototherapy Electrotherapy Enzyme replacement therapy Moist heat therapy A preterm infant on intermediate care is usually placed in: An open crib A closed isolette An incubator An invasive BP unit The sugar level of a pregnant client is usually monitored through: Urine testing Sputum culture Vaginal smear Western blot test Client teaching for gestational diabetes usually covers all of the following topics, except: Psychosocial effects of experiencing the disease Nature of the disease Various types of treatment Diet regimens appropriate for the client's needs This test confirms gestational diabetes: Glucose tolerance test Western blot test ABG Urinalysis A client with gestational diabetes should eat a diet that is mostly composed of all of the following, except: Fat Vegetables Fruit Grains A client with gestational diabetes may meet with a nutritionist to most specifically: Plan the appropriate combinations of food for the client's condition Accurately monitor her blood sugar level Design an appropriate exercise regimen for the client Monitor the fetus' condition during insulin therapy A client with gestational diabetes is likely to develop diabetes mellitus within: 1 to 7 years 5 to 8 years 6 to 12 months 2 to 8 months This is used to detect and trace the heart rate of the fetus: Fetal monitor Heart-lung machine Ultrasound Pulse oximeter To measure the cervix dilation of a pregnant client, the care provider should perform a/an: Vaginal exam Ultrasound Amniocentesis Fetoscopy In the lesson, the cause of the client's fetal loss was: Chorioamnionitis Huntington's chorea Blighted ovum Cystic fibrosis In regard to fetal loss, all of the following are appropriate nursing interventions, except: Transport the baby to the morgue immediately after delivery Encourage the family to hold the baby Exhibit a professional yet caring approach Encourage the family to talk to other people who have undergone the same experience In regard to fetal loss, all of the following are appropriate nursing interventions, except: Encourage the family to trust God's plan Be sensitive to the family's needs Help the family with the grieving process Let the family spend time with the baby All of the following statements about grief due to fetal loss are true, except: Suppressing emotions may speed up the grieving process Experiencing grief and sadness after a significant loss is normal Sharing experiences with others may help in coping with grief and loss Support people are crucial and significant during the grieving process When a client in labor arrives at the hospital, the nurse should first: Acquire the medical and health history of the client Administer the proper medications immediately Assess the health status of the client and connect her to the fetal monitor Perform an ultrasound to assess the fetus Effective positioning during labor can: Speed up the labor process and reduce discomfort Speed up cervical dilation Reduce the amount of muscular effort needed during delivery Reduce uterine pressure and speed up the delivery During labor contractions, doing all of the following may help reduce pain, except: Lying flat on the back Kneeling down Breathing properly Relaxing the shoulders To help reduce the pain during labor, the nurse may: Give the client a hand massage Massage the abdomen of the client in between contractions Give the client soft foods and plenty of fluids Promote ambulation During labor, soaking in a tub of water may: Make the contractions more manageable Cause the body to become numb Prevent contractions from occurring Result in an easy and fast delivery All of the following are pain management techniques during labor contractions, except: Sitting upright with the legs stretched apart Rocking the hips from side to side Soaking in a tub of water Breathing deeply and slowly According to the lesson, suctioning the nose and the mouth of the baby is done as soon as: The head emerges from the perineum The head and shoulders emerge from the perineum The baby completely emerges The placenta is expelled After giving birth, the nurse should check the client's blood pressure every: 15 minutes 20 minutes 10 minutes 30 minutes The APGAR score grades all of the following, except: Weight Heart rate Muscle tone Respiration The client in labor may be advised to use an oxygen mask during rapid breathing to prevent: Dizziness and numbing of the feet and hands Dizziness and muscle cramps Apnea and numbing of the feet and hands Apnea and muscle cramps When the baby's head crowns, the client should be advised to: Stop pushing Push gently Push strongly Breathe rapidly The