Intrapartum Complications

This question bank verified by Studydeets

Questions Bank

Maternity and Women's Health Care Today
The Nurse's Role in Maternity and Women's Health Care
Ethical, Social, and Legal Issues
Reproductive Anatomy and Physiology
Hereditary and Environmental Influences on Childbearing
Conception and Prenatal Development
Physiologic Adaptations to Pregnancy
Psychosocial Adaptations to Pregnancy
Nutrition for Childbearing
Antepartum Fetal Assessment
Perinatal Education
Processes of Birth
Nursing Care During Labor and Birth
Intrapartum Fetal Surveillance
Pain Management During Childbirth
Nursing Care During Obstetric Procedures
Postpartum Physiologic Adaptations
Postpartum Psychosocial Adaptations
Normal Newborn: Processes of Adaptation
Assessment of the Normal Newborn
Care of the Normal Newborn
Infant Feeding
Home Care of the Infant
The Childbearing Family with Special Needs
Complications of Pregnancy
Concurrent Disorders During Pregnancy
Intrapartum Complications
Postpartum Maternal Complications
High-Risk Newborn: Complications Associated with Gestational Age and Development
High-Risk Newborn: Acquired and Congenital Conditions
Family Planning
Infertility
Preventive Care for Women
Women's Health Problems
Infertility
Preventive Care for Women
Women's Health Problems

All Questions

Question 1

Free

Multiple Choice

Which pelvic shape is most conducive to vaginal labor and birth?

Choose correct answer/s

Android

Gynecoid

Platypelloid

Anthropoid

Check answer

Question 2

Free

Multiple Choice

Which action by the nurse prevents infection in the labor and birth area?

Choose correct answer/s

Using clean techniques for all procedures

Keeping underpads and linens as dry as possible

Cleaning secretions from the vaginal area by using a back to front motion

Performing vaginal examinations every hour while the client is in active labor

Check answer

Question 3

Free

Multiple Choice

A pregnant client with premature rupture of membranes is at higher risk for postpartum infection. Which assessment data indicate a potential infection?

Choose correct answer/s

Fetal heart rate, 150 beats/min

Maternal temperature, 99° F

Cloudy amniotic fluid, with strong odor

Lowered maternal pulse and decreased respiratory rates

Check answer

Question 4

Free

Multiple Choice

A client in labor at 34 weeks of gestation is hospitalized and treated with intravenous magnesium sulfate for 18 to 20 hours. When the magnesium sulfate is discontinued, which oral drug will be prescribed for at-home continuation of the tocolytic effect?

Choose correct answer/s

Buccal oxytocin (Pitocin)

Terbutaline sulfate (Brethine)

Calcium gluconate (Calgonate)

Magnesium sulfate

Check answer

Question 5

Free

Multiple Choice

A client with polyhydramnios was admitted to a labor-birth-recovery-postpartum (LDRP) suite. Her membranes rupture and the fluid is clear and odorless, but the fetal heart monitor indicates bradycardia and variable decelerations. Which action should be taken next?

Choose correct answer/s

Perform Leopold maneuvers.

Perform a vaginal examination.

Apply warm saline soaks to the vagina.

Place the client in a high Fowler position.

Check answer

Question 6

Multiple Choice

Which technique is least effective for the client with persistent occiput posterior position?

Choose correct answer/s

Squatting

Lying supine and relaxing

Sitting or kneeling, leaning forward with support

Rocking the pelvis back and forth while on hands and knees

To unlock the question

Question 7

Multiple Choice

Birth for the nulliparous client with a fetus in a breech presentation is usually:

Choose correct answer/s

cesarean section.

vaginal birth.

vacuumed extraction.

forceps-assisted birth.

To unlock the question

Question 8

Multiple Choice

Which client situation presents the greatest risk for the occurrence of hypotonic dysfunction during labor?

Choose correct answer/s

A primigravida who is 17 years old

A 22-year-old multiparous client with ruptured membranes

A primigravida who has requested no analgesia during her labor

A multiparous client at 39 weeks of gestation who is expecting twins

To unlock the question

Question 9

Multiple Choice

Which factor is most likely to result in fetal hypoxia during a dysfunctional labor?

