Mechanical Mastery: Stationary Engineer Class 3 Quiz

1. When the waters bag ruptures, the nurse need to check the characteristic of the amniotic fluid. What is the normal color of amniotic fluid?

Clear as water

Bluish

Greenish

Yellowish

The normal color of amniotic fluid is clear as water. This is because amniotic fluid is primarily composed of water, electrolytes, and fetal urine. It is important for the nurse to check the characteristic of the amniotic fluid to ensure that it is clear and free from any abnormalities or signs of infection. A clear color indicates a healthy amniotic fluid and suggests that the baby is doing well.

Explanation

The normal color of amniotic fluid is clear as water. This is because amniotic fluid is primarily composed of water, electrolytes, and fetal urine. It is important for the nurse to check the characteristic of the amniotic fluid to ensure that it is clear and free from any abnormalities or signs of infection. A clear color indicates a healthy amniotic fluid and suggests that the baby is doing well.

2. When the waters bag ruptures spontaneously, the nurse needs to inspect the vaginal introitus for possible cord prolapse. If a part of the cord has prolapsed into the vaginal opening, what is the correct nursing intervention?

Push back the prolapsed cord into the vaginal canal

Place the mother on semi fowlers position to improve circulation.

Cover the prolapsed cord with sterile gauze wet with sterile NSS and place the woman in Trendelenburg position

None of these

When a part of the umbilical cord prolapses into the vaginal opening, it can lead to compression and compromise of blood flow to the fetus. The correct nursing intervention is to cover the prolapsed cord with sterile gauze wet with sterile normal saline solution (NSS) to prevent drying and infection. Placing the woman in Trendelenburg position, with the head lower than the hips, helps to reduce pressure on the cord and improve blood flow to the fetus. This intervention aims to protect the cord and maintain fetal well-being until emergency medical intervention can be provided.

Explanation

When a part of the umbilical cord prolapses into the vaginal opening, it can lead to compression and compromise of blood flow to the fetus. The correct nursing intervention is to cover the prolapsed cord with sterile gauze wet with sterile normal saline solution (NSS) to prevent drying and infection. Placing the woman in Trendelenburg position, with the head lower than the hips, helps to reduce pressure on the cord and improve blood flow to the fetus. This intervention aims to protect the cord and maintain fetal well-being until emergency medical intervention can be provided.

3. At the time of determining the time of a uterine contraction, the correct technique is to time it from

The beginning of one contraction to the end of the same contraction

The end of one contraction to the beginning of another contraction

The acme point of one contraction to the acme point of another contraction

The beginning of one contraction to the end of another contraction

The correct technique for determining the time of a uterine contraction is to time it from the beginning of one contraction to the end of the same contraction. This means starting the timer when the contraction begins and stopping it when the contraction ends. Timing from the beginning to the end of the same contraction allows for an accurate measurement of the duration of that specific contraction.

Explanation

The correct technique for determining the time of a uterine contraction is to time it from the beginning of one contraction to the end of the same contraction. This means starting the timer when the contraction begins and stopping it when the contraction ends. Timing from the beginning to the end of the same contraction allows for an accurate measurement of the duration of that specific contraction.

4. What is the peak point of a uterine contraction called?

Acceleration

Acme

Deceleration

Axiom

The peak point of a uterine contraction is called "Acme." This term refers to the highest intensity or strongest point of the contraction. It is the moment when the contraction reaches its maximum strength before gradually decreasing in intensity.

Explanation

The peak point of a uterine contraction is called "Acme." This term refers to the highest intensity or strongest point of the contraction. It is the moment when the contraction reaches its maximum strength before gradually decreasing in intensity.

5. What is the primary power involved in labor and delivery?

Bearing down the ability of a mother

Cervical effacement and dilatation

Uterine contraction

Valsalva technique

During labor and delivery, the primary power involved is uterine contraction. The uterus contracts to push the baby down the birth canal and eventually out of the mother's body. These contractions help to dilate the cervix and facilitate the progress of labor. The strength and frequency of the contractions play a crucial role in the delivery process.

Explanation

During labor and delivery, the primary power involved is uterine contraction. The uterus contracts to push the baby down the birth canal and eventually out of the mother's body. These contractions help to dilate the cervix and facilitate the progress of labor. The strength and frequency of the contractions play a crucial role in the delivery process.

6. To see the frequency of the uterine contraction at the time of labor. the correct technique is to time the contraction

From the beginning of various contractions to the end of the same contraction

From the beginning of one contraction to the beginning of the next contraction

Both A & B

None

The correct answer is "From the beginning of one contraction to the beginning of the next contraction." This technique allows for accurate measurement of the frequency of uterine contractions during labor. Timing the contractions from the beginning of one contraction to the beginning of the next contraction provides a clear and consistent measure of the time interval between contractions, which is an important factor in assessing the progress of labor and determining the appropriate course of action.

