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NursingOtherMaternal Newborn and Womens Health NursingPractice Set 4
NursingOtherMaternal Newborn and Womens Health NursingPractice Set 4Nursing Care During Obstetric Procedures
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- Maternity and Women's Health Care TodayThe Nurse's Role in Maternity and Women's Health CareEthical, Social, and Legal IssuesReproductive Anatomy and PhysiologyHereditary and Environmental Influences on ChildbearingConception and Prenatal DevelopmentPhysiologic Adaptations to PregnancyPsychosocial Adaptations to PregnancyNutrition for ChildbearingAntepartum Fetal AssessmentPerinatal EducationProcesses of BirthNursing Care During Labor and BirthIntrapartum Fetal SurveillancePain Management During ChildbirthNursing Care During Obstetric ProceduresPostpartum Physiologic AdaptationsPostpartum Psychosocial AdaptationsNormal Newborn: Processes of AdaptationAssessment of the Normal NewbornCare of the Normal NewbornInfant FeedingHome Care of the InfantThe Childbearing Family with Special NeedsComplications of PregnancyConcurrent Disorders During PregnancyIntrapartum ComplicationsPostpartum Maternal ComplicationsHigh-Risk Newborn: Complications Associated with Gestational Age and DevelopmentHigh-Risk Newborn: Acquired and Congenital ConditionsFamily PlanningInfertilityPreventive Care for WomenWomen's Health ProblemsInfertilityPreventive Care for WomenWomen's Health Problems
Question 1
Free
Multiple Choice
The nurse knows that a urinary catheter is added to the instrument table if a forceps-assisted birth is anticipated. The correct rationale for this intervention is that:
Choose correct answer/s
a sterile urine specimen is needed preoperatively.
an empty bladder provides more room in the pelvis.
spontaneous release of urine might contaminate the sterile field.
a Foley catheter prevents the membranes from spontaneously rupturing.
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Question 2
Free
Multiple Choice
After a forceps-assisted birth, the client is observed to have continuous bright red lochia but a firm fundus. Which other data would indicate the presence of a potential vaginal wall hematoma?
Choose correct answer/s
Lack of an episiotomy
Mild, intermittent perineal pain
Lack of pain in the perineal area
Edema and discoloration of the labia and perineum
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Question 3
Free
Multiple Choice
The nurse is positioning the Foley catheter prior to a cesarean birth. Which position should the nurse use to place the catheter drainage tubing and catheter bag?
Choose correct answer/s
Place near the head of the table.
Position on top of the patient's leg.
Place at the foot and clamp during the cesarean section.
Position at the foot of the surgeon under the sterile drapes.
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Question 4
Free
Multiple Choice
Which condition is a contraindication for an amniotomy?
Choose correct answer/s
-2 station
Breech presentation
Dilation less than 3 cm
Right occiput posterior position
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Question 5
Free
Multiple Choice
Which client status is an acceptable indication for serial oxytocin induction of labor?
Choose correct answer/s
Multiple fetuses
Polyhydramnios
History of long labors
Past 42 weeks of gestation
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Question 6
Multiple Choice
The nurse is explaining the technique of internal version to a group of nursing students. Which describes the technique of internal version?
Choose correct answer/s
Manipulation of the fetus from a breech to a cephalic presentation before labor begins
Manipulation of the fetus from a transverse lie to a longitudinal lie before cesarean birth
Manipulation of the second twin from an oblique lie to a transverse lie before labor begins
Manipulation of the second twin from a transverse lie to a breech presentation during vaginal birth
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Question 7
Multiple Choice
The greatest risk to the newborn after an elective cesarean birth is:
Choose correct answer/s
tachypnea because of maternal anesthesia.
tachycardia because of maternal narcotics.
trauma because of manipulation during birth.
prematurity because of miscalculation of gestation.
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Question 8
Multiple Choice
Which client is most at risk for a uterine rupture?
Choose correct answer/s
A gravida 4 who had a classic cesarean incision
A gravida 5 who had two vaginal births and one cesarean birth
A gravida 3 who has had two low-segment transverse cesarean births
A gravida 2 who had a low-segment vertical incision for birth of a 10-lb infant
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Question 9
Multiple Choice
Before the health care provider performs an external version, the nurse should expect an order for a:
Choose correct answer/s
Foley catheter.
tocolytic drug.
local anesthetic.
contraction stress test (CST).
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Question 10
Multiple Choice
A maternal indication for the use of vacuum extraction is:
Choose correct answer/s
a wide pelvic outlet.
maternal exhaustion.
a history of rapid deliveries.
failure to progress past 0 station.
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Question 11
Multiple Choice
The priority nursing intervention following an amniotomy is to:
Choose correct answer/s
change the client's gown.
assess the fetal heart rate.
assess the color of the amniotic fluid.
estimate the amount of amniotic fluid.
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Question 12
Multiple Choice
For which client should the oxytocin (Pitocin) infusion be discontinued immediately?
Choose correct answer/s
A client in transition with contractions every 2 minutes lasting 90 seconds each
A client in early labor with contractions every 5 minutes lasting 40 seconds each
A client in active labor with contractions every 3 minutes lasting 60 seconds each
A client in active labor with contractions every 2 to 3 minutes lasting 70 to 80 seconds each
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Question 13
Multiple Choice
The priority nursing care associated with an oxytocin infusion is:
Choose correct answer/s
measuring urinary output.
evaluating cervical dilation.
monitoring uterine response.
increasing infusion rate every 30 minutes.
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Question 14
Multiple Choice
Which event indicates a complication of an external version?
Choose correct answer/s
Maternal pulse rate of 100 bpm
Fetus returning to the original position
Increased maternal anxiety after the version
Fetal bradycardia persisting 10 minutes after the version
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Question 15
Multiple Choice
Immediately following the forceps-assisted birth of an infant, which action should the nurse implement?
Choose correct answer/s
Assess the infant for signs of trauma.
Apply a cold pack to the infant's scalp.
Give the infant prophylactic antibiotics.
Measure the circumference of the infant's head.
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Question 16
Multiple Choice
Nursing care before a cesarean birth should include:
Choose correct answer/s
full perineal shave preparation.
administering a clear oral antacid.
injection of narcotic preoperative medications.
straight catheterization to empty the bladder.
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Question 17
Multiple Choice
A gravida 2, para 1 client is admitted to the labor and birth unit in labor. She states that she had a cesarean birth with her first pregnancy. The most critical information the nurse must obtain at this point is:
Choose correct answer/s
the onset of contractions.
her estimated date of birth.
when the client ate last and what she consumed.
the type of uterine incision with the first pregnancy.
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Question 18
Multiple Choice
Which is an appropriate response to a client's comment that she is worried about having a cesarean birth?
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"Don't worry. Everything will be okay."
"Clients commonly worry about surgery."
"What are your feelings about having a cesarean birth?
"I know you're worried, but this is a routine procedure."
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Question 19
Multiple Choice
While assisting with a vacuum extraction birth, which should the nurse immediately report to the physician?
Choose correct answer/s
Maternal pulse rate of 100 bpm
Maternal blood pressure of 120/70 mm Hg
Persistent fetal bradycardia below 100 bpm
Decreased intensity of uterine contractions
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Question 20
Multiple Choice
To monitor for potential hemorrhage in the client who has just had a cesarean birth, which action should the recovery room nurse implement?
Choose correct answer/s
Monitor her urinary output.
Maintain an intravenous infusion at 1 mL/hr.
Assess the abdominal dressings for drainage.
Assess the uterus for firmness every 15 minutes.
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