WorksheetsPROBLEMS WITH 4PS
Total questions: 13
Worksheet time: 8mins
Why is there more pain present if the fetus to be delivered is in posterior position?
pressure on the ischial spines
pressure on the perinuem
pressure on the sacral nerves
tearing in vagina mucosa
In precipitate labor, the nurse teaches the client in this type of labor, it is expected that:
a lenghty period of pusing may be necesary
the onset of contraction is gradual
the labor may last less than3 hours
induction of labor may be necesarry
A nurse in the labor room is performing a vaginal assessment on a pregnant client in labor. The nurse notes the presence of the umbilical cord protruding from the vagina. Which of the following would be the initial nursing action?
Place the client in Knee-chest position
Call the delivery room to notify the staff that the client will be transported immediately
Gently push the cord into the vagina
Find the closest telephone and stat page the physician
A client just spontaneously ruptured membranes. Which of the following factors makes her especially at high risk for having a prolapsed cord?
Breech presentation.
Station 3.
Oligohydramnios.
Dilation 2 cm.
Which of the following situations is considered a vaginal delivery emergency?
Third stage of labor lasting 20 minutes.
Fetal heart dropping during contractions.
Three-vessel cord.
Shoulder dystocia.
Gina, a G1P0 patient is in the labor room for 3 hours now, her cervix was fully dilated 3 hours ago, however the descent of the head is not taking place. As a nurse, what should you anticipate?
prepare for CS delivery
prepare for induction of labor
prepare fr forcep delivery
prepare for fundal push
Which of the following statement of a patient with uterine prolapse would alert the nurse the patient needs further health teaching?
" I need to Change my pessaries every 2-4 months"
" I need to perform pelvic floor muscle exercises".
" I should maintain good personal hygiene"
" I should include greeen leafy vegetables and meats in my diet"
ALL are management for uterine inversion EXCEPT:
Never attempt to replace an inversion
Never attempt to remove the placenta if it is still attached
Administer oxytocin as ordered.
Fluid replacement as needed.
The nurse is to intervene when caring for a laboring client whose baby is exhibiting signs of fetal distress. Which of the following actions should the nurse avoid?
Administer oxygen
Place the client in side lying or trendelenburg position
Remove the internal fetal monitor electrode.
Increase the intravenous infusion rate.
Gina, G1P0 patient who is pregnant with twins asked you about the her diet, what would be included in you health teaching?
additional 300 calories in her diet
eat low caloric diet
maintain regular diet, it will not affect the fetus
take food supplements regularly.
While assessing a 29 y/o G2 P2 who had a normal Spontaneous vaginal delivery 30 minutes ago, the nurse notes a large amount of red vaginal bleeding. What would be the first priority nursing action.
check V/S
notify the HCP
firmly massage the uterine fundus
put the baby to breast
A 22 year old woman is 6 weeks postpartum. In the clinic, she admits to crying everyday, feeling overwhelmed, and sometimes thinking she may hurt the baby. What would be the priority nursing action at this time?
advise the patient of community groups, and depression hotlines.
counsel the mother that the "baby blues' are common at this time and assess her nutrition, rest and availability of help at home.
contact the HCP to evaluate the patient before allowing her to leave the clinic
advise the woman that she cannot use medication for depression because she is breastfeeding,.
The nurse is monitoring a client in the immediate postpartum period for signs of hemorrhage. Which sign is noted, would be an early sign of excessive blood loss?
a temperature of 100.4 (38 c)
an increase in pulse rate from 88 to 102 bpm
a blood pressure change from 130/88 to 124/80 mmHG
an increase in the respiratory rate from 18 to 22 breaths/min
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