WorksheetsChapter 21 Quiz – Nursing Management of Labor and Birth at Risk
Total questions: 10
Worksheet time: 5mins
A laboring patient is diagnosed with shoulder dystocia. What is the nurse’s priority action?
Apply fundal pressure
Encourage the patient to push harder
Assist with McRoberts maneuver and suprapubic pressure
Prepare the patient for cesarean section
A nurse is caring for a patient receiving oxytocin. The contractions are occurring every 90 seconds and last over 90 seconds with non-reassuring FHR. What should the nurse do first?
Reposition the patient
Administer oxygen
Discontinue oxytocin infusion
Notify the provider
What is the most serious risk associated with premature rupture of membranes (PROM)?
Precipitous delivery
Fetal macrosomia
Umbilical cord prolapse
Polyhydramnios
A patient in preterm labor is receiving magnesium sulfate. Which assessment finding should be reported immediately?
Mild flushing
Urine output of 80 mL in 4 hours
Respiratory rate of 10 breaths per minute
Absent deep tendon reflexes
A nurse is educating a patient with a history of precipitous labor. What should the nurse emphasize?
Avoid exercise during pregnancy
Call the provider when contractions are 10 minutes apart
Go to the hospital as soon as contractions begin
Plan for a scheduled induction at 42 weeks
A nurse is assessing a patient suspected of having an amniotic fluid embolism. Which symptom is most concerning?
Leg cramps
Restlessness and shortness of breath
Mild abdominal cramping
Blood pressure of 130/84
Which finding is most concerning during induction with oxytocin?
Contractions every 2–3 minutes lasting 60 seconds
Fetal heart rate baseline 130 bpm with moderate variability
Contractions every minute with uterine resting tone 35 mmHg
Uterine resting tone of 10 mmHg between contractions
What is the priority nursing intervention for a patient experiencing a uterine rupture?
Increase the rate of oxytocin
Prepare for emergency cesarean delivery
Administer misoprostol
Encourage the patient to ambulate
A nurse is educating a patient about to undergo a vacuum-assisted delivery. Which statement indicates understanding?
I might need an episiotomy during the procedure.
This is only done if I’m not fully dilated.
It guarantees that I won’t need a cesarean section.
There is no risk of injury to my baby.
Which of the following are risk factors for preterm labor? (Select all that apply)
History of cervical insufficiency
Multiple gestation
Gestational diabetes
Urinary tract infection
Maternal age over 40
