Question 1

The fetus in a breech presentation is often born by cesarean delivery because

Accepted Answer

A)  The buttocks are much larger than the head. 
B)  Postpartum hemorrhage is more likely if the woman delivers vaginally. 
C)  Internal rotation cannot occur if the fetus is breech. 
D)  Compression of the umbilical cord is more likely. 
A)  The buttocks are much larger than the head. 
B)  Postpartum hemorrhage is more likely if the woman delivers vaginally. 
C)  Internal rotation cannot occur if the fetus is breech. 
D)  Compression of the umbilical cord is more likely.

Question 2

A woman who had two previous cesarean births is in active labor,when she suddenly complains of pain between her scapulae.The nurse's priority action is to

Accepted Answer

A)  Reposition the woman with her hips slightly elevated. 
B)  Observe for abnormally high uterine resting tone. 
C)  Decrease the rate of nonadditive intravenous fluid. 
D)  Notify the physician promptly and prepare the woman for surgery. 
A)  Reposition the woman with her hips slightly elevated. 
B)  Observe for abnormally high uterine resting tone. 
C)  Decrease the rate of nonadditive intravenous fluid. 
D)  Notify the physician promptly and prepare the woman for surgery.

Question 3

What factor found in maternal history should alert the nurse to the potential for a prolapsed umbilical cord?

Accepted Answer

A)  Oligohydramnios 
B)  Pregnancy at 38 weeks of gestation 
C)  Presenting part at station -3 
D)  Meconium-stained amniotic fluid 
A)  Oligohydramnios 
B)  Pregnancy at 38 weeks of gestation 
C)  Presenting part at station -3 
D)  Meconium-stained amniotic fluid

Question 4

Nurses need to know that when any woman is admitted to the hospital and is _____ to _____ weeks pregnant,she should receive antenatal glucocorticoids unless she has chorioamnionitis.Because these drugs require a 24-hour period to become effective,timely administration is essential.

Accepted Answer

24; 34
All women between 24 an

Question 5

Which patient situation presents the greatest risk for the occurrence of hypotonic dysfunction during labor?

Accepted Answer

A)  A primigravida who is 17 years old 
B)  A 22-year-old multiparous woman with ruptured membranes 
C)  A multiparous woman at 39 weeks of gestation who is expecting twins 
D)  A primigravida woman who has requested no analgesia during her labor 
A)  A primigravida who is 17 years old 
B)  A 22-year-old multiparous woman with ruptured membranes 
C)  A multiparous woman at 39 weeks of gestation who is expecting twins 
D)  A primigravida woman who has requested no analgesia during her labor

Question 6

A primigravida at 40 weeks of gestation is having uterine contractions every 1.5 to 2 minutes and says that they are very painful.Her cervix is dilated 2 cm and has not changed in 3 hours.The woman is crying and wants an epidural.What is the likely status of this woman's labor?

Accepted Answer

A)  She is exhibiting hypotonic uterine dysfunction. 
B)  She is experiencing a normal latent stage. 
C)  She is exhibiting hypertonic uterine dysfunction. 
D)  She is experiencing pelvic dystocia. 
A)  She is exhibiting hypotonic uterine dysfunction. 
B)  She is experiencing a normal latent stage. 
C)  She is exhibiting hypertonic uterine dysfunction. 
D)  She is experiencing pelvic dystocia.

Question 7

Which factor is most likely to result in fetal hypoxia during a dysfunctional labor?

Accepted Answer

A)  Incomplete uterine relaxation 
B)  Maternal fatigue and exhaustion 
C)  Maternal sedation with narcotics 
D)  Administration of tocolytic drugs. 
A)  Incomplete uterine relaxation 
B)  Maternal fatigue and exhaustion 
C)  Maternal sedation with narcotics 
D)  Administration of tocolytic drugs.

Question 8

A woman is having her first child.She has been in labor for 15 hours.Two hours ago,her vaginal examination revealed the cervix to be dilated to 5 cm and 100% effaced,and the presenting part was at station 0.Five minutes ago,her vaginal examination indicated that there had been no change.What abnormal labor pattern is associated with this description?

Accepted Answer

A)  Prolonged latent phase 
B)  Protracted active phase 
C)  Secondary arrest 
D)  Protracted descent 
A)  Prolonged latent phase 
B)  Protracted active phase 
C)  Secondary arrest 
D)  Protracted descent

Question 9

Which action should be initiated to limit hypovolemic shock when uterine inversion occurs?

Accepted Answer

A)  Administer oxygen at 31 L/min by nasal cannula. 
B)  Administer an oxytocic drug by intravenous push. 
C)  Monitor fetal heart rate every 5 minutes. 
D)  Restore circulating blood volume by increasing the intravenous infusion rate. 
A)  Administer oxygen at 31 L/min by nasal cannula. 
B)  Administer an oxytocic drug by intravenous push. 
C)  Monitor fetal heart rate every 5 minutes. 
D)  Restore circulating blood volume by increasing the intravenous infusion rate.

Question 10

Which technique is least effective for the woman with persistent occiput posterior position?

Accepted Answer

A)  Lie supine and relax. 
B)  Sit or kneel, leaning forward with support. 
C)  Rock the pelvis back and forth while on hands and knees. 
D)  Squat. 
A)  Lie supine and relax. 
B)  Sit or kneel, leaning forward with support. 
C)  Rock the pelvis back and forth while on hands and knees. 
D)  Squat.

Exam 27: The Woman With an Intrapartum Complication

The fetus in a breech presentation is often born by cesarean delivery because

A woman who had two previous cesarean births is in active labor,when she suddenly complains of pain between her scapulae.The nurse's priority action is to

What factor found in maternal history should alert the nurse to the potential for a prolapsed umbilical cord?

Nurses need to know that when any woman is admitted to the hospital and is _____ to _____ weeks pregnant,she should receive antenatal glucocorticoids unless she has chorioamnionitis.Because these drugs require a 24-hour period to become effective,timely administration is essential.

Which patient situation presents the greatest risk for the occurrence of hypotonic dysfunction during labor?

A primigravida at 40 weeks of gestation is having uterine contractions every 1.5 to 2 minutes and says that they are very painful.Her cervix is dilated 2 cm and has not changed in 3 hours.The woman is crying and wants an epidural.What is the likely status of this woman's labor?

Which factor is most likely to result in fetal hypoxia during a dysfunctional labor?

Which action should be initiated to limit hypovolemic shock when uterine inversion occurs?

Which technique is least effective for the woman with persistent occiput posterior position?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating With Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion during Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family With Special Needs

Pregnancy-Related Complications

Concurrent Disorders During Pregnancy

The Woman With a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s Health Care

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child With a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child With a Fluid and Electrolyte Alteration

The Child With an Infectious Disease

The Child With an Immunologic Alteration

The Child With a Gastrointestinal Alteration

The Child With a Genitourinary Alteration

The Child With a Respiratory Alteration

The Child With a Cardiovascular Alteration

The Child With a Hematologic Alteration

The Child With Cancer

The Child With an Alteration in Tissue Integrity

The Child With a Musculoskeletal Alteration

The Child With an Endocrine or Metabolic Alteration

The Child With a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With a Developmental Disability

The Child With a Sensory Alteration

Filters

Nurses need to know that when any woman is admitted to the hospital and is _ to _ weeks pregnant,she should receive antenatal glucocorticoids unless she has chorioamnionitis.Because these drugs require a 24-hour period to become effective,timely administration is essential.