Question 1

In evaluating the effectiveness of oxytocin induction,the nurse would expect:

Accepted Answer

A) Contractions lasting 40 to 90 seconds, 2 to 3 minutes apart. 
B) The intensity of contractions to be at least 110 to 130 mm Hg. 
C) Labor to progress at least 2 cm/hr dilation. 
D) At least 30 mU/min of oxytocin will be needed to achieve cervical dilation. 
A) Contractions lasting 40 to 90 seconds, 2 to 3 minutes apart. 
B) The intensity of contractions to be at least 110 to 130 mm Hg. 
C) Labor to progress at least 2 cm/hr dilation. 
D) At least 30 mU/min of oxytocin will be needed to achieve cervical dilation.

Question 2

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) Arrest of active phase 
D) Protracted descent 
A) Prolonged latent phase 
B) Protracted active phase 
C) Arrest of active phase 
D) Protracted descent

Question 3

Surgical,medical,or mechanical methods may be used for labor induction.Which technique is considered a mechanical method of induction?

Accepted Answer

A) Amniotomy 
B) Intravenous Pitocin 
C) Transcervical catheter 
D) Vaginal insertion of prostaglandins 
A) Amniotomy 
B) Intravenous Pitocin 
C) Transcervical catheter 
D) Vaginal insertion of prostaglandins

Question 4

Nurses should know some basic definitions concerning preterm birth,preterm labor,and low birth weight.For instance:

Accepted Answer

A) The terms preterm birth and low birth weight can be used interchangeably. 
B) Preterm labor is defined as cervical changes and uterine contractions occurring between 20 and 37 weeks of pregnancy. 
C) Low birth weight is anything below 3.7 pounds. 
D) In the United States early in this century, preterm birth accounted for 18% to 20% of all births. 
A) The terms preterm birth and low birth weight can be used interchangeably. 
B) Preterm labor is defined as cervical changes and uterine contractions occurring between 20 and 37 weeks of pregnancy. 
C) Low birth weight is anything below 3.7 pounds. 
D) In the United States early in this century, preterm birth accounted for 18% to 20% of all births.

Question 5

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

Accepted Answer

A) Nursing assessments will be different from those done in the hospital setting. 
B) Restricted activity and medications will be necessary to prevent recurrence of preterm labor. 
C) Prolonged bed rest may cause negative physiologic effects. 
D) Home health care providers will be necessary. 
A) Nursing assessments will be different from those done in the hospital setting. 
B) Restricted activity and medications will be necessary to prevent recurrence of preterm labor. 
C) Prolonged bed rest may cause negative physiologic effects. 
D) Home health care providers will be necessary.

Question 6

As relates to the use of tocolytic therapy to suppress uterine activity,nurses should be aware that:

Accepted Answer

A) The drugs can be given efficaciously up to the designated beginning of term at 37 weeks. 
B) There are no important maternal (as opposed to fetal) contraindications. 
C) Its most important function is to afford the opportunity to administer antenatal glucocorticoids. 
D) If the client develops pulmonary edema while receiving tocolytics, intravenous (IV) fluids should be given. 
A) The drugs can be given efficaciously up to the designated beginning of term at 37 weeks. 
B) There are no important maternal (as opposed to fetal) contraindications. 
C) Its most important function is to afford the opportunity to administer antenatal glucocorticoids. 
D) If the client develops pulmonary edema while receiving tocolytics, intravenous (IV) fluids should be given.

Question 7

The least common cause of long,difficult,or abnormal labor (dystocia)is:

Accepted Answer

A) Midplane contracture of the pelvis. 
B) Compromised bearing-down efforts as a result of pain medication. 
C) Disproportion of the pelvis. 
D) Low-lying placenta. 
A) Midplane contracture of the pelvis. 
B) Compromised bearing-down efforts as a result of pain medication. 
C) Disproportion of the pelvis. 
D) Low-lying placenta.

Question 8

A woman in preterm labor at 30 weeks of gestation receives two 12-mg doses of betamethasone intramuscularly.The purpose of this pharmacologic treatment is to:

Accepted Answer

A) Stimulate fetal surfactant production. 
B) Reduce maternal and fetal tachycardia associated with ritodrine administration. 
C) Suppress uterine contractions. 
D) Maintain adequate maternal respiratory effort and ventilation during magnesium sulfate therapy. 
A) Stimulate fetal surfactant production. 
B) Reduce maternal and fetal tachycardia associated with ritodrine administration. 
C) Suppress uterine contractions. 
D) Maintain adequate maternal respiratory effort and ventilation during magnesium sulfate therapy.

Question 9

Immediately after the forceps-assisted birth of an infant,the nurse should:

Accepted Answer

A) Assess the infant for signs of trauma. 
B) Give the infant prophylactic antibiotics. 
C) Apply a cold pack to the infant's scalp. 
D) Measure the circumference of the infant's head. 
A) Assess the infant for signs of trauma. 
B) Give the infant prophylactic antibiotics. 
C) Apply a cold pack to the infant's scalp. 
D) Measure the circumference of the infant's head.

