During the vaginal examination, the nurse palpates the fetal head and a large diamond-shaped fontanelle. The nurse documents that the fetal presentation is;

On performing Leopold's maneuvers on a multiparous client in early labor, the nurse finds no fetal parts in the fundus or above the symphysis. The fetal head is palpated in the right mid-quadrant. The nurse notifies the admitting physician and anticipates;

Which of the following is NOT a signs and symptoms of hyperemesis gravidarum?

This kind of uterine dysfunction denotes sluggishness of contraction. This usually occurs during the latent phase of labor. The uterus is flaccid and weak in contraction.

Which of the following is a sign of MagS04 toxicity?

The most common cause of Dystocia of the passage is known as:

Which of the following management are common in transverse lie presentation?

You also attend to another young diabetic parishioner-mother who is in her first trimester of pregnancy. As her pregnancy continues, what changes in her medication needs should you also anticipate?

Which of the following maneuver is employed during breech presentation to deliver the fetal head?

The pregnant client is receiving oxytocin (Pitocin) to induce labor. The nurse should monitor the client for which of the following maternal effects?

During discharge teaching for a patient who had a hydatidiform mole the nurse must include which of the following?

A client’s amniotic fluid is greenish-tinged. The fetal presentation is vertex. Fetal heart rate (FHR) and uterine activity have remained within normal limits. At the time of delivery, the nurse should anticipate the need for:

Which of the following actions should the Nurse must consider, while patient receiving oxytocin in induce labor?

A 35 y.o. G3P2 in her 38 weeks pregnancy presents to Emergency Room with painless, bright red vaginal bleeding that started 2 hours ago. The bleeding has now stopped. Her vitals are stable. Past medical history is significant for 2 cesarean section. Which of the following is contraindicated in the acute management of this patients?

Which of the following is a complication of severe preeclampsia with diminished platelet count?

You are the nurse on duty in RHU. You reviews the history of one client. You note that the client has registered weight loss, experiencing for one month on and off fever 38C, more than one month on and off LBM. Which of the following would you suspect?

Which of the following management of PROM may include induction of labor?

In the hospital setting, the nursing action that best promotes the attachment process between the mother and the baby is:

The amniotic fluid is a significant passenger in labor. The following are TRUE about amniotic fluid, EXCEPT?

A registered Nurse attended seminar on Obstetrical Emergencies. Which of the following signs and symptoms are identified to be alert signs arise needed to be referred immediately?

The client refused sedation ordered by the physician for hypertonic contractions and prolonged latent-phase labor for fear that her labor will stop. The nurse may help by explaining;

The nurse monitors a client during a vaginal delivery of a breech infant for which of the following as the greatest risk?

During assessment in labor, you check the FHR to be below 120 /min. What should the Nurse perform FIRST?

The following are refer to an early bleeding complications, EXCEPT:

in addition to routine assessment and care, nursing care of the client who is receiving terbutaline to prevent premature labor should include assessing;

At the Labor room, you notice that one of your client experiencing prolonged labor. Upon assessment, the FHT ranges 170bpm and sometimes 180bpm and you conclude that it is fetal distress. As a Nurse what will you do first?

A client is admitted in early active labor at 38 weeks gestation. When assessing the fetal heart tone, the midwife locates the heart sounds above the client’s umbilicus at midline. The midwife would suspect that the fetus is lying which of the following positions?

Because postpartum depression occurs in 8% to 26% of post partal women, the prenatal nurse assesses clients for risk factors for postpartum depression during the prenatal period. Which of the following clients would the nurse consider to be at risk for postpartum depression?

In the 4th stage of labor, the critical period for the mother is the first 2 hours after delivery. During this period, observations are done every 15 minutes to check on all of these EXCEPT:

The end referral facility in the Service Delivery Network provides which of the following functions?

When the pregnant woman complaints at the ER of sudden, knife-like pain radiating to the shoulder, what should the nurse suspect?

Which of the following is/are risk factors of pre-term labor?

Which of the following symptoms is considered the classic defining criterion of placenta previa?

Which of the following statements by the nurse is most therapeutic in talking with a client and her family following emergency cesarean birth?

Which statement would indicate to the nurse that the laboring client needs further education?

Which of the following conditions have the risk of cesarean section?

The client is receiving intravenous magnesium sulfate at 2gms/hr to stop premature labor. The nurse determines that the most important nursing assessments of this client include;

The nurse discovers a loop of the umbilical cord protruding through the vagina when preparing to perform a vaginal examination. The most appropriate intervention is to;

This hormone is due released in response to stress during labor and delivery.

A nulliparous client who has been in labor for almost 3 hours suddenly announces that the baby is coming. The nurse sees the infant crowning. Which of the following interventions should the nurse do immediately?

A client who is 34 week's gestation has been having contractions every 10 minutes regularly. In addition to instructing her to lie down and rest while continuing to time contractions, the nurse should also tell her to;

When the ischial spines are prominent and the bispinous diameter measures less than 9cm, there is likely a contraction on which area?

Which of the following drugs are use together with general anesthesia to prevent uterine relaxation and repositioning postpartum uterine inversion?

Which among the following best describes preterm labor?

Which of these is NOT a measure used for fetal distress?

Which among pregnancy complication is BEST describe when the initial assessmet for a 35 year old G1P0 16 weeks AOG, BP- 160/100, and (+3) protein in urinalysis?

The following are all maternal effects of severe preeclampsia/ eclampsia, EXCEPT:

The following are factors influencing the psyche of labor EXCEPT:

A woman who is on her 37th week of pregnancy was admitted to the hospital for labor pains and 3 cms dilated at 3:00 pm. Suddenly she delivered her baby at 5:30 pm in her bed. This is a case of :