Question 1

What should the nurse be aware of with regard to dysfunctional labour?

Accepted Answer

A)  Women who are underweight are more at risk. 
B)  Women experiencing precipitous labour often express feelings of disbelief about their labour. 
C)  Hypertonic uterine dysfunction is more common than hypotonic dysfunction. 
D)  Abnormal labour patterns are most common in older women. 
A)  Women who are underweight are more at risk. 
B)  Women experiencing precipitous labour often express feelings of disbelief about their labour. 
C)  Hypertonic uterine dysfunction is more common than hypotonic dysfunction. 
D)  Abnormal labour patterns are most common in older women.

Question 2

The nurse should know that which of the following statements is accurate?

Accepted Answer

A)  The terms preterm birth and low birth weight can be used interchangeably. 
B)  Preterm labour is defined as cervical changes and uterine contractions occurring between 20 and 37 weeks of pregnancy. 
C)  Low birth weight is anything below 3500 g. 
D)  Preterm birth accounts for 18 to 20% of all births. 
A)  The terms preterm birth and low birth weight can be used interchangeably. 
B)  Preterm labour is defined as cervical changes and uterine contractions occurring between 20 and 37 weeks of pregnancy. 
C)  Low birth weight is anything below 3500 g. 
D)  Preterm birth accounts for 18 to 20% of all births.

Question 3

What finding should the nurse expect when evaluating the effectiveness of an oxytocin induction?

Accepted Answer

A)  Contractions lasting 40 to 90 seconds, 2 to 3 minutes apart 
B)  The intensity of contractions being at least 110 to 130 mm Hg 
C)  Labour to progress at least 2 cm/hr dilation 
D)  At least 80 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 being at least 110 to 130 mm Hg 
C)  Labour to progress at least 2 cm/hr dilation 
D)  At least 80 mU/min of oxytocin will be needed to achieve cervical dilation.

Question 4

The nurse providing care for a woman with preterm labour on nifedipine (Adalat)would include which intervention to identify adverse effects of the drug?

Accepted Answer

A)  Assessing deep tendon reflexes (DTRs) 
B)  Assessing for hypotension 
C)  Assessing for bradycardia 
D)  Assessing for hypoglycemia 
A)  Assessing deep tendon reflexes (DTRs) 
B)  Assessing for hypotension 
C)  Assessing for bradycardia 
D)  Assessing for hypoglycemia

Question 5

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 labour?

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 6

The nurse knows that which of the following is the least common cause of dystocia?

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 7

With regard to the psychological complications and risks of forced Caesarean births,nurses should be aware of which of the following?

Accepted Answer

A)  Mothering success is hampered for the woman who has an unplanned Caesarean birth. 
B)  Most women relate to their newborns as quickly and are as likely to breastfeed as those who went through vaginal birth. 
C)  The psychological outcomes are the same as for women who go through scheduled Caesarean births. 
D)  Some couples (and individuals) have sexual worries; the women worry about sexual attractiveness, and the men worry about hurting their partners. 
A)  Mothering success is hampered for the woman who has an unplanned Caesarean birth. 
B)  Most women relate to their newborns as quickly and are as likely to breastfeed as those who went through vaginal birth. 
C)  The psychological outcomes are the same as for women who go through scheduled Caesarean births. 
D)  Some couples (and individuals) have sexual worries; the women worry about sexual attractiveness, and the men worry about hurting their partners.

Question 8

For a woman at 42 weeks of gestation,which finding would require more assessment by the nurse?

Accepted Answer

A)  Fetal heart rate of 116 beats/min 
B)  Cervix dilated 2 cm and 50% effaced 
C)  Score of 8 on the biophysical profile 
D)  One fetal movement noted in 1 hour of assessment by the mother 
A)  Fetal heart rate of 116 beats/min 
B)  Cervix dilated 2 cm and 50% effaced 
C)  Score of 8 on the biophysical profile 
D)  One fetal movement noted in 1 hour of assessment by the mother

Exam 19: Labour and Birth at Risk

What should the nurse be aware of with regard to dysfunctional labour?

The nurse should know that which of the following statements is accurate?

What finding should the nurse expect when evaluating the effectiveness of an oxytocin induction?

The nurse providing care for a woman with preterm labour on nifedipine (Adalat)would include which intervention to identify adverse effects of the drug?

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 labour?

The nurse knows that which of the following is the least common cause of dystocia?

With regard to the psychological complications and risks of forced Caesarean births,nurses should be aware of which of the following?

For a woman at 42 weeks of gestation,which finding would require more assessment by the nurse?

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

Health Promotion

Health Assessment

Reproductive Health

Infertility, contraception, and Abortion

Preconception, genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

Developmental Influences on Child Health Promotion

Communication, history, physical, and Developmental Assessment

Pain Assessment and Management

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

Cognitive and Sensory Impairment

Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematological and Immunological Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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