Question 1

Which finding would indicate to the nurse that a woman's cervix is ripe in preparation for labor induction?

Accepted Answer

A)   Posterior position
B)   Firm
C)   Closed
D)   Shortened D

Question 2

A nurse is teaching a pregnant woman at risk for preterm labor about what to do if she experiences signs and symptoms. The nurse determines that the teaching was successful when the woman states that if she experiences any symptoms, she will do which of the following?

Accepted Answer

A)   "I'll sit down to rest for 30 minutes."
B)   "I'll try to move my bowels."
C)   "I'll lie down with my legs raised."
D)   "I'll drink several glasses of water."

Question 3

A nurse is describing the risks associated with prolonged pregnancies as part of an inservice presentation. Which of the following would the nurse be least likely to incorporate in the discussion as an underlying reason for problems in the fetus?

Accepted Answer

A)   Aging of the placenta
B)   Increased amniotic fluid volume
C)   Meconium aspiration
D)   Cord compression

Question 4

A pregnant client undergoing labor induction is receiving an oxytocin infusion. Which of the following findings would require immediate intervention?

Accepted Answer

A)   Fetal heart rate of 150 beats/minute
B)   Contractions every 2 minutes, lasting 45 seconds
C)   Uterine resting tone of 14 mm Hg
D)   Urine output of 20 mL/hour D

Question 5

A group of nursing students are reviewing information about methods used for cervical ripening. The students demonstrate understanding of the information when they identify which of the following as a mechanical method?

Accepted Answer

A)   Herbal agents
B)   Laminaria
C)   Membrane stripping
D)   Amniotomy

Question 6

Assessment of a woman in labor who is experiencing hypertonic uterine dysfunction would reveal contractions that are:

Accepted Answer

A)   Well coordinated
B)   Poor in quality
C)   Rapidly occurring
D)   Erratic D

Question 7

A group of nursing students are reviewing information about cesarean birth. The students demonstrate understanding of the information when they identify which of the following as an appropriate indication? (Select all that apply)

Accepted Answer

A)   Active genital herpes infection
B)   Placenta previa
C)   Previous cesarean birth
D)   Prolonged labor
E)   Fetal distress

Question 8

A woman who is 42 weeks pregnant comes to the clinic. Which of the following would be most important?

Accepted Answer

A)   Determining an accurate gestational age
B)   Asking her about the occurrence of contractions
C)   Checking for spontaneous rupture of membranes
D)   Measuring the height of the fundus

Question 9

A primigravida whose labor was initially progressing normally is now experiencing a decrease in the frequency and intensity of her contractions. The nurse would assess the woman for which condition?

Accepted Answer

A)   A low-lying placenta
B)   Fetopelvic disproportion
C)   Contraction ring
D)   Uterine bleeding

Question 10

A woman with a history of crack cocaine abuse is admitted to the labor and birth area. While caring for the client, the nurse notes a sudden onset of fetal bradycardia. Inspection of the abdomen reveals an irregular wall contour. The client also complains of acute abdominal pain that is continuous. Which of the following would the nurse suspect?

Accepted Answer

A)   Amniotic fluid embolism
B)   Shoulder dystocia
C)   Uterine rupture
D)   Umbilical cord prolapse

Question 11

The fetus of a woman in labor is determined to be in persistent occiput posterior position. Which of the following would the nurse identify as the priority intervention?

Accepted Answer

A)   Position changes
B)   Pain relief measures
C)   Immediate cesarean birth
D)   Oxytocin administration

Question 12

After teaching a group of nursing students about risk factors associated with dystocia, the instructor determines that the teaching was successful when the students identify which of the following as increasing the risk? (Select all that apply.)

Accepted Answer

A)   Pudendal block anesthetic use
B)   Multiparity
C)   Short maternal stature
D)   Maternal age over 35
E)   Breech fetal presentation

Question 13

A woman is to undergo an amnioinfusion. Which statement would be most appropriate to include when teaching the woman about this procedure?

Accepted Answer

A)   "You'll need to stay in bed while you're having this procedure."
B)   "We'll give you an analgesic to help reduce the pain."
C)   "After the infusion, you'll be scheduled for a cesarean birth."
D)   "A suction cup is placed on your baby's head to help bring it out."

Question 14

After spontaneous rupture of membranes, the nurse notices a prolapsed cord. The nurse immediately places the woman in which position?

