Question 1

To increase the quality of uterine contractions,the nurse instructs the patient to do what to stimulate her nipples? Select all that apply.

Accepted Answer

A)   Place a warm, moist washcloth over the breast.
B)   Brush the nipples with a dry washcloth.
C)   Gently pull on the nipples.
D)   Apply suction to the nipples with a breast pump.
E)   Press the palms of hands down on her breasts. B,C,D

Question 2

A new mother is distressed and tearful about the elevated dome over her infant's posterior fontanelle.The nurse's best response is,"This condition will resolve itself in a few days.It is caused by:

Accepted Answer

A)   prolonged pressure against the partially dilated cervix. "
B)   small leak of fluid through the posterior fontanelle. "
C)   pressure of the forceps during delivery. "
D)   the effect of the vacuum extractor. " D

Question 3

A pregnant woman's membranes ruptured prematurely at 34 weeks.She will be discharged to her home for the next few weeks.The nurse planning discharge instructions would teach the woman to:

Accepted Answer

A)   report any increase in fetal activity.
B)   notify her obstetrician for a temperature above 37. 8° C (100° F) .
C)   massage her breasts to promote uterine relaxation.
D)   rest in a side-lying Trendelenburg position with hips elevated. B

Question 4

The nurse explains that a "cervical ripening" softens the cervix with the use of:

Accepted Answer

A)   prostaglandin gel insertion.
B)   intravenous oxytocin.
C)   warm saline douches.
D)   nipple stimulation.

Question 5

A woman who is 33 weeks pregnant is admitted to the obstetric unit because her membranes ruptured spontaneously.She must be closely observed for signs of:

Accepted Answer

A)   chorioamnionitis.
B)   hemorrhage.
C)   hypotension.
D)   amniotic fluid embolism.

Question 6

Following an amniotomy,the umbilical cord becomes compressed.The nurse prepares the patient for an instillation of a bolus of warm sterile saline into the uterus,which is called ____________________.

Accepted Answer

The answer of Following an amniotomy,the umbilical cord becomes compressed.The...

Question 7

The nurse would assess an infant delivered with the use of forceps for:

Accepted Answer

A)   loss of hair from contact with forceps.
B)   sacral hematoma.
C)   facial asymmetry.
D)   shoulder dislocation.

Question 8

A(n)_______________ is a narrow cone inserted into the cervix to "ripen" the cervix to increase uterine contractions.

Accepted Answer

The answer of A(n)_______________ is a narrow cone inserted into...

Question 9

When a woman is admitted to the labor and delivery unit,she tells the nurse that she is anxious about delivery,the welfare of her infant,and how quickly she will recover.The nurse is aware that anxiety can affect labor by:

Accepted Answer

A)   decreasing a woman's pain sensitivity.
B)   reducing blood flow to the uterus.
C)   increasing the ability to tolerate pain.
D)   enhancing maternal pushing through greater muscle tension.

Question 10

A woman who is 24 weeks' pregnant is placed on an intravenous infusion of magnesium sulfate.The nurse should inform the patient that she might experience what side effect?

Accepted Answer

A)   Nausea and vomiting
B)   Headache
C)   Warm flush
D)   Urinary frequency

Question 11

A pulsating structure is felt during a vaginal examination of a woman in labor.To prevent compression of a prolapsed cord,the nurse would position the woman:

Accepted Answer

A)   on her right side with knees flexed.
B)   on her left side with a pillow placed between her legs.
C)   on her back with her head lower than the rest of her body.
D)   supine with her legs elevated and bent at the knee.

Question 12

A woman is having a difficult labor because the fetus is presenting in the right occipital position (ROP).To encourage fetal rotation and pain relief the nurse would position the patient:

Accepted Answer

A)   prone with legs supported and give her a back massage.
B)   supine with legs bent at the knee.
C)   standing with support.
D)   sitting up and leaning forward on the over-bed table.

Question 13

Following an amniotomy,the nursing assessment that should be reported immediately is:

Accepted Answer

A)   fetal heart rate is regular at 154 beats/min.
B)   amniotic fluid is clear with flecks of vernix.
C)   amniotic fluid is watery and pale green.
D)   maternal temperature is 37. 8° C.

Question 14

The nursing care of a woman with a third-degree laceration immediately after delivery would include:

Accepted Answer

A)   warm compresses to the perineum.
B)   cold pack to the perineum.
C)   warm sitz bath.
D)   elevation of hips to prevent edema.

Question 15

Which intervention(s)could a nurse apply to help stimulate contractions? Select all that apply.

Accepted Answer

A)   Encouraging the patient to sit upright
B)   Assisting the patient to ambulate
C)   Stimulating the nipples
D)   Offering emotional support
E)   Allowing the patient to vent frustration

Question 16

A student nurse questions the instructor as to what alteration should be made for the assessment of the fundus of a new postoperative cesarean section patient.The best response is that the fundus of a patient with a cesarean section is:

Accepted Answer

A)   not assessed until the second postoperative day.
B)   assessed by "walking" fingers from side of uterus to the midline.
C)   assessed only if large clots appear in lochia.
D)   only once every shift.

Question 17

What is(are)the rationales for labor induction? Select all that apply.

Accepted Answer

A)   Placenta previa
B)   Prolapse of cord
C)   High station of fetus
D)   Maternal diabetes
E)   Placental insufficiency

Question 18

When a labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to 5 cm with membranes intact,the nurse informs the patient that the physician most likely will:

Accepted Answer

A)   perform an amniotomy.
B)   initiate tocolytic drugs.
C)   order a sedative for the patient.
D)   plan to do an emergency cesarean section.

Question 19

A woman 2 weeks past her expected delivery date who is receiving an oxytocin infusion to induce labor begins to have contractions every 90 seconds.The nurse's initial action should be to:

Accepted Answer

A)   stop the oxytocin infusion.
B)   continue the infusion and report the findings to the physician.
C)   turn her on her left side and reassess the contractions.
D)   administer oxygen by mask.

Question 20

After an amniotomy,the nurse should be alert for what sign(s)of infection? Select all that apply.

Accepted Answer

A)   Oral temperature of 37° C (99. 8° F) 
B)   Increase of fetal heart rate from 160 to 174 beats/minute
C)   Flecks of vernix in the amniotic fluid
D)   Low back pain
E)   Edematous labia

Exam 8: Nursing Care of Women with Complications During Labor and Birth