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

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

A woman who is 24 weeks pregnant is placed on an IV infusion of magnesium sulfate. The nurse should inform the patient that she might experience the side effect of this drug which is:

The frustrated patient in hypotonic labor complains "My doctor won't induce my labor because of some silly Bishop score. He said I was a 4. What kind of magic number do I need?" The nurse explains that prior to induction the patient should be a Bishop score of at least:

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

The client has been declared to be in hypotonic labor. Among the interventions a nurse could apply to help the labor progress are: Select all that apply.

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:

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

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 2 weeks past her expected delivery date who is receiving an oxytocin infusion to induce labor begins to have contractions every 90 seconds. The nurse's initial action should be to:

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

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

When a hypotonic labor dysfunction occurs in a patient who is dilated to 5 cm with membranes intact, the nurse informs the patient that the physician most likely will:

The nurse reviews for the childbirth preparation class the rationales for labor induction, which are: Select all that apply.

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:

Following an amniotomy, the umbilical cord becomes depressed. The nurse prepares the client for an installation of a bolus of warm sterile saline into the uterus, which is called ____________________.

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

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 new mother is distressed and tearful about the elevated dome over her baby's posterior fontanelle. The nurse's best response is, "This condition will resolve itself in a few days. It is caused by:

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