Question 1

An infant is delivered with the use of forceps.What should the nurse assess for in the newborn?

Accepted Answer

A)  Loss of hair from contact with forceps 
B)  Sacral hematoma 
C)  Facial asymmetry 
D)  Shoulder dislocation

Question 2

A woman is having a difficult labor because the fetus is presenting in the right occipital position (ROP).What position will the nurse promote to encourage fetal rotation and pain relief?

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 overbed table

Question 3

The nurse arrives at the start of a shift on the labor unit to find a census of four patients in active labor.Which laboring patient should the nurse attend to first?

Accepted Answer

A)  18-year-old primigravida with a fetal breech presentation 
B)  25-year-old multigravida with history of previous cesarean section 
C)  35-year-old multigravida with history of precipitate birth 
D)  16-year-old primigravida with a twin pregnancy

Question 4

Which statement indicates a woman understands activity limitations for the management of preterm labor?

Accepted Answer

A)  "After my shower in the morning,I do the laundry and straighten up the house;then I rest." 
B)  "I pack a picnic basket and put it next to the sofa so I do not have to get up for food during the day." 
C)  "I have a 2-year-old to care for,but I try to rest as much as I can." 
D)  "I get really bored at home,so I go to the shopping mall for just a little while."

Question 5

A pulsating structure is felt during a vaginal examination of a woman in labor.How would the nurse position the woman to prevent compression of a prolapsed cord?

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 6

What does the nurse explain is used to soften the cervix with a "cervical ripening" agent?

Accepted Answer

A)  Prostaglandin gel insertion 
B)  Intravenous oxytocin 
C)  Warm saline douches 
D)  Nipple stimulation

Question 7

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.What is the best nursing action?

Accepted Answer

A)  Give the pain remedy. 
B)  Notify the charge nurse immediately. 
C)  Turn the patient to her back and flex her knees. 
D)  Suggest that the coach give her a back rub.

Question 8

What 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 9

The nurse is caring for a patient who is threatening preterm labor and has been given glucocorticoids.What is the purpose of glucocorticoid administration?

Accepted Answer

A)  Prevent infection. 
B)  Increase fetal lung maturity. 
C)  Increase blood flow from placenta. 
D)  Relax the cervix.

Question 10

A woman is preparing for administration of a cervical ripening agent.What nursing actions will the nurse anticipate implementing? (Select all that apply. )

Accepted Answer

A)  Insert IV. 
B)  Record a baseline fetal heart rate. 
C)  Explain procedure to patient. 
D)  Instruct patient to ambulate immediately afterward. 
E)  Ensure a tocolytic is available.

Question 11

The nurse is administering terbutaline (Brethine)to a pregnant woman to prevent preterm labor.The nurse would assess for which adverse effect?

Accepted Answer

A)  Maternal tachycardia 
B)  Maternal hypertension 
C)  Fetal bradycardia 
D)  Fetal hypokalemia

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