Question 1

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 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."

Question 3

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...

Question 4

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 5

During a strenuous labor, the woman asks for some pain remedy for the sudden pain between her scapulae that seems to occur with every breath she takes. The nurse should:

Accepted Answer

A)  give the pain remedy. 
B)  notify the charge nurse immediately. 
C)  turn patient to her back and flex her knees. 
D)  suggest that the coach give her a back rub.

Question 6

The nurse explains to the patient who is threatening preterm labor that glucocorticoids are given prior to delivery in order to:

Accepted Answer

A)  prevent infection. 
B)  increase fetal lung maturity. 
C)  increase blood flow from placenta. 
D)  relax the cervix.

Question 7

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 8

Several hours after delivery the nurse finds a woman crying. The woman says repeatedly, "My baby is beautiful, but I was planning on a vaginal delivery. Instead I needed an emergency C-section." The most appropriate nursing diagnosis is:

Accepted Answer

A)  anxiety related to the development of postpartum complications. 
B)  ineffective individual coping related to unfamiliarity with procedures. 
C)  risk for ineffective parenting related to emergency cesarean section. 
D)  grieving related to loss of expected birth experience.

Question 9

What complication(s) of overstimulation of uterine contractions may occur? Select all that apply.

Accepted Answer

A)  Water intoxication 
B)  Impaired placental exchange of oxygen and nutrients 
C)  Increased blood pressure 
D)  Convulsions 
E)  Uterine rupture

Question 10

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

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