Question 1

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 D

Question 2

With regard to the psychologic complications and risks of forced cesarean births,nurses should be aware that:

Accepted Answer

A) A family's worries about extra cost are unfounded;vaginal birth and unscheduled cesarean births cost about the same. 
B) Most women relate to their newborns as quickly and are as likely to breastfeed as those who went through vaginal birth. 
C) The psychologic outcomes are the same as for women who go through scheduled cesarean births. 
D) Some couples (and individuals) have sexual worries;the women worry about sexual attractiveness,and the men worry about hurting their partners. 
A) A family's worries about extra cost are unfounded;vaginal birth and unscheduled cesarean births cost about the same. 
B) Most women relate to their newborns as quickly and are as likely to breastfeed as those who went through vaginal birth. 
C) The psychologic outcomes are the same as for women who go through scheduled cesarean births. 
D) Some couples (and individuals) have sexual worries;the women worry about sexual attractiveness,and the men worry about hurting their partners. D

Question 3

Nurses should be aware that the induction of labor:

Accepted Answer

A) Can be achieved by external and internal version techniques. 
B) Is also known as a trial of labor (TOL). 
C) Is almost always done for medical reasons. 
D) Is rated for viability by a Bishop score. 
A) Can be achieved by external and internal version techniques. 
B) Is also known as a trial of labor (TOL). 
C) Is almost always done for medical reasons. 
D) Is rated for viability by a Bishop score. D

Question 4

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

Accepted Answer

A) Because all women must be considered at risk for preterm labor and prediction is so hit-and-miss,teaching pregnant women the symptoms probably causes more harm through false alarms. 
B) Braxton Hicks contractions often signal the onset of preterm labor. 
C) Because preterm labor is likely to be the start of an extended labor,a woman with symptoms can wait several hours before contacting the primary caregiver. 
D) The diagnosis of preterm labor is based on gestational age,uterine activity,and progressive cervical change. 
A) Because all women must be considered at risk for preterm labor and prediction is so hit-and-miss,teaching pregnant women the symptoms probably causes more harm through false alarms. 
B) Braxton Hicks contractions often signal the onset of preterm labor. 
C) Because preterm labor is likely to be the start of an extended labor,a woman with symptoms can wait several hours before contacting the primary caregiver. 
D) The diagnosis of preterm labor is based on gestational age,uterine activity,and progressive cervical change.

Question 5

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 6

____________________ is defined as long,difficult,or abnormal labor. It is caused by various conditions associated with the five factors affecting labor.

Accepted Answer

The answer of ____________________ is defined as long,difficult,or abnormal labor....

Question 7

In planning for an expected cesarean birth for a woman who has given birth by cesarean previously and who has a fetus in the transverse presentation,the nurse would include what information?

Accepted Answer

A) "Because this is a repeat procedure,you are at the lowest risk for complications." 
B) "Even though this is your second cesarean birth,you may wish to review the preoperative and postoperative procedures." 
C) "Because this is your second cesarean birth,you will recover faster." 
D) "You will not need preoperative teaching because this is your second cesarean birth." 
A) "Because this is a repeat procedure,you are at the lowest risk for complications." 
B) "Even though this is your second cesarean birth,you may wish to review the preoperative and postoperative procedures." 
C) "Because this is your second cesarean birth,you will recover faster." 
D) "You will not need preoperative teaching because this is your second cesarean birth."

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

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 10

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 11

A nurse is caring for a client in the active phase of labor. The woman's bag of waters spontaneously ruptures. Suddenly the woman complains of dyspnea and appears restless and cyanotic. In addition,she becomes hypotensive and tachycardic. The nurse immediately suspects the presence of:__________________________________.

Accepted Answer

An amnioti

Question 12

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

Question 13

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?

Accepted Answer

A) Estriol is not found in maternal saliva. 
B) Irregular,mild uterine contractions are occurring every 12 to 15 minutes. 
C) Fetal fibronectin is present in vaginal secretions. 
D) The cervix is effacing and dilated to 2 cm. 
A) Estriol is not found in maternal saliva. 
B) Irregular,mild uterine contractions are occurring every 12 to 15 minutes. 
C) Fetal fibronectin is present in vaginal secretions. 
D) The cervix is effacing and dilated to 2 cm.

Question 14

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

Accepted Answer

A) Women who are underweight are more at risk. 
B) Women experiencing precipitous labor are about the only "dysfunctionals" not to be exhausted. 
C) Hypertonic uterine dysfunction is more common than hypotonic dysfunction. 
D) Abnormal labor patterns are most common in older women. 
A) Women who are underweight are more at risk. 
B) Women experiencing precipitous labor are about the only "dysfunctionals" not to be exhausted. 
C) Hypertonic uterine dysfunction is more common than hypotonic dysfunction. 
D) Abnormal labor patterns are most common in older women.

Question 15

With regard to the process of inducing labor,nurses should be aware 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 16

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

Accepted Answer

A) Pulmonary edema. 
B) Wound dehiscence. 
C) Hemorrhage. 
D) Urinary tract infections. 
E) Fetal injuries.
F)None of the above 
A) Pulmonary edema. 
B) Wound dehiscence. 
C) Hemorrhage. 
D) Urinary tract infections. 
E) Fetal injuries.
F)None of the above

Question 17

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 18

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 19

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

Accepted Answer

A) Placing the woman in the knee-chest position 
B) Covering the cord in sterile gauze soaked in saline 
C) Preparing the woman for a cesarean birth 
D) Starting oxygen by face mask 
A) Placing the woman in the knee-chest position 
B) Covering the cord in sterile gauze soaked in saline 
C) Preparing the woman for a cesarean birth 
D) Starting oxygen by face mask

Question 20

A pregnant woman at 29 weeks of gestation has been diagnosed with preterm labor. Her labor is being controlled with tocolytic medications. She asks when she might be able to go home. What response by the nurse is most accurate?

Accepted Answer

A) "After the baby is born." 
B) "When we can stabilize your preterm labor and arrange home health visits." 
C) "Whenever the doctor says that it is okay." 
D) "It depends on what kind of insurance coverage you have." 
A) "After the baby is born." 
B) "When we can stabilize your preterm labor and arrange home health visits." 
C) "Whenever the doctor says that it is okay." 
D) "It depends on what kind of insurance coverage you have."

Exam 19: Labor and Birth at Risk

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

With regard to the psychologic complications and risks of forced cesarean births,nurses should be aware that:

Nurses should be aware that the induction of labor:

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

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

____________________ is defined as long,difficult,or abnormal labor. It is caused by various conditions associated with the five factors affecting labor.

In planning for an expected cesarean birth for a woman who has given birth by cesarean previously and who has a fetus in the transverse presentation,the nurse would include what information?

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:

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?

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

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

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?

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

With regard to the process of inducing labor,nurses should be aware that:

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

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:

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

A pregnant woman at 29 weeks of gestation has been diagnosed with preterm labor. Her labor is being controlled with tocolytic medications. She asks when she might be able to go home. What response by the nurse is most accurate?

Contemporary Maternity Nursing

The Family and Culture

Community and Home Care

Health Promotion and Illness Prevention

Health Assessment

Common Health Problems

Infertility,Contraception,and Abortion

Genetics,Conception,and Fetal Development

Assessment for Risk Factors

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

Maternal and Fetal Nutrition

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Management of Discomfort

Fetal Assessment During Labor

Nursing Care During Labor and Birth

Maternal Physiologic Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiologic 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

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

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The Preschooler and Family

The School-Age Child and Family

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Chronic Illness, Disability and End of Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

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