Exam 17: Labor and Birth Complications

The nurse,caring for a patient whose labor is being augmented with oxytocin,recognizes that the oxytocin should be discontinued immediately if there is evidence of:

The priority nursing intervention after an amniotomy should be to:

Nurses should be aware that the induction of labor:

Before the physician performs an external version,the nurse should expect an order for a:

The exact cause of preterm labor is unknown and believed to be multifactorial.Infection is thought to be a major factor in many preterm labors.Select the type of infection that has not been linked to preterm births.

With regard to the care management of preterm labor,nurses should be aware that:

In evaluating the effectiveness of magnesium sulfate for the treatment of preterm labor,what finding would alert the nurse to possible side effects?

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?

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

Induction of labor is considered an acceptable obstetric procedure if it is in the best interest to deliver the fetus.The charge nurse in the labor and delivery unit is often asked to schedule patients for this procedure and therefore must be cognizant of the specific conditions appropriate for labor induction.These include: (Select all that apply.)

With regard to dysfunctional labor,nurses should be aware that:

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

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:

The nurse practicing in a labor setting knows that the woman most at risk for uterine rupture is:

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

A pregnant woman's amniotic membranes rupture.Prolapsed umbilical cord is suspected.What intervention would be the top priority?

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?

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

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

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