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