Question 1

The greatest risk to the newborn after an elective cesarean birth is

Accepted Answer

A)  trauma due to manipulation during delivery. 
B)  tachypnea due to maternal anesthesia. 
C)  prematurity due to miscalculation of gestation. 
D)  tachycardia due to maternal narcotics. 
A)  trauma due to manipulation during delivery. 
B)  tachypnea due to maternal anesthesia. 
C)  prematurity due to miscalculation of gestation. 
D)  tachycardia due to maternal narcotics. C

Question 2

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

Accepted Answer

A)  Amniotomy 
B)  Intravenous Pitocin 
C)  Transcervical catheter 
D)  Vaginal insertion of prostaglandins 
A)  Amniotomy 
B)  Intravenous Pitocin 
C)  Transcervical catheter 
D)  Vaginal insertion of prostaglandins C

Question 3

The nurse knows that a urinary catheter is added to the instrument table if a forceps-assisted birth is anticipated.What is the correct rationale for this intervention?

Accepted Answer

A)  Spontaneous release of urine might contaminate the sterile field. 
B)  An empty bladder provides more room in the pelvis. 
C)  A sterile urine specimen is needed preoperatively. 
D)  A Foley catheter prevents the membranes from spontaneously rupturing. 
A)  Spontaneous release of urine might contaminate the sterile field. 
B)  An empty bladder provides more room in the pelvis. 
C)  A sterile urine specimen is needed preoperatively. 
D)  A Foley catheter prevents the membranes from spontaneously rupturing. B

Question 4

A nurse assesses a woman and gathers the following data:
Dilation: 4 cm
Effacement: 60%
Fetal station: 0
Cervical consistency: medium
Cervical position: middle
Calculate this woman's Bishop score ____________

Accepted Answer

8
This scoring system evaluate

Question 5

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

Accepted Answer

A)  3 who has had two low-segment transverse cesarean births. 
B)  2 who has had a low-segment vertical incision for delivery of a 10-pound infant. 
C)  5 who has had two vaginal births and two cesarean births. 
D)  4 who has had four cesarean births. 
A)  3 who has had two low-segment transverse cesarean births. 
B)  2 who has had a low-segment vertical incision for delivery of a 10-pound infant. 
C)  5 who has had two vaginal births and two cesarean births. 
D)  4 who has had four cesarean births.

Question 6

What is an appropriate response to a woman's comment that she is worried about having a cesarean birth?

Accepted Answer

A)  "Don't worry. Everything will be okay." 
B)  "What are your feelings about having a cesarean birth?" 
C)  "I know you're worried, but this is a routine procedure." 
D)  "Patients commonly worry about surgery." 
A)  "Don't worry. Everything will be okay." 
B)  "What are your feelings about having a cesarean birth?" 
C)  "I know you're worried, but this is a routine procedure." 
D)  "Patients commonly worry about surgery."

Question 7

An indication for an episiotomy would be a woman who

Accepted Answer

A)  has a routine vaginal birth. 
B)  has fetal shoulder dystocia. 
C)  is delivering a preterm infant. 
D)  has a history of rapid deliveries. 
A)  has a routine vaginal birth. 
B)  has fetal shoulder dystocia. 
C)  is delivering a preterm infant. 
D)  has a history of rapid deliveries.

Question 8

When preparing a woman for a cesarean birth,the nurse's care should include

Accepted Answer

A)  injection of narcotic preoperative medications. 
B)  full perineal shave preparation. 
C)  straight catheterization to empty the bladder. 
D)  administration of an oral antacid. 
A)  injection of narcotic preoperative medications. 
B)  full perineal shave preparation. 
C)  straight catheterization to empty the bladder. 
D)  administration of an oral antacid.

Question 9

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

Accepted Answer

A)  tocolytic drug. 
B)  contraction stress test (CST). 
C)  local anesthetic. 
D)  indwelling catheter. 
A)  tocolytic drug. 
B)  contraction stress test (CST). 
C)  local anesthetic. 
D)  indwelling catheter.

Question 10

The nurse understands that which condition is a contraindication for an amniotomy?

Accepted Answer

A)  Dilation less than 3 cm 
B)  Cephalic presentation 
C)  -2 station 
D)  Right occiput posterior position 
A)  Dilation less than 3 cm 
B)  Cephalic presentation 
C)  -2 station 
D)  Right occiput posterior position

Question 11

A new graduate nurse is preparing to hang oxytocin for a woman to augment her labor.What action by the new nurse warrants intervention from the preceptor?

Accepted Answer

A)  Adds oxytocin to the IV as a piggyback 
B)  Programs the IV pump for a primary infusion 
C)  Assesses FHR and uterine activity prior to starting the infusion 
D)  Attaches the infusion line to the proximal port 
A)  Adds oxytocin to the IV as a piggyback 
B)  Programs the IV pump for a primary infusion 
C)  Assesses FHR and uterine activity prior to starting the infusion 
D)  Attaches the infusion line to the proximal port

Question 12

Which event indicates a complication of an external version?