purpose of asking the client to feel the head of her baby during labor is: To allow the client to gauge her progress and to connect her to the birthing process To reassure the client that the birthing process is progressing To support the baby as it emerges from the birth canal To allow an early connection between the mother and the infant The GI tract of Janet's baby was suctioned by the nurse to drain: Fluid from the infant's stomach Lanugo from the infant's stomach Meconium from the infant's stomach Melena from the infant's stomach To help the client participate during the labor and delivery process, the nurses: Provided the client with birthing information Coached the client to push, pant, and blow Allowed the husband of the client to watch Allowed as many people as possible into the delivery room Cytotec is a synthetic analogue of: Prostaglandin Adrenosterone Gonadotrophin Epinephrine Cytotec: Breaks down the collagen in the cervix Stimulates the uterus to contract Breaks down the collagen in the uterine membranes Constricts blood vessels in the uterus and vagina After administering cytotec to a pregnant client, the nurse should advise the client to: Lie on her side Sit up Lie flat on her back Lie flat with her legs slightly raised Prior to administering cytotec to a pregnant client, the nurse should do all of the following, except: Make sure that the client's blood pressure is lower than 112/70 mmHg Make sure that the fetus exhibits a reassuring tracing on the fetal monitor Make sure that the fetus exhibits good variability and accelerations Make sure that the client is not experiencing too many contractions According to the lesson, a good labor pattern is characterized by: Contractions every 2 to 3 minutes Contractions every 4 to 5 minutes Contractions every 7 to 8 minutes Contractions every 10 to 15 minutes According to the lesson, during labor, it is normal for the client to: Vomit Lose consciousness Shiver Have elevated temperature According to the lesson, a client in back labor may benefit from: Light lower-back massage Light abdominal massage The client lying in a supine position The client sitting upright This medication may be administered to manage nausea during labor: Zofran Atarax Ativan Cataflam A fetal monitor is used to: Determine the fetus' heart rate and the frequency of contractions Measure a client's cervical dilation Determine the fetus' respiration and the strength of each contraction Determine the size and position of the fetus in the womb To determine the frequency of contractions, the nurse should count from: The beginning of one contraction to the beginning of the next contraction The beginning of one contraction to the end of the next contraction The end of one contraction to the end of the next contraction The end of one contraction to the beginning of the next contraction This statement about the uterus is most true: The uterus is a muscle The uterus is located in the lateral wall of the pelvic region The uterus is directly connected to the vagina The uterus is also known as the oviduct All of the following are pain management techniques to help alleviate labor pain, except: Applying pressure to the pelvic area Hot showers Soaking in a hot tub Rocking the hips from side to side If labor progresses too slowly, health care providers should consider all of the following, except: The age of the fetus The size of the fetus' head The position of the baby in the womb The shape and size of the mother's pelvis As soon as a client for a planned C-section arrives, all of the following interventions should be performed, except: Insertion of a Foley catheter into the bladder Assessment of the status of the fetus Insertion of an IV line Inquiry about recent food intake This should be performed prior to administering spinal anesthesia: Blood test Mediastinoscopy ABG analysis Chest X-ray One of the side effects of spinal anesthesia is: Itching Blood clots Excessive bleeding Fever During the administration of spinal anesthesia for C-section, the client may feel: A burning sensation A tingling sensation A prickling sensation A cold sensation During a C-section, when the surgeon removes the infant from the uterus, it is normal for the mother to feel: Pressure in the abdomen Pain in the abdomen A tingling sensation in the pelvis A burning sensation in the pelvis When assisting a client during a C-section, all of the following are appropriate nursing responsibilities, except: Administer the epidural anesthesia Help the client be as comfortable as possible Reassure the client that she is doing a great job Guide the client