Question 1

What should the nurse be aware of with regard to Caesarean birth when providing care to a woman in labour?

Accepted Answer

A)  Caesarean births are declining in frequency in the twenty-first century in Canada. 
B)  A Caesarean birth is more likely to be done for convenience than for medical risk. 
C)  A Caesarean is performed primarily to preserve life or health of the mother and her fetus. 
D)  A Caesarean birth can be either elected or refused by women as their absolute legal right.

Question 2

While caring for a patient whose labour is being augmented with oxytocin,the nurse recognizes that which finding would indicate that the oxytocin should be discontinued immediately?

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 patient needing to void 
D)  Rupture of the patient's amniotic membranes

Question 3

What assessments are likely to be associated with a breech presentation? Select all that apply.Express answer in small letters followed by a comma and a space-e.g. ,a,b,

Accepted Answer

A)  Meconium-stained amniotic fluid 
B)  Fetal heart tones heard at or above the maternal umbilicus 
C)  Preterm labour and birth 
D)  Postterm gestation 
E)  Polyhydramnios
F) Normal amniotic fluid volume

Question 4

Which increases a woman's risk of experiencing dystocia? Select all that apply.Express answer in small letters followed by a comma and a space-e.g. ,a,b,

Accepted Answer

A)  Midplane contracture of the pelvis 
B)  Compromised bearing-down efforts as a result of pain medication 
C)  Small fetus 
D)  Hypotonic uterine contractions 
E)  Tall stature
F) Uterine understimulation with oxytocin

Question 5

A pregnant woman at 29 weeks of gestation has been diagnosed with preterm labour.Her labour is being controlled with tocolytic medications.She asks when she might be able to go home.What is the basis for the nurse's response?

Accepted Answer

A)  Discharge will occur after the baby is born. 
B)  Once preterm labour is stabilized and home health visits are arranged the woman can go home. 
C)  The health care provider will inform the woman when she can go home. 
D)  Discharge time will depend on the results of the fern test.

Question 6

A woman in preterm labour at 30 weeks of gestation receives two 12-mg doses of betamethasone intramuscularly.What is the purpose of this pharmacological treatment?

Accepted Answer

A)  It stimulates fetal surfactant production. 
B)  It relaxes uterine smooth muscle by inhibiting prostaglandins. 
C)  It suppresses uterine contractions. 
D)  It maintains adequate maternal respiratory effort and ventilation during magnesium sulphate therapy.

Question 7

Which assessment findings indicate abnormal labour in a nullipara patient? Select all that apply.Express answer in small letters followed by a comma and a space-e.g. ,a,b,

Accepted Answer

A)  1.5 cm/hr descent 
B)  A 21-hour latent phase 
C)  Dilating 1 cm/hr in active phase 
D)  Protracted descent of 0.5 cm/hr 
E)  No dilation or effacement change in 2.5 hours in active phase
F) FHR baseline of 125-135 beats/min

Question 8

Which of the following may occur after 37 weeks of gestation when a fetus is in a breech position?

Accepted Answer

A)  Preterm birth 
B)  Preterm labour 
C)  Fetal distress 
D)  External cephalic version

Exam 20: Labour and Birth at Risk