Pregnancy, Labor, Childbirth, Postpartum - At Risk Questions and
Answers Rated A
A nurse applies fetal and uterine monitors to the the infant
abdomen of a client in active labor. When the client
has contractions, the nurse notes a 15 beats/min
deceleration of the fetal heart rate below the baseline A client at term is admitted in active labor. She has
lasting 15 seconds. What is the next nursing action? tested positive for HIV. Which intervention in the
- ANSWER -Changing the maternal position standard orders should the nurse question as a risk
to the fetus? - ANSWER -Internal fetal scalp
electrode
To prevent or stabilize a client in heroin withdrawal
during labor, which medication should be
administered as ordered if the woman is nauseated, A pregnant client with a history of preterm labor is at
vomiting, or did not receive her daily dose at a home on bedrest. What instructions should a
chemical dependence center? - ANSWER - teaching plan for this client include? -
Dolophine (Methadone) ANSWER -Lie on the side with the head raised
on a small pillow.
A primigravida in whom placenta previa has already
been diagnosed is admitted with bright-red vaginal After a difficult labor a client gives birth to a 9-lb boy
bleeding at 34 weeks' gestation. What is the nurse's who dies shortly afterward. That evening the client
initial intervention? - ANSWER -Positioning the tearfully describes to the nurse her projected image
client in the side-lying position to ease pressure on of her son and what his future might have been. What
the cervix is the nurse's most therapeutic response? -
ANSWER -"It must be difficult to think of him
now."
What should be included in the nursing care for a
client at 41 weeks' gestation who is to have a
contraction stress test? - ANSWER -Having the A woman is admitted to the high-risk unit in preterm
client empty her bladder labor at 30 weeks' gestation. What does the nurse
suspect precipitated this preterm labor? -
ANSWER -Incompetent cervix
A nurse is caring for a client who has been admitted
with a tentative diagnosis of placenta previa. What
procedure does the nurse anticipate? - A multipara whose membranes have ruptured is
ANSWER -Ultrasound examination admitted in early labor. Assessment reveals a breech
presentation, cervical dilation of 3 cm, and fetal
station at −2. For what complication should the nurse
A pregnant client comes to the emergency assess when caring for this client? - ANSWER -
department because of vaginal bleeding. The nurse Prolapse of the umbilical cord
asks the client to estimate how heavy the bleeding is.
What is the best gauge for the client to use? -
ANSWER -Amount of blood lost in relation to Which client is at risk for a postpartum infection? -
usual menstrual flow ANSWER -A woman who required
catheterization after voiding less than 75 mL
Several hours after delivery, a new mother expresses
ambivalence about her infant. How will the nurse A nurse is concerned about a client's mother-infant
promote bonding between this mother and her bonding when on the first postpartum day she is
newborn? - ANSWER -Having the mother feed reluctant to: - ANSWER -Look at her newborn's
1/5
, Pregnancy, Labor, Childbirth, Postpartum - At Risk Questions and
Answers Rated A
face. A nurse is caring for a client in labor. When her cervix
is dilated 3 to 4 cm and 60% effaced and the vertex is
at -1 station, there is a sudden spurt of dark blood
A client in labor, who is at term, is admitted to the from the vagina. The uterus is irritable on palpation
birthing room. The fetus is in the left occiput posterior and does not relax fully between contractions. What
position. The client's membranes rupture is the initial nursing action? - ANSWER -
spontaneously. What observation requires the nurse Assessing the fetal heart rate, uterine activity, and
to notify the practitioner? - ANSWER -Greenish blood pressure
amniotic fluid
A client with worsening preeclampsia is admitted to
When entering the room of a client in active labor to the high-risk unit, and the nurse manager places her
answer the call light, the nurse sees that she is in a private room. A nonstimulating environment is
ashen gray, dyspneic, and clutching her chest. What important for a client with increased cerebral
should the nurse do after pressing the emergency irritability because it: - ANSWER -Decreases
light in the client's room? - ANSWER - the probability of generalized seizures
Administer oxygen by facemask.
What is the initial responsibility of a nurse teaching
A client who had a cesarean birth is unable to void 3 the pregnant adolescent? - ANSWER -
hours after the removal of an indwelling catheter. Encouraging her to continue regularly scheduled
How can the nurse evaluate whether the client's prenatal care
bladder is distended? - ANSWER -By palpating
the client's suprapubic area gently
A nurse is caring for a postpartum client with a history
of rheumatic heart disease. The nurse plans care for
A 24-year-old client who has had type 1 diabetes for this client with the knowledge that the client should: -
6 years is concerned about how her pregnancy will ANSWER -Be monitored during the first 48
affect her diet and insulin needs. How should the hours because of the stress on the cardiopulmonary
nurse respond? - ANSWER -"Insulin dosage system
and dietary needs will be adjusted in accordance with
the results of blood glucose monitoring."
A client with type 1 diabetes is scheduled for an
amniocentesis at 36 weeks' gestation. She asks the
A nonstress test (NST) is scheduled for a client with nurse why this is being done so late in her
mild preeclampsia. During the test, the client asks pregnancy. What should the nurse consider before
the nurse what it means when the fetal heart rate responding? - ANSWER -Fetal lung maturity
goes up every time the fetus moves. What should the may be evaluated.
nurse consider before responding? -
ANSWER -These accelerations are a sign of
fetal well-being. Which client should the nurse identify as being at
greatest risk for a hypertensive disorder of
pregnancy? - ANSWER -Obese primigravida
A client had a cesarean birth 4 hours ago. What is
the major nursing intervention at this time? -
ANSWER -Relieving postoperative pain A client with mild preeclampsia is being treated on an
outpatient basis. Three days of bedrest is prescribed.