Accepted Answer

A)   Supine
B)   Side-lying
C)   Sitting
D)   Knee-chest

Question 15

The nurse notifies the obstetrical team immediately because the nurse suspects that the pregnant woman may be exhibiting signs and symptoms of amniotic fluid embolism. Which findings would the nurse most likely assess? (Select all that apply.)

Accepted Answer

A)   Significant difficulty breathing
B)   Hypertension
C)   Tachycardia
D)   Pulmonary edema
E)   Bleeding with bruising

Question 16

When assessing several women for possible VBAC, which woman would the nurse identify as being the best candidate?

Accepted Answer

A)   One who has undergone a previous myomectomy
B)   One who had a previous cesarean birth via a low transverse incision
C)   One who has a history of a contracted pelvis
D)   One who has a vertical incision from a previous cesarean birth

Question 17

A nurse is assessing a pregnant woman who has come to the clinic. The woman reports that she feels some heaviness in her thighs since yesterday. The nurse suspects that the woman may be experiencing preterm labor based on which additional assessment findings?

Accepted Answer

A)   Dull low backache
B)   Malodorous vaginal discharge
C)   Dysuria
D)   Constipation

Question 18

After teaching a couple about what to expect with their planned cesarean birth, which statement indicates the need for additional teaching?

Accepted Answer

A)   "Holding a pillow against my incision will help me when I cough."
B)   "I'm going to have to wait a few days before I can start breast-feeding."
C)   "I guess the nurses will be getting me up and out of bed rather quickly."
D)   "I'll probably have a tube in my bladder for about 24 hours or so."

Question 19

A woman gave birth to a newborn via vaginal delivery with the use of a vacuum extractor. The nurse would be alert for which of the following in the newborn?

Accepted Answer

A)   Asphyxia
B)   Clavicular fracture
C)   Caput succedaneum
D)   Central nervous system injury

Question 20

A woman with preterm labor is receiving magnesium sulfate. Which finding would require the nurse to intervene immediately?

Accepted Answer

A)   Respiratory rate of 16 breaths per minute
B)   Diminished deep tendon reflexes
C)   Urine output of 45 mL/hour
D)   Alert level of consciousness

Exam 21: Nursing Management of Labor and Birth at Risk

Which finding would indicate to the nurse that a woman's cervix is ripe in preparation for labor induction?

Correct Answer
verified
D

A nurse is teaching a pregnant woman at risk for preterm labor about what to do if she experiences signs and symptoms. The nurse determines that the teaching was successful when the woman states that if she experiences any symptoms, she will do which of the following?

Correct Answer
verified

A nurse is describing the risks associated with prolonged pregnancies as part of an inservice presentation. Which of the following would the nurse be least likely to incorporate in the discussion as an underlying reason for problems in the fetus?

Correct Answer
verified

A pregnant client undergoing labor induction is receiving an oxytocin infusion. Which of the following findings would require immediate intervention?

Correct Answer
verified
D

A group of nursing students are reviewing information about methods used for cervical ripening. The students demonstrate understanding of the information when they identify which of the following as a mechanical method?

Correct Answer
verified

Assessment of a woman in labor who is experiencing hypertonic uterine dysfunction would reveal contractions that are:

Correct Answer
verified
D

A group of nursing students are reviewing information about cesarean birth. The students demonstrate understanding of the information when they identify which of the following as an appropriate indication? (Select all that apply)

Correct Answer
verified

A woman who is 42 weeks pregnant comes to the clinic. Which of the following would be most important?

Correct Answer
verified

A primigravida whose labor was initially progressing normally is now experiencing a decrease in the frequency and intensity of her contractions. The nurse would assess the woman for which condition?

Correct Answer
verified

Correct Answer
verified

The fetus of a woman in labor is determined to be in persistent occiput posterior position. Which of the following would the nurse identify as the priority intervention?

Correct Answer
verified

After teaching a group of nursing students about risk factors associated with dystocia, the instructor determines that the teaching was successful when the students identify which of the following as increasing the risk? (Select all that apply.)

Correct Answer
verified

A woman is to undergo an amnioinfusion. Which statement would be most appropriate to include when teaching the woman about this procedure?

Correct Answer
verified

After spontaneous rupture of membranes, the nurse notices a prolapsed cord. The nurse immediately places the woman in which position?

