Question 1

Immediately after the forceps-assisted birth of an infant,which action by the nurse is next?

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 2

For which patient should the oxytocin (Pitocin)infusion be discontinued immediately?

Accepted Answer

A)  A woman in active labor with contractions every 31 minutes lasting 60 seconds each 
B)  A woman in transition with contractions every 2 minutes lasting 90 seconds each 
C)  A woman in active labor with contractions every 2 to 3 minutes lasting 70 to 80 seconds each 
D)  A woman in early labor with contractions every 5 minutes lasting 40 seconds each 
A)  A woman in active labor with contractions every 31 minutes lasting 60 seconds each 
B)  A woman in transition with contractions every 2 minutes lasting 90 seconds each 
C)  A woman in active labor with contractions every 2 to 3 minutes lasting 70 to 80 seconds each 
D)  A woman in early labor with contractions every 5 minutes lasting 40 seconds each

Question 3

A maternal indication for the use of vacuum extraction 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 4

The labor and delivery nurse learns that recommendations from ACOG related to VBAC risks include which of the following? (Select all that apply.)

Accepted Answer

A)  Immediate availability of the obstetric provider 
B)  Delivery at a tertiary care center 
C)  Availability of anesthesia personnel 
D)  Personnel who can assist with the cesarean birth 
E)  Use of misoprostol for cervical ripening 
A)  Immediate availability of the obstetric provider 
B)  Delivery at a tertiary care center 
C)  Availability of anesthesia personnel 
D)  Personnel who can assist with the cesarean birth 
E)  Use of misoprostol for cervical ripening

Question 5

After an amniotomy,which action by the nurse takes priority?

Accepted Answer

A)  Assess the color of the amniotic fluid. 
B)  Change the patient's gown. 
C)  Estimate the amount of amniotic fluid. 
D)  Assess the fetal heart rate. 
A)  Assess the color of the amniotic fluid. 
B)  Change the patient's gown. 
C)  Estimate the amount of amniotic fluid. 
D)  Assess the fetal heart rate.

Question 6

After a forceps-assisted birth,the mother is observed to have continuous bright red lochia but a firm fundus.What other finding is important to correlate with these data?

Accepted Answer

A)  Mild, intermittent perineal pain 
B)  Edema and discoloration of the labia and perineum 
C)  Lack of an episiotomy 
D)  Lack of pain in the perineal area 
A)  Mild, intermittent perineal pain 
B)  Edema and discoloration of the labia and perineum 
C)  Lack of an episiotomy 
D)  Lack of pain in the perineal area

Question 7

A woman is receiving oxytocin to augment labor.The nurse notes that the Montevideo units are measured at 560 and the fetus is showing late decelerations.What action by the nurse takes priority?

Accepted Answer

A)  Notify the charge nurse of the situation. 
B)  Document the findings in the chart. 
C)  Increase the rate of oxytocin slowly. 
D)  Stop the oxytocin infusion. 
A)  Notify the charge nurse of the situation. 
B)  Document the findings in the chart. 
C)  Increase the rate of oxytocin slowly. 
D)  Stop the oxytocin infusion.

Question 8

While assisting with a vacuum extraction birth,what should the nurse immediately report to the provider?

Accepted Answer

A)  Persistent fetal bradycardia below 100 bpm 
B)  Maternal pulse rate of 100 bpm 
C)  Maternal blood pressure of 120/70 mm Hg 
D)  Decrease in intensity of uterine contractions 
A)  Persistent fetal bradycardia below 100 bpm 
B)  Maternal pulse rate of 100 bpm 
C)  Maternal blood pressure of 120/70 mm Hg 
D)  Decrease in intensity of uterine contractions

Exam 19: Nursing Care during Obstetric Procedures

Immediately after the forceps-assisted birth of an infant,which action by the nurse is next?

For which patient should the oxytocin (Pitocin)infusion be discontinued immediately?

A maternal indication for the use of vacuum extraction is

The labor and delivery nurse learns that recommendations from ACOG related to VBAC risks include which of the following? (Select all that apply.)

After an amniotomy,which action by the nurse takes priority?

After a forceps-assisted birth,the mother is observed to have continuous bright red lochia but a firm fundus.What other finding is important to correlate with these data?

A woman is receiving oxytocin to augment labor.The nurse notes that the Montevideo units are measured at 560 and the fetus is showing late decelerations.What action by the nurse takes priority?

While assisting with a vacuum extraction birth,what should the nurse immediately report to the provider?

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

Filters