Question 10

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 11

The standard of care for obstetrics dictates that an internal version may be used to manipulate the:

Accepted Answer

A) Fetus from a breech to a cephalic presentation before labor begins. 
B) Fetus from a transverse lie to a longitudinal lie before cesarean birth. 
C) Second twin from an oblique lie to a transverse lie before labor begins. 
D) Second twin from a transverse lie to a breech presentation during vaginal birth. 
A) Fetus from a breech to a cephalic presentation before labor begins. 
B) Fetus from a transverse lie to a longitudinal lie before cesarean birth. 
C) Second twin from an oblique lie to a transverse lie before labor begins. 
D) Second twin from a transverse lie to a breech presentation during vaginal birth.

Question 12

While caring for the patient who requires an induction of labor,the nurse should be cognizant that:

Accepted Answer

A) Ripening the cervix usually results in a decreased success rate for induction. 
B) Labor sometimes can be induced with balloon catheters or laminaria tents. 
C) Oxytocin is less expensive than prostaglandins and more effective but creates greater health risks. 
D) Amniotomy can be used to make the cervix more favorable for labor. 
A) Ripening the cervix usually results in a decreased success rate for induction. 
B) Labor sometimes can be induced with balloon catheters or laminaria tents. 
C) Oxytocin is less expensive than prostaglandins and more effective but creates greater health risks. 
D) Amniotomy can be used to make the cervix more favorable for labor.

Question 13

A maternal indication for the use of vacuum extraction is:

Accepted Answer

A) A wide pelvic outlet. 
B) Maternal exhaustion. 
C) A history of rapid deliveries. 
D) Failure to progress past 0 station. 
A) A wide pelvic outlet. 
B) Maternal exhaustion. 
C) A history of rapid deliveries. 
D) Failure to progress past 0 station.

Question 14

Complications and risks associated with cesarean births include (Select all that apply):

Accepted Answer

A) Placental abruption. 
B) Wound dehiscence. 
C) Hemorrhage. 
D) Urinary tract infections. 
E) Fetal injuries. 
A) Placental abruption. 
B) Wound dehiscence. 
C) Hemorrhage. 
D) Urinary tract infections. 
E) Fetal injuries.

Question 15

To provide safe care for the woman,the nurse understands that which condition is a contraindication for an amniotomy?

Accepted Answer

A) Dilation less than 3 cm 
B) Cephalic presentation 
C) -2 station 
D) Right occiput posterior position 
A) Dilation less than 3 cm 
B) Cephalic presentation 
C) -2 station 
D) Right occiput posterior position

Question 16

The nurse providing care for a woman with preterm labor who is receiving terbutaline would include which intervention to identify side effects of the drug?

Accepted Answer

A) Assessing deep tendon reflexes (DTRs) 
B) Assessing for chest discomfort and palpitations 
C) Assessing for bradycardia 
D) Assessing for hypoglycemia 
A) Assessing deep tendon reflexes (DTRs) 
B) Assessing for chest discomfort and palpitations 
C) Assessing for bradycardia 
D) Assessing for hypoglycemia

Question 17

The priority nursing intervention after an amniotomy should be to:

Accepted Answer

A) Assess the color of the amniotic fluid. 
B) Change the patient's gown. 
C) Estimate the amount of amniotic fluid. 
D) Assess the fetal heart rate. 
A) Assess the color of the amniotic fluid. 
B) Change the patient's gown. 
C) Estimate the amount of amniotic fluid. 
D) Assess the fetal heart rate.

Question 18

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

Accepted Answer

A) Meconium-stained amniotic fluid 
B) Fetal heart tones heard at or above the maternal umbilicus 
C) Preterm labor and birth 
D) Post-term gestation 
A) Meconium-stained amniotic fluid 
B) Fetal heart tones heard at or above the maternal umbilicus 
C) Preterm labor and birth 
D) Post-term gestation

Exam 17: Labor and Birth Complications

In evaluating the effectiveness of oxytocin induction,the nurse would expect:

Surgical,medical,or mechanical methods may be used for labor induction.Which technique is considered a mechanical method of induction?

Nurses should know some basic definitions concerning preterm birth,preterm labor,and low birth weight.For instance:

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

As relates to the use of tocolytic therapy to suppress uterine activity,nurses should be aware that:

The least common cause of long,difficult,or abnormal labor (dystocia)is:

A woman in preterm labor at 30 weeks of gestation receives two 12-mg doses of betamethasone intramuscularly.The purpose of this pharmacologic treatment is to:

Immediately after the forceps-assisted birth of an infant,the nurse should:

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?

The standard of care for obstetrics dictates that an internal version may be used to manipulate the:

While caring for the patient who requires an induction of labor,the nurse should be cognizant that:

A maternal indication for the use of vacuum extraction is:

Complications and risks associated with cesarean births include (Select all that apply):

To provide safe care for the woman,the nurse understands that which condition is a contraindication for an amniotomy?

The nurse providing care for a woman with preterm labor who is receiving terbutaline would include which intervention to identify side effects of the drug?

The priority nursing intervention after an amniotomy should be to:

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

21st Century Maternity Nursing

Community Care: the Family and Culture

Assessment and Health Promotion

Reproductive System Concerns

Infertility,contraception,and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High Risk Pregnancy

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Pain Management

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Maternal Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication, history, and Physical Assessment

Pain Assessment and Management in Children

The Infant and Family

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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