Explanation

The correct answer is "From the beginning of one contraction to the beginning of the next contraction." This technique allows for accurate measurement of the frequency of uterine contractions during labor. Timing the contractions from the beginning of one contraction to the beginning of the next contraction provides a clear and consistent measure of the time interval between contractions, which is an important factor in assessing the progress of labor and determining the appropriate course of action.

7. The fetal heartbeat needs to be monitored every 15 minutes at the time of the 2nd stage of labor. What is the characteristic of a normal fetal heart rate?

The heart rate will decelerate during a contraction and then go back to its pre-contraction rate after the contraction.

The heart rate will be the same during a contraction and remain slightly above the pre-contraction rate when it's the end of the contraction.

Both A & B

None

During the second stage of labor, it is important to monitor the fetal heartbeat every 15 minutes. A normal fetal heart rate will decelerate during a contraction and then return to its pre-contraction rate after the contraction. This pattern indicates that the baby is tolerating the contractions well and is not experiencing any distress. Monitoring the fetal heart rate helps to ensure the well-being of the baby during labor and delivery.

Explanation

During the second stage of labor, it is important to monitor the fetal heartbeat every 15 minutes. A normal fetal heart rate will decelerate during a contraction and then return to its pre-contraction rate after the contraction. This pattern indicates that the baby is tolerating the contractions well and is not experiencing any distress. Monitoring the fetal heart rate helps to ensure the well-being of the baby during labor and delivery.

8. The following are known as the signs and symptoms of fetal distress, excluding which of these options?

Fetal heart rate (FHR) decreases at the time of a contraction and persists even after the uterine contraction ends.

The FHR shows less than 120 bpm or over 160 bpm.

The pre-contraction FHR is 130 bpm. FHR during contraction is 118 bpm, and FHR after uterine contraction is 126 bpm.

None of these

The given answer is correct because it states that the signs and symptoms of fetal distress do not include the scenario where the pre-contraction FHR is 130 bpm, the FHR during contraction is 118 bpm, and the FHR after uterine contraction is 126 bpm. This is because a decrease in FHR during a contraction and its persistence even after the contraction ends is indicative of fetal distress, whereas the given scenario does not show any abnormality in FHR.

Explanation

The given answer is correct because it states that the signs and symptoms of fetal distress do not include the scenario where the pre-contraction FHR is 130 bpm, the FHR during contraction is 118 bpm, and the FHR after uterine contraction is 126 bpm. This is because a decrease in FHR during a contraction and its persistence even after the contraction ends is indicative of fetal distress, whereas the given scenario does not show any abnormality in FHR.

9. What is the actual technique to see the intensity of a uterine contraction?

Place the palm of the hands-on the abdomen and time the contraction.

Place the fingertips lightly on the suprapubic area and time the contraction.

Put the tip of the fingers lightly on the fundal area and try to indent the abdominal wall at the height of the contraction.

Put the palm of the hands-on the fundal area and feel the contraction at the fundal area.

The technique to see the intensity of a uterine contraction is to put the tip of the fingers lightly on the fundal area and try to indent the abdominal wall at the height of the contraction. This allows for a more accurate assessment of the strength and intensity of the contraction by feeling the resistance and tension in the uterine muscles.

Explanation

The technique to see the intensity of a uterine contraction is to put the tip of the fingers lightly on the fundal area and try to indent the abdominal wall at the height of the contraction. This allows for a more accurate assessment of the strength and intensity of the contraction by feeling the resistance and tension in the uterine muscles.

10. Suppose the labor period goes only for 3 hours. The nurse needs to suspect that the following conditions can occur:

Laceration of cervix

Laceration of perineum

Cranial hematoma in the fetus

Fetal anoxia

The correct answer includes the possible conditions that can occur during labor if it only lasts for 3 hours. Laceration of the cervix and perineum are common complications that can occur due to the rapid progression of labor. Cranial hematoma in the fetus can occur if there is excessive pressure on the baby's head during a quick delivery. Fetal anoxia, which is a lack of oxygen supply to the fetus, can also occur if the labor is too short and intense.

Explanation

The correct answer includes the possible conditions that can occur during labor if it only lasts for 3 hours. Laceration of the cervix and perineum are common complications that can occur due to the rapid progression of labor. Cranial hematoma in the fetus can occur if there is excessive pressure on the baby's head during a quick delivery. Fetal anoxia, which is a lack of oxygen supply to the fetus, can also occur if the labor is too short and intense.

Submit