Question 1

With regard 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 client develops pulmonary edema while on 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 client develops pulmonary edema while on tocolytics,intravenous (IV) fluids should be given.

Question 2

In planning for home care of a woman with preterm labor,the nurse needs to address what concern?

Accepted Answer

A) Nursing assessments will be different from those done in the hospital setting. 
B) Restricted activity and medications will be necessary to prevent recurrence of preterm labor. 
C) Prolonged bed rest may cause negative physiologic effects. 
D) Home health care providers will be necessary. 
A) Nursing assessments will be different from those done in the hospital setting. 
B) Restricted activity and medications will be necessary to prevent recurrence of preterm labor. 
C) Prolonged bed rest may cause negative physiologic effects. 
D) Home health care providers will be necessary.

Question 3

The nurse is caring for a client whose labor is being augmented with oxytocin. He or she recognizes that the oxytocin should be discontinued immediately if there is evidence of:

Accepted Answer

A) Uterine contractions occurring every 8 to 10 minutes. 
B) A fetal heart rate (FHR) of 180 with absence of variability. 
C) The client needing to void. 
D) Rupture of the client's amniotic membranes. 
A) Uterine contractions occurring every 8 to 10 minutes. 
B) A fetal heart rate (FHR) of 180 with absence of variability. 
C) The client needing to void. 
D) Rupture of the client's amniotic membranes.

Question 4

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:

Accepted Answer

A) Viral 
B) Periodontal 
C) Cervical 
D) Urinary tract 
A) Viral 
B) Periodontal 
C) Cervical 
D) Urinary tract

Question 5

The nurse providing care for a woman with preterm labor on terbutaline would include which intervention to identify side effects of the drug?

Accepted Answer

A) Assessing deep tendon reflexes (DTRs) 
B) Assessing for dyspnea and crackles 
C) Assessing for bradycardia 
D) Assessing for hypoglycemia 
A) Assessing deep tendon reflexes (DTRs) 
B) Assessing for dyspnea and crackles 
C) Assessing for bradycardia 
D) Assessing for hypoglycemia

Question 6

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

Accepted Answer

A) Urine output of 160 ml in 4 hours 
B) Deep tendon reflexes 2+ and no clonus 
C) Respiratory rate of 16 breaths/min 
D) Serum magnesium level of 10 mg/dl 
A) Urine output of 160 ml in 4 hours 
B) Deep tendon reflexes 2+ and no clonus 
C) Respiratory rate of 16 breaths/min 
D) Serum magnesium level of 10 mg/dl

Question 7

The nurse recognizes that uterine hyperstimulation with oxytocin requires emergency interventions. What clinical cues would alert the nurse that the woman is experiencing uterine hyperstimulation? Choose all that apply.

Accepted Answer

A) Uterine contractions lasting 2 minutes in frequency 
B) Uterine contractions lasting >90 seconds and occurring 20 mm Hg 
E) Increased uterine activity accompanied by a nonreassuring fetal heart rate (FHR) and pattern 
A) Uterine contractions lasting 2 minutes in frequency 
B) Uterine contractions lasting >90 seconds and occurring 20 mm Hg 
E) Increased uterine activity accompanied by a nonreassuring fetal heart rate (FHR) and pattern

Question 8

The nurse providing care to a woman in labor should be aware that cesarean birth:

Accepted Answer

A) Is declining in frequency in the twenty-first century in the United States. 
B) Is more likely to be done for the poor in public hospitals who do not get the nurse counseling that wealthier clients do. 
C) Is performed primarily for the benefit of the fetus. 
D) Can be either elected or refused by women as their absolute legal right. 
A) Is declining in frequency in the twenty-first century in the United States. 
B) Is more likely to be done for the poor in public hospitals who do not get the nurse counseling that wealthier clients do. 
C) Is performed primarily for the benefit of the fetus. 
D) Can be either elected or refused by women as their absolute legal right.

Question 9

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 10

Approximately 50% of all women who give birth prematurely have no identifiable risk factors,and about 50% of preterm births could not be prevented.

Accepted Answer

A) True 
 B)False

Question 11

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

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.

Exam 19: Labor and Birth at Risk

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

In planning for home care of a woman with preterm labor,the nurse needs to address what concern?

The nurse is caring for a client whose labor is being augmented with oxytocin. He or she recognizes that the oxytocin should be discontinued immediately if there is evidence of:

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:

The nurse providing care for a woman with preterm labor on terbutaline would include which intervention to identify side effects of the drug?

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

The nurse recognizes that uterine hyperstimulation with oxytocin requires emergency interventions. What clinical cues would alert the nurse that the woman is experiencing uterine hyperstimulation? Choose all that apply.

The nurse providing care to a woman in labor should be aware that cesarean birth:

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

Approximately 50% of all women who give birth prematurely have no identifiable risk factors,and about 50% of preterm births could not be prevented.

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

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

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

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

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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