Question 1

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

Accepted Answer

A)  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)  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 2

An hour after her membranes ruptured,a laboring woman has a temperature of 38.2° C (100.7° F).What action does the nurse perform first?

Accepted Answer

A)  Provide cool, wet washcloths for the woman's forehead. 
B)  Assess and document the fetal heart rate. 
C)  Administer acetaminophen orally. 
D)  Encourage the woman to drink clear fluids. 
A)  Provide cool, wet washcloths for the woman's forehead. 
B)  Assess and document the fetal heart rate. 
C)  Administer acetaminophen orally. 
D)  Encourage the woman to drink clear fluids.

Question 3

The provider orders an infusion of magnesium sulfate to run at 4 g/hour.The pharmacy delivers a bag of 4 g magnesium sulfate in 250 mL.At what rate does the nurse set the pump? ___________________

Accepted Answer

250 mL/hour
4 g/250

Question 4

The nurse should suspect uterine rupture if

Accepted Answer

A)  fetal tachycardia occurs. 
B)  the woman becomes dyspneic. 
C)  contractions abruptly stop during labor. 
D)  labor progresses unusually quickly. 
A)  fetal tachycardia occurs. 
B)  the woman becomes dyspneic. 
C)  contractions abruptly stop during labor. 
D)  labor progresses unusually quickly.

Question 5

Why is adequate hydration important when uterine activity occurs before pregnancy is at term?

Accepted Answer

A)  Fluid and electrolyte imbalance can interfere with the activity of the uterine pacemakers. 
B)  Dehydration may contribute to uterine irritability for some women. 
C)  Dehydration decreases circulating blood volume, which leads to uterine ischemia. 
D)  Fluid needs are increased because of increased metabolic activity occurring during contractions. 
A)  Fluid and electrolyte imbalance can interfere with the activity of the uterine pacemakers. 
B)  Dehydration may contribute to uterine irritability for some women. 
C)  Dehydration decreases circulating blood volume, which leads to uterine ischemia. 
D)  Fluid needs are increased because of increased metabolic activity occurring during contractions.

Question 6

The nursing faculty explains to students on the labor and delivery unit that late preterm and term births are very different.What distinguishes the late preterm birth from a term birth? (Select all that apply.)

Accepted Answer

A)  Late preterm births are between 34 and 36 completed weeks of pregnancy. 
B)  There is no real difference in mortality between the two types of births. 
C)  Late preterm infants may appear to be full term at delivery. 
D)  A late preterm infant who appears full term is classified full term. 
E)  Late preterm infants need careful assessments of gestational age. 
A)  Late preterm births are between 34 and 36 completed weeks of pregnancy. 
B)  There is no real difference in mortality between the two types of births. 
C)  Late preterm infants may appear to be full term at delivery. 
D)  A late preterm infant who appears full term is classified full term. 
E)  Late preterm infants need careful assessments of gestational age.

Question 7

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)  Secondary arrest 
D)  Protracted descent 
A)  Prolonged latent phase 
B)  Protracted active phase 
C)  Secondary arrest 
D)  Protracted descent

Question 8

An important independent nursing action to promote normal progress in labor is

Accepted Answer

A)  assessing the fetus. 
B)  encouraging urination about every 1 to 2 hours. 
C)  allowing the woman to stay in her preferred position. 
D)  regulating intravenous fluids. 
A)  assessing the fetus. 
B)  encouraging urination about every 1 to 2 hours. 
C)  allowing the woman to stay in her preferred position. 
D)  regulating intravenous fluids.

Question 9

The fetus in a breech presentation is often born by cesarean delivery because

Accepted Answer

A)  the buttocks are much larger than the head. 
B)  postpartum hemorrhage is more likely if the woman delivers vaginally. 
C)  internal rotation cannot occur if the fetus is breech. 
D)  compression of the umbilical cord is more likely. 
A)  the buttocks are much larger than the head. 
B)  postpartum hemorrhage is more likely if the woman delivers vaginally. 
C)  internal rotation cannot occur if the fetus is breech. 
D)  compression of the umbilical cord is more likely.

Question 10

A woman reports a sudden gush of fluid from her vagina and is worried about premature rupture of her membranes.What other causes of this does the nurse assess for? (Select all that apply.)

Accepted Answer

A)  Urinary incontinence 
B)  Leaking of amniotic fluid 
C)  Loss of mucous plug 
D)  An increase in vaginal discharge 
E)  Bloody show 
A)  Urinary incontinence 
B)  Leaking of amniotic fluid 
C)  Loss of mucous plug 
D)  An increase in vaginal discharge 
E)  Bloody show

Exam 27: The Woman with an Intrapartum Complication

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

An hour after her membranes ruptured,a laboring woman has a temperature of 38.2° C (100.7° F).What action does the nurse perform first?

The provider orders an infusion of magnesium sulfate to run at 4 g/hour.The pharmacy delivers a bag of 4 g magnesium sulfate in 250 mL.At what rate does the nurse set the pump? ___________________

The nurse should suspect uterine rupture if

Why is adequate hydration important when uterine activity occurs before pregnancy is at term?

The nursing faculty explains to students on the labor and delivery unit that late preterm and term births are very different.What distinguishes the late preterm birth from a term birth? (Select all that apply.)

An important independent nursing action to promote normal progress in labor is

The fetus in a breech presentation is often born by cesarean delivery because

A woman reports a sudden gush of fluid from her vagina and is worried about premature rupture of her membranes.What other causes of this does the nurse assess for? (Select all that apply.)

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

Nursing Care during Obstetric Procedures

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 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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