Question 1

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 2

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 3

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 patient 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 patient develops pulmonary edema while receiving tocolytics, intravenous (IV) fluids should be given.

Question 4

With regard to the process of augmentation of labor,the nurse should be aware that it:

Accepted Answer

A)  is part of the active management of labor that is instituted when the labor process is unsatisfactory. 
B)  relies on more invasive methods when oxytocin and amniotomy have failed. 
C)  is a modern management term to cover up the negative connotations of forceps-assisted birth. 
D)  uses vacuum cups. 
A)  is part of the active management of labor that is instituted when the labor process is unsatisfactory. 
B)  relies on more invasive methods when oxytocin and amniotomy have failed. 
C)  is a modern management term to cover up the negative connotations of forceps-assisted birth. 
D)  uses vacuum cups.

Question 5

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 6

A maternal indication for the use of forceps 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 7

Prepidil (prostaglandin gel)has been ordered for a pregnant woman at 43 weeks of gestation.The nurse recognizes that this medication will be administered to:

Accepted Answer

A)  enhance uteroplacental perfusion in an aging placenta. 
B)  increase amniotic fluid volume. 
C)  ripen the cervix in preparation for labor induction. 
D)  stimulate the amniotic membranes to rupture. 
A)  enhance uteroplacental perfusion in an aging placenta. 
B)  increase amniotic fluid volume. 
C)  ripen the cervix in preparation for labor induction. 
D)  stimulate the amniotic membranes to rupture.

Question 8

The priority nursing care associated with an oxytocin (Pitocin)infusion is:

Accepted Answer

A)  measuring urinary output. 
B)  increasing infusion rate every 30 minutes. 
C)  monitoring uterine response. 
D)  evaluating cervical dilation. 
A)  measuring urinary output. 
B)  increasing infusion rate every 30 minutes. 
C)  monitoring uterine response. 
D)  evaluating cervical dilation.

Question 9

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 10

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 11

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

Accepted Answer

A)  contractions lasting 80 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 80 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.

Exam 17: Labor and Birth Complications

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

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?

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

With regard to the process of augmentation of labor,the nurse should be aware that it:

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

A maternal indication for the use of forceps is:

Prepidil (prostaglandin gel)has been ordered for a pregnant woman at 43 weeks of gestation.The nurse recognizes that this medication will be administered to:

The priority nursing care associated with an oxytocin (Pitocin)infusion is:

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

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

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

21st Century Maternity Nursing

The Family, culture, spirituality, and Home Care

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

High-Risk Perinatal Care: Preexisting Conditions

High-Risk Perinatal Care: Gestational Conditions

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Postpartum 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 and Physical Assessment of the Child and Family

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

Impact of Chronic Illness, disability, or End-Of-Life Care for the Child and Family

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

The Child With Respiratory Dysfunction

The Child With Gastrointestinal Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Genitourinary Dysfunction

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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