
Labor and Birth Complications II
Authored by O. Weaver
Other
University
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33 questions
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1.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
During the intrapartum period, a nurse is caring for a client with sickle cell disease. The nurse ensures that the client receives adequate intravenous fluid intake and oxygen consumption to achieve which outcome?
Stimulate the labor process.
Prevent dehydration and hypoxemia.
Avoid the necessity of a cesarean delivery.
Eliminate the need for analgesic administration.
2.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A client with a 38-week twin gestation is admitted to a birthing center in early labor. One of the fetuses is a breech presentation. Which intervention is least appropriate in planning the nursing care of this client?
Measure fundal height.
Attach electronic fetal monitoring.
Prepare the client for a possible cesarean section.
Visually examine the perineum and vaginal opening.
3.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A client with a 38-week twin gestation is admitted to a birthing center in early labor. One of the fetuses is a breech presentation. Which intervention is least appropriate in planning the nursing care of this client?
Measure fundal height.
Attach electronic fetal monitoring.
Prepare the client for a possible cesarean section.
Visually examine the perineum and vaginal opening.
4.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
The nurse prepares a plan of care for the client with preeclampsia and documents that if the client progresses from preeclampsia to eclampsia, the nurse should take which first action?
Administer oxygen by face mask.
Clear and maintain an open airway.
Administer magnesium sulfate intravenously.
Assess the blood pressure and fetal heart rate.
5.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A prenatal client with vaginal bleeding is being admitted to the labor unit. The labor room nurse is performing the admission assessment and would suspect a diagnosis of placenta previa if which finding is noted?
Back pain
Abdominal pain
Painful vaginal bleeding
Painless vaginal bleeding
6.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
An amniotomy is performed on a client in labor. On the amniotic fluid examination, the delivery room nurse would identify which findings as normal?
Light green, with no odor
Clear and dark amber-colored
Thick and white, with no odor
Pale straw-colored, with flecks of vernix
7.
MULTIPLE CHOICE QUESTION
30 sec • 1 pt
A labor room nurse is performing an assessment on a client in labor and notes that the fetal heart rate (FHR) is 158 beats/min and regular. The client's contractions are every 5 minutes, with a duration of 40 seconds and of moderate intensity. On the basis of these assessment findings, what is the appropriate nursing action?
Contact the obstetrician.
Continue to monitor the client.
Report the FHR to the anesthesiologist.
Prepare for imminent delivery of the fetus.
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