WorksheetsLabor and Birth Complications
Total questions: 11
Worksheet time: 11mins
Name
Class
Date
1.
When assessing a pregnant woman, the nurse is alert for factors associated with preterm labor. Which factor, if exhibited y this woman, increases her risk for spontaneous preterm labor and birth?
a)
Caucasian race
b)
History of bleeding at 20 weeks
c)
Has had no bladder infections during pregnancy
d)
Body mass index (BMI) of 22 and height of 158cm
2.
A woman's labor is being suppressed using IV magnesium sulfate. Which measure should be implemented during the infusion?
a)
Limit IV fluid intake to 125 ml/hr
b)
Discontinue infusion if maternal respirations are less than 14 breaths per minute.
c)
Ensure that indomethacin is available should toxicity occur
d)
Assist woman to maintain a comfortable semirecumbent position
3.
A physician has ordered dinoprostone (Cervidil) be administered to ripen a pregnant woman's cervix in preparation for an induced labor. In fulfilling this order, the nurse should:
a)
Insert the dinoprostone in the cervical canal just below the internal os
b)
Tell the woman to remain in bed for at least 15 minutes
c)
Observe the woman for signs of uterine tachsystole
d)
Remove the dinoprostone as soon as the woman begins to experience uterine contractions
4.
A physician has ordered dinoprostone (Cervidil) be administered to ripen a pregnant woman's cervix in preparation for an induced labor. In fulfilling this order, the nurse should:
a)
Insert the dinoprostone in the cervical canal just below the internal os
b)
Tell the woman to remain in bed for at least 15 minutes
c)
Observe the woman for signs of uterine tachsystole
d)
Remove the dinoprostone as soon as the woman begins to experience uterine contractions
5.
A nulliparous woman experiencing a postterm pregnancy is admitted for labor induction. Assessment reveals a Bishop score of 9. The nurse should:
a)
Call the woman's primary health care provider to order a cervical ripening agent
b)
Mix 20 units of oxytocin (Pitocin) in 500 ml of 5% glucose in water
c)
Piggyback the oxytocin solution into the port nearest the drip chamber of the primmary IV tubine
d)
Begin the infusion at a rate of 1 milliunit/minute as determined by the induction protocol
6.
A woman's labor is being induced. The nurse assesses the woman's status and that of her fetus and the labor process just before an infusion increment of 2 millliunits/minute. The nurse discontinues the infusion and notifies the woman's primary health care provider if during this assessment she notes:
a)
Frequency of uterine contractions: every 1 1/2 minutes
b)
Variability of fetal heart rate (FHR): present
c)
Deceleration patterns: early decelerations noted with several contractions
d)
Intensity of uterine contractions at their peaks: 80 to 85 mm Hg
7.
A , laboring woman's vaginal examination reveals the following: 3 cm, 50%, 0 and breech position. The nurse caring for this woman should:
a)
Place the transducer in the left lower quadrant of the woman's abdomen
b)
Recognize that the passage of meconium would be a definitive sign of fetal distress
c)
Expect the progress of fetal descent to be slower than usual
d)
Assist the woman into a knee-chest position for each contraction
8.
A nurse is caring for a pregnant woman at 30 weeks of gestation in preterm labor. The woman's physician orders betamethasone 12 mg IM for 2 doses, with the first dose to begin at 11 am. In implementing this order the nurse should:
a)
Consult the physician because the dose is too high
b)
Explain to the woman that this medication will reduce her heart rate & help her to breathe easier
c)
Prepare to administer the medication IV between contractions
d)
Schedule the second does for 11 am on the next day
9.
A nurse caring for a pregnant woman suspected of being in preterm labor recognizes which sign as diagnostic of preterm labor?
a)
Cervical dilation of at least 2 cm
b)
Uterine contractions occurring every 15 minutes
c)
Spontaneous rupture of membranes
d)
Presence of fetal fibronectin in cervical secretions
10.
A woman at 27 weeks of gestation experiences some mild uterine cramping. Which action should she take?
a)
Empty her bladder
b)
Call her nurse midwife immediately
c)
Relax in a chair
d)
Resume the activity she was doing if the cramping subsides
11.
A woman is in active labor. On spontaneous rupture of her membranes, the nurse caring for this woman notices variable deceleration patterns during evaluation of the monitor tracing. When preparing to perform a vaginal exam, the nurse observes a small section of the umbilical cord protruding from the vagina. What should the nurse do next?
a)
Increase the IV drip rate
b)
Administer oxygen to the woman via mask at 8 to 10 L/minute
c)
Place a sterile gloved hand into the vagina and hold the presenting part off the cord while calling for assistance
d)
Wrap the cord loosely with a sterile towel saturated with warm normal saline
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