Accepted Answer

A)  Maternal pulse rate of 100 bpm 
B)  Fetal bradycardia persisting 10 minutes after the version 
C)  Fetus returning to the original position 
D)  Increased maternal anxiety after the version 
A)  Maternal pulse rate of 100 bpm 
B)  Fetal bradycardia persisting 10 minutes after the version 
C)  Fetus returning to the original position 
D)  Increased maternal anxiety after the version

Question 13

A woman is going to have a vaccum extraction delivery.What nursing intervention is most important to prevent complications?

Accepted Answer

A)  Empty the woman's bladder. 
B)  Apply cold packs to the perineum. 
C)  Assess vital signs after the procedure. 
D)  Monitor the woman's temperature. 
A)  Empty the woman's bladder. 
B)  Apply cold packs to the perineum. 
C)  Assess vital signs after the procedure. 
D)  Monitor the woman's temperature.

Question 14

A nursing faculty member explains to students that which patient status is an acceptable indication for serial oxytocin induction of labor?

Accepted Answer

A)  Past 42 weeks' gestation 
B)  Multiple fetuses 
C)  Polyhydramnios 
D)  History of long labors 
A)  Past 42 weeks' gestation 
B)  Multiple fetuses 
C)  Polyhydramnios 
D)  History of long labors

Question 15

The standard of care for obstetrics dictates that an internal version might 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 16

Prior to cesarean birth,the nurse places the indwelling catheter and tubing in which manner?

Accepted Answer

A)  Placed on the floor on a sterile drape 
B)  Placed near the head of the table 
C)  Clamped during the cesarean section 
D)  Positioned at the foot of the bed 
A)  Placed on the floor on a sterile drape 
B)  Placed near the head of the table 
C)  Clamped during the cesarean section 
D)  Positioned at the foot of the bed

Question 17

To monitor for potential hemorrhage in the woman who has just had a cesarean birth,what action by the recovery room nurse is most appropriate?

Accepted Answer

A)  Maintain an intravenous infusion at 100 mL/hr. 
B)  Assess the abdominal dressings for drainage. 
C)  Assess the uterus for firmness every 15 minutes. 
D)  Monitor her urinary output. 
A)  Maintain an intravenous infusion at 100 mL/hr. 
B)  Assess the abdominal dressings for drainage. 
C)  Assess the uterus for firmness every 15 minutes. 
D)  Monitor her urinary output.

Question 18

The labor and delivery nurse must be cognizant of the specific conditions appropriate for labor induction,including which of the following? (Select all that apply.)

Accepted Answer

A)  Rupture of membranes at or near term 
B)  Convenience of the woman or her physician 
C)  Chorioamnionitis 
D)  Postterm pregnancy 
E)  Fetal death 
A)  Rupture of membranes at or near term 
B)  Convenience of the woman or her physician 
C)  Chorioamnionitis 
D)  Postterm pregnancy 
E)  Fetal death

Question 19

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 20

The nurse caring for a woman in labor understands that the primary risk associated with an amniotomy is

Accepted Answer

A)  maternal infection. 
B)  maternal hemorrhage. 
C)  prolapse of the umbilical cord. 
D)  separation of the placenta. 
A)  maternal infection. 
B)  maternal hemorrhage. 
C)  prolapse of the umbilical cord. 
D)  separation of the placenta.

Exam 19: Nursing Care during Obstetric Procedures

The greatest risk to the newborn after an elective cesarean birth is

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

The nurse knows that a urinary catheter is added to the instrument table if a forceps-assisted birth is anticipated.What is the correct rationale for this intervention?

A nurse assesses a woman and gathers the following data: Dilation: 4 cm Effacement: 60% Fetal station: 0 Cervical consistency: medium Cervical position: middle Calculate this woman's Bishop score ____________

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

What is an appropriate response to a woman's comment that she is worried about having a cesarean birth?

An indication for an episiotomy would be a woman who

When preparing a woman for a cesarean birth,the nurse's care should include

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

The nurse understands that which condition is a contraindication for an amniotomy?

A new graduate nurse is preparing to hang oxytocin for a woman to augment her labor.What action by the new nurse warrants intervention from the preceptor?

Which event indicates a complication of an external version?

A woman is going to have a vaccum extraction delivery.What nursing intervention is most important to prevent complications?

A nursing faculty member explains to students that which patient status is an acceptable indication for serial oxytocin induction of labor?

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

Prior to cesarean birth,the nurse places the indwelling catheter and tubing in which manner?

To monitor for potential hemorrhage in the woman who has just had a cesarean birth,what action by the recovery room nurse is most appropriate?

The labor and delivery nurse must be cognizant of the specific conditions appropriate for labor induction,including which of the following? (Select all that apply.)

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

The nurse caring for a woman in labor understands that the primary risk associated with an amniotomy is

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating with Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion During Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family with Special Needs

Pregnancy-Related Complications

Concurrent Disorders during Pregnancy

The Woman with an Intrapartum Complication

The Woman with a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High-Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s HealthCare

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child with a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child with a Fluid and Electrolyte Alteration

The Child with an Infectious Disease

The Child with an Immunologic Alteration

The Child with a Gastrointestinal Alteration

The Child with a Genitourinary Alteration

The Child with a Respiratory Alteration

The Child with a Cardiovascular Alteration

The Child with a Hematologic Alteration

The Child with Cancer

The Child with an Alteration in Tissue Integrity

The Child with a Musculoskeletal Alteration

The Child with an Endocrine or Metabolic Alteration

The Child with a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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