through the process A white cheese-like protective material that covers a newborn's skin is called: Vernix Caseosa Proteoglycan Collagen According to the lesson, before bathing a newborn, his/her temperature should be: 99 degrees Fahrenheit and up Less than 99 degrees Fahrenheit 90 degrees Fahrenheit and up Less than 90 degrees Fahrenheit Vitamin K is usually injected into the newborn's: Thigh Arms Calf Buttocks A newborn should receive a sponge bath: Until the cord stump falls off For the first 3 to 5 days For the first 5 to 7 days Until all the vernix has been washed off The cord stump of a newborn is usually: Yellowish Greenish Brownish Pinkish The normal respiration rate of a newborn is around: 40 breaths/minute 20 breaths/minute 60 breaths/minute 30 breaths/minute Postoperative care for C-section usually includes all of the following, except: Chest percussion Lung auscultation Abdominal auscultation Pain assessment To normalize the intestinal functions of a client who has recently had a C-section, the nurse should: Promote early ambulation Promote a low-calorie and low-sodium diet Administer an antacid Encourage the client to drink more fluids The nurse should auscultate the abdomen of a C-section client postoperatively to: Assess the client's bowel sounds Assess the position of the client's uterus Assess the fundus of the uterus Determine if the bladder is functioning normally After a C-section, the nurse should advise the client to: Splint when moving in bed Drink more than 8 glasses of fluid per day Avoid applying pressure on the abdomen Palpate the abdomen to locate the uterus To avoid circulation problems after a C-section, the nurse should: Have the client walk as soon as she is able to Assess the client's pain every hour Obtain the client's hemodynamic values Have the client take vitamin K to increase coagulation After a C-section, the nurse should encourage the client to: Move while in bed Avoid eating anything cold Sit up straight most of the time Avoid massaging her breasts The first stool of a newborn is normally: Dark and tarry Yellow and soft Light brown and watery Blood tinged and hard To prepare for breastfeeding, the mother can: Massage her breast in a circular motion towards the nipple Massage her breast in an up and down motion away from the nipple Massage her breast in a circular motion away from the nipple Massage her breast in an up and down motion towards the nipple When sleeping, a newborn should be: Laid on his/her back Laid on his/her stomach Laid on his/her right side Laid on his/her left side A newborn baby should be breastfed at least: 8 to 12 times a day 6 to 10 times a day 10 to 16 times a day 12 to 18 times a day After a C-section, vaginal bleeding may occur until: The uterus returns to its normal shape The 5th week after delivery The incision is totally healed The 6th week after delivery All of the following tests and/or procedures are routinely performed in a newborn, except: Chromosomal screening Hearing test Hepatitis vaccination Newborn screening test If a postpartum client experiences abdominal cramps, the nurse should encourage her to: Urinate often Walk around Use the peri bottle Lie on her back Postpartum bleeding may occur for: 2 to 6 weeks 3 to 4 weeks 6 to 8 weeks 1 to 3 weeks The cord stump of a newborn sheds off within: 10 days - 2 weeks 5 days - 1 week 2 days - 2 weeks 12 days - 3 weeks All of the following are ways to prevent postpartum depression, except: Spend more time with the infant Get sufficient rest Eat a proper diet Seek and receive help in infant care All of the following are signs that the body is not responding well to the hormonal changes that occur after pregnancy, except: Feels unattractive Unable to sleep Cannot eat Unable to get out of bed During the first few weeks, the postpartum client should try to increase her: Caloric intake Fat intake Sodium intake Iron intake Symptoms of mastitis may include all of the following, except: Milk stasis Breast pain Breast engorgement Fever All of the following are appropriate nursing instructions for clients with mastitis, except: Stop breastfeeding Take lots of fluid Take antibiotics Rest The healing process of the uterus after giving birth may continue for up to: 3 to 4 weeks 2 to 3 weeks 4 to 5 weeks 5 to 6 weeks This part of the uterus is the last to heal after giving birth: Area where the placenta was deepest The cervix Isthmus of the uterus Fundus of the uterus If a postpartum client experiences some bleeding during an activity, one way to attempt to stop the bleeding is to: Breast feed Rest Wash her genitals Drink cold water