What position should the nurse encourage the client
2/5
Answers Rated A
A nurse applies fetal and uterine monitors to the the infant
abdomen of a client in active labor. When the client
has contractions, the nurse notes a 15 beats/min
deceleration of the fetal heart rate below the baseline A client at term is admitted in active labor. She has
lasting 15 seconds. What is the next nursing action? tested positive for HIV. Which intervention in the
- ANSWER -Changing the maternal position standard orders should the nurse question as a risk
to the fetus? - ANSWER -Internal fetal scalp
electrode
To prevent or stabilize a client in heroin withdrawal
during labor, which medication should be
administered as ordered if the woman is nauseated, A pregnant client with a history of preterm labor is at
vomiting, or did not receive her daily dose at a home on bedrest. What instructions should a
chemical dependence center? - ANSWER - teaching plan for this client include? -
Dolophine (Methadone) ANSWER -Lie on the side with the head raised
on a small pillow.
A primigravida in whom placenta previa has already
been diagnosed is admitted with bright-red vaginal After a difficult labor a client gives birth to a 9-lb boy
bleeding at 34 weeks' gestation. What is the nurse's who dies shortly afterward. That evening the client
initial intervention? - ANSWER -Positioning the tearfully describes to the nurse her projected image
client in the side-lying position to ease pressure on of her son and what his future might have been. What
the cervix is the nurse's most therapeutic response? -
ANSWER -"It must be difficult to think of him
now."
What should be included in the nursing care for a
client at 41 weeks' gestation who is to have a
contraction stress test? - ANSWER -Having the A woman is admitted to the high-risk unit in preterm
client empty her bladder labor at 30 weeks' gestation. What does the nurse
suspect precipitated this preterm labor? -
ANSWER -Incompetent cervix
A nurse is caring for a client who has been admitted
with a tentative diagnosis of placenta previa. What
procedure does the nurse anticipate? - A multipara whose membranes have ruptured is
ANSWER -Ultrasound examination admitted in early labor. Assessment reveals a breech
presentation, cervical dilation of 3 cm, and fetal
station at −2. For what complication should the nurse
A pregnant client comes to the emergency assess when caring for this client? - ANSWER -
department because of vaginal bleeding. The nurse Prolapse of the umbilical cord
asks the client to estimate how heavy the bleeding is.
What is the best gauge for the client to use? -
ANSWER -Amount of blood lost in relation to Which client is at risk for a postpartum infection? -
usual menstrual flow ANSWER -A woman who required
catheterization after voiding less than 75 mL
Several hours after delivery, a new mother expresses
ambivalence about her infant. How will the nurse A nurse is concerned about a client's mother-infant
promote bonding between this mother and her bonding when on the first postpartum day she is
newborn? - ANSWER -Having the mother feed reluctant to: - ANSWER -Look at her newborn's
1/5
, Pregnancy, Labor, Childbirth, Postpartum - At Risk Questions and
Answers Rated A
face. A nurse is caring for a client in labor. When her cervix
is dilated 3 to 4 cm and 60% effaced and the vertex is
at -1 station, there is a sudden spurt of dark blood
A client in labor, who is at term, is admitted to the from the vagina. The uterus is irritable on palpation
birthing room. The fetus is in the left occiput posterior and does not relax fully between contractions. What
position. The client's membranes rupture is the initial nursing action? - ANSWER -
spontaneously. What observation requires the nurse Assessing the fetal heart rate, uterine activity, and
to notify the practitioner? - ANSWER -Greenish blood pressure
amniotic fluid
A client with worsening preeclampsia is admitted to
When entering the room of a client in active labor to the high-risk unit, and the nurse manager places her
answer the call light, the nurse sees that she is in a private room. A nonstimulating environment is
ashen gray, dyspneic, and clutching her chest. What important for a client with increased cerebral
should the nurse do after pressing the emergency irritability because it: - ANSWER -Decreases
light in the client's room? - ANSWER - the probability of generalized seizures
Administer oxygen by facemask.
What is the initial responsibility of a nurse teaching
A client who had a cesarean birth is unable to void 3 the pregnant adolescent? - ANSWER -
hours after the removal of an indwelling catheter. Encouraging her to continue regularly scheduled
How can the nurse evaluate whether the client's prenatal care
bladder is distended? - ANSWER -By palpating
the client's suprapubic area gently
A nurse is caring for a postpartum client with a history
of rheumatic heart disease. The nurse plans care for
A 24-year-old client who has had type 1 diabetes for this client with the knowledge that the client should: -
6 years is concerned about how her pregnancy will ANSWER -Be monitored during the first 48
affect her diet and insulin needs. How should the hours because of the stress on the cardiopulmonary
nurse respond? - ANSWER -"Insulin dosage system
and dietary needs will be adjusted in accordance with
the results of blood glucose monitoring."
A client with type 1 diabetes is scheduled for an
amniocentesis at 36 weeks' gestation. She asks the
A nonstress test (NST) is scheduled for a client with nurse why this is being done so late in her
mild preeclampsia. During the test, the client asks pregnancy. What should the nurse consider before
the nurse what it means when the fetal heart rate responding? - ANSWER -Fetal lung maturity
goes up every time the fetus moves. What should the may be evaluated.
nurse consider before responding? -
ANSWER -These accelerations are a sign of
fetal well-being. Which client should the nurse identify as being at
greatest risk for a hypertensive disorder of
pregnancy? - ANSWER -Obese primigravida
A client had a cesarean birth 4 hours ago. What is
the major nursing intervention at this time? -
ANSWER -Relieving postoperative pain A client with mild preeclampsia is being treated on an
outpatient basis. Three days of bedrest is prescribed.
What position should the nurse encourage the client
2/5