Correct Answer
verified

The nurse notifies the obstetrical team immediately because the nurse suspects that the pregnant woman may be exhibiting signs and symptoms of amniotic fluid embolism. Which findings would the nurse most likely assess? (Select all that apply.)

Correct Answer
verified

When assessing several women for possible VBAC, which woman would the nurse identify as being the best candidate?

Correct Answer
verified

A nurse is assessing a pregnant woman who has come to the clinic. The woman reports that she feels some heaviness in her thighs since yesterday. The nurse suspects that the woman may be experiencing preterm labor based on which additional assessment findings?

Correct Answer
verified

After teaching a couple about what to expect with their planned cesarean birth, which statement indicates the need for additional teaching?

Correct Answer
verified

A woman gave birth to a newborn via vaginal delivery with the use of a vacuum extractor. The nurse would be alert for which of the following in the newborn?

Correct Answer
verified

A woman with preterm labor is receiving magnesium sulfate. Which finding would require the nurse to intervene immediately?

Correct Answer
verified

Exam 21: Nursing Management of Labor and Birth at Risk

Which finding would indicate to the nurse that a woman's cervix is ripe in preparation for labor induction?

Correct AnswerverifiedD

A nurse is teaching a pregnant woman at risk for preterm labor about what to do if she experiences signs and symptoms. The nurse determines that the teaching was successful when the woman states that if she experiences any symptoms, she will do which of the following?

Correct AnswerverifiedShow Answer

A nurse is describing the risks associated with prolonged pregnancies as part of an inservice presentation. Which of the following would the nurse be least likely to incorporate in the discussion as an underlying reason for problems in the fetus?

Correct AnswerverifiedShow Answer

A pregnant client undergoing labor induction is receiving an oxytocin infusion. Which of the following findings would require immediate intervention?

Correct AnswerverifiedD

A group of nursing students are reviewing information about methods used for cervical ripening. The students demonstrate understanding of the information when they identify which of the following as a mechanical method?

Correct AnswerverifiedShow Answer

Assessment of a woman in labor who is experiencing hypertonic uterine dysfunction would reveal contractions that are:

Correct AnswerverifiedD

A group of nursing students are reviewing information about cesarean birth. The students demonstrate understanding of the information when they identify which of the following as an appropriate indication? (Select all that apply)

Correct AnswerverifiedShow Answer

A woman who is 42 weeks pregnant comes to the clinic. Which of the following would be most important?

Correct AnswerverifiedShow Answer

A primigravida whose labor was initially progressing normally is now experiencing a decrease in the frequency and intensity of her contractions. The nurse would assess the woman for which condition?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

The fetus of a woman in labor is determined to be in persistent occiput posterior position. Which of the following would the nurse identify as the priority intervention?

Correct AnswerverifiedShow Answer

After teaching a group of nursing students about risk factors associated with dystocia, the instructor determines that the teaching was successful when the students identify which of the following as increasing the risk? (Select all that apply.)

Correct AnswerverifiedShow Answer

A woman is to undergo an amnioinfusion. Which statement would be most appropriate to include when teaching the woman about this procedure?

Correct AnswerverifiedShow Answer

After spontaneous rupture of membranes, the nurse notices a prolapsed cord. The nurse immediately places the woman in which position?

Correct AnswerverifiedShow Answer

The nurse notifies the obstetrical team immediately because the nurse suspects that the pregnant woman may be exhibiting signs and symptoms of amniotic fluid embolism. Which findings would the nurse most likely assess? (Select all that apply.)

Correct AnswerverifiedShow Answer

When assessing several women for possible VBAC, which woman would the nurse identify as being the best candidate?

Correct AnswerverifiedShow Answer

A nurse is assessing a pregnant woman who has come to the clinic. The woman reports that she feels some heaviness in her thighs since yesterday. The nurse suspects that the woman may be experiencing preterm labor based on which additional assessment findings?

Correct AnswerverifiedShow Answer

After teaching a couple about what to expect with their planned cesarean birth, which statement indicates the need for additional teaching?

Correct AnswerverifiedShow Answer

A woman gave birth to a newborn via vaginal delivery with the use of a vacuum extractor. The nurse would be alert for which of the following in the newborn?

Correct AnswerverifiedShow Answer

A woman with preterm labor is receiving magnesium sulfate. Which finding would require the nurse to intervene immediately?

Correct AnswerverifiedShow Answer

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D

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D

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D

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