Choose correct answer/s

Incomplete uterine relaxation

Maternal fatigue and exhaustion

Maternal sedation with narcotics

Administration of tocolytic drugs

To unlock the question

Question 10

Multiple Choice

After a birth complicated by a shoulder dystocia, the infant's Apgar scores were 7 at 1 minute and 9 at 5 minutes. The infant is now crying vigorously. The nurse in the birthing room should:

Choose correct answer/s

palpate the infant's clavicles.

encourage the parents to hold the infant.

perform a complete newborn assessment.

give supplemental oxygen with a small face mask.

To unlock the question

Question 11

Multiple Choice

A laboring client in the latent phase is experiencing uncoordinated irregular contractions of low intensity. How should the nurse respond to complaints of constant cramping pain?

Choose correct answer/s

"You are only 2 cm dilated, so you should rest and save your energy for when the contractions get stronger."

"Let me take off the monitor belts and help you get into a more comfortable position."

"You must breathe more slowly and deeply so there is greater oxygen supply for your uterus. That will decrease the pain."

"I have notified the doctor that you are having a lot of discomfort. Let me rub your back and see if that helps."

To unlock the question

Question 12

Multiple Choice

Which nursing action should be initiated first when there is evidence of prolapsed cord?

Choose correct answer/s

Notify the health care provider.

Apply a scalp electrode.

Prepare the mother for an emergency cesarean birth.

Reposition the mother with her hips higher than her head.

To unlock the question

Question 13

Multiple Choice

A client who has had two previous cesarean births is in active labor when she suddenly complains of pain between her scapulae. Which should be the nurse's priority action?

Choose correct answer/s

Notify the health care provider promptly.

Observe for abnormally high uterine resting tone.

Decrease the rate of nonadditive intravenous fluid.

Reposition the client with her hips slightly elevated.

To unlock the question

Question 14

Multiple Choice

Which factor should alert the nurse to the potential for a prolapsed umbilical cord?

Choose correct answer/s

Oligohydramnios

Pregnancy at 38 weeks of gestation

Presenting part at a station of -3

Meconium-stained amniotic fluid

To unlock the question

Question 15

Multiple Choice

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

Choose correct answer/s

the buttocks are much larger than the head.

compression of the umbilical cord is more likely.

internal rotation cannot occur if the fetus is breech.

postpartum hemorrhage is more likely if the client delivers vaginally.

To unlock the question

Question 16

Multiple Choice

A client who is 32 weeks pregnant telephones the nurse at her obstetrician's office and complains of constant backache. She asks what pain reliever is safe for her to take. The best nursing response is:

Choose correct answer/s

"You should come into the office and let the doctor check you."

"Acetaminophen is acceptable during pregnancy. You should not take aspirin, however."

"Back pain is common at this time during pregnancy because you tend to stand with a sway back."

"Avoid medication because you are pregnant. Try soaking in a warm bath or using a heating pad on low before taking any medication."

To unlock the question

Question 17

Multiple Choice

Which is (are) the priority nursing assessment(s) for the client having tocolytic therapy with terbutaline (Brethine)?

Choose correct answer/s

Intake and output

Maternal blood glucose level

Internal temperature and odor of amniotic fluid

Fetal heart rate, maternal pulse, and blood pressure

To unlock the question

Question 18

Multiple Choice

Which assessment finding indicates uterine rupture?

Choose correct answer/s

Fetal tachycardia occurs.

The client becomes dyspneic.

Labor progresses unusually quickly.

Contractions abruptly stop during labor.

To unlock the question

Question 19

Multiple Choice

Which intervention should be incorporated in a plan of care for a labor client who is experiencing hypertonic labor? Vaginal exam is unchanged from prior exam-3 cm, 80% effaced, and 0 station presenting part vertex.

Choose correct answer/s

Augmentation of labor with oxytocin (Pitocin)

AROM

Performing a vaginal exam to denote progress

Preparing the client for epidural administration as ordered by the physician

To unlock the question

Question 20

Multiple Choice

During the course of the birth process, the physician suspects that a shoulder dystocia is occurring and asks the nurse for assistance. Which priority action should be taken by the nurse in response to this request?

Choose correct answer/s

Put pressure on the fundus.

Ask the physician if he or she would like you to prepare for a surgical method of birth.

Tell the client not to push until you prepare vacuum extraction device for physician.

Reposition the client to facilitate birth.

To unlock the question