Exam 8: Nursing Care of Women with Complications During Labor and Birth

Following an amniotomy, the nursing assessment that should be reported immediately is:

When a woman is admitted to the labor and delivery unit, she tells the nurse that she is anxious about delivery, the welfare of her infant, and how quickly she will recover. The nurse is aware that anxiety can affect labor by:

A(n) _______________ is a narrow cone inserted into the cervix to "ripen" the cervix to increase uterine contractions.

A pregnant woman's membranes ruptured prematurely at 34 weeks. She will be discharged to her home for the next few weeks. The nurse planning discharge instructions would teach the woman to:

After several hours of labor, a nursing assessment reveals that a woman's cervix is 5 cm dilated but contractions are becoming shorter and less frequent. The nurse knows that this labor pattern is described as:

The nurse is administering terbutaline (Brethine) to a pregnant woman to prevent preterm labor. The nurse would assess for which adverse effect?

A woman who is 33 weeks pregnant is admitted to the obstetric unit because her membranes ruptured spontaneously. She must be closely observed for signs of:

To increase the quality of uterine contractions, the nurse instructs the patient to do what to stimulate her nipples? Select all that apply.

The nurse explains that a "cervical ripening" softens the cervix with the use of:

The nursing care of a woman with a third-degree laceration immediately after delivery would include:

The frustrated patient in labor that has been affected by decreased uterine muscle tone complains, "My doctor won't induce my labor because of some silly score. He said I was a 4. What kind of magic number do I need?" The nurse is aware that prior to induction, the patient should have a Bishop score of at least:

A woman who is 24 weeks' pregnant is placed on an intravenous infusion of magnesium sulfate. The nurse should inform the patient that she might experience what side effect?

A student nurse questions the instructor as to what alteration should be made for the assessment of the fundus of a new postoperative cesarean section patient. The best response is that the fundus of a patient with a cesarean section is:

The initial vaginal examination of a woman admitted to the labor unit reveals that the cervix is dilated 9 cm. The panicked woman asks the nurse, "Please give me something." The most appropriate pain relief intervention for a woman in precipitate labor is to:

After an amniotomy, the nurse should be alert for what sign(s) of infection? Select all that apply.

A pulsating structure is felt during a vaginal examination of a woman in labor. To prevent compression of a prolapsed cord, the nurse would position the woman:

A woman is having a difficult labor because the fetus is presenting in the right occipital position (ROP). To encourage fetal rotation and pain relief the nurse would position the patient:

The nurse explains to a patient that a minimum score of _____ on the Bishop scale is predictive of successful labor induction.

The statement that indicates a woman understands activity limitations for the management of preterm labor is:

The nurse would assess an infant delivered with the use of forceps for: