Exam 32: Labor and Birth Complications

The exact cause of preterm labor is unknown but believed to be multifactorial.Infection is thought to be a major factor in many preterm labors.Which type of infection has not been linked to preterm birth?

A woman at 26 weeks of gestation is being assessed to determine whether she is experiencing preterm labor.Which finding indicates that preterm labor is occurring?

What is a maternal indication for the use of vacuum-assisted birth?

Indications for a primary cesarean birth are often nonrecurring.Therefore,a woman who has had a cesarean birth with a low transverse scar may be a candidate for vaginal birth after cesarean (VBAC).Which clients would be less likely to have a successful VBAC? (Select all that apply).

Which assessment is least likely to be associated with a breech presentation?

What is the primary purpose for the use of tocolytic therapy to suppress uterine activity?

The nurse who elects to work in the specialty of obstetric care must have the ability to distinguish between preterm birth,preterm labor,and low birth weight.Which statement regarding this terminology is correct?

The nurse is performing an assessment on a client who thinks she may be experiencing preterm labor.Which information is the most important for the nurse to understand and share with the client?

A woman in preterm labor at 30 weeks of gestation receives two 12-mg intramuscular (IM)doses of betamethasone.What is the purpose of this pharmacologic intervention?

Which description most accurately describes the augmentation of labor?

The obstetric provider has informed the nurse that she will be performing an amniotomy on the client to induce labor.What is the nurse's highest priority intervention after the amniotomy is performed?

A pregnant woman's amniotic membranes have ruptured.A prolapsed umbilical cord is suspected.What intervention would be the nurse's highest priority?

Which statement related to the induction of labor is most accurate?

In planning for home care of a woman with preterm labor,which concern should the nurse need to address?

Which nursing intervention is paramount when providing care to a client with preterm labor who has received terbutaline?

Women who are obese are at risk for several complications during pregnancy and birth.Which of these would the nurse anticipate with an obese client? (Select all that apply).

Prostaglandin gel has been ordered for a pregnant woman at 43 weeks of gestation.What is the primary purpose of prostaglandin administration?

A woman is having her first child.She has been in labor for 15 hours.A vaginal examination performed 2 hours earlier revealed the cervix to be dilated to 5 cm and 100% effaced,and the presenting part of the fetus was at station 0; however,another vaginal examination performed 5 minutes ago indicated no changes.What abnormal labor pattern is associated with this description?

A client at 39 weeks of gestation has been admitted for an external version.Which intervention would the nurse anticipate the provider to order?

The nurse is teaching a client with preterm premature rupture of membranes (PPROM)regarding self-care activities.Which activities should the nurse include in her teaching?