MNB quiz 2 Ch 6,7,8 Review Questions With Complete
Solutions
Which is the most typical labor characteristic when the fetus is
in an occiput posterior position ?
1. Labor duration shorter than 3 hours
2. Persistent back discomfort
3. Rapid fetal descent
4. Mild contraction strength
2. Persistent back discomfort
A woman who is at 32 weeks gestation telephones the nurse in a
labor unit and says that her baby seems to be " pushing down "
much of the time and that she has a constant backache . Choose
the most appropriate nursing response .
1. Ask her to have someone bring her to the labor unit for further
assessment .
2. Reassure her that pressure and backache are common during
late pregnancy .
3. Tell her she should rest with her feet elevated several times
each day .
4. Encourage her to promote bladder emptying by increasing her
fluid intake .
1. Ask her to have someone bring her to the labor unit for further
assessment .
External version is most likely to be done in which of these
situations ?
,1. Early labor with frank breech presentation
2. Breech presentation with placenta previa
3. Twins in cephalic and breech presentations
4. Breech presentation at 38 weeks gestation
4. Breech presentation at 38 weeks gestation
The first nursing action if a visibly prolapsed umbilical cord
occurs is to :
1. call the health care provider .
2. palpate the cord for a pulse .
3. apply the internal fetal monitor .
4. relieve pressure on the cord .
4. relieve pressure on the cord .
What is the priority nursing action following amniotomy ?
1. Turn the woman to her side .
2 . Check the fetal heart rate .
3 . Assess the color of the fluid .
4 . Change the underpad .
2 . Check the fetal heart rate .
The nursing intervention most likely to make the woman with a
perineal laceration more comfortable during the first 2 hours
after birth is :
1. warm - water soaks .
2 . a small dressing .
3 . an ice pack .
4. antibacterial ointment .
3 . an ice pack .
,Parents of a newborn delivered with low forceps ask about small
bruises on each side of the baby's head . The nurse should tell
the parents that the bruises :
1. will be reported to the health care provider .
2. usually disappear in a few days .
3. may indicate brain damage .
4. occur in all vertex births .
2. usually disappear in a few days .
Of these options for cesarean birth , the most important nursing
care during the postanesthesia recover is to : WHETHE
1. provide analgesia .
2 . assess the fundus .
3 . position for comfort .
4. encourage urination .
2 . assess the fundus .
When caring for a woman following a vehicle accident at 36
weeks of pregnancy , the priority fetal as sessment should be
for :
1. undetected trauma.fi
2. poor oxygenation .
3. intrauterine infection .
4. precipitous birth .
2. poor oxygenation .
The nurse must particularly observe for signs and symptoms of
uterine rupture if the laboring woman just admitted at 8 cm has :
1. a hypotonic labor pattern .
, 2. estimated fetal weight of 3500 g .
3. prematurely ruptured membranes .
4. a prior cesarean birth .
4. a prior cesarean birth .
An infant's amniotic fluid was meconium - stained . During the
admission assessment , the nurse notes that the infant is crying
vigorously . Her skin is peeling and she has a long , thin
appearance These facts suggest that this infant is probably :
1. preterm .
2. postterm .
3. in respiratory distress .
4. large for her gestational age .
2. postterm .
A woman has a prostaglandin vaginal insert placed the day
before she is scheduled for induction of la bor at 40 weeks .
Which is the most appropriate teaching immediately after the
procedure ?
1. " We will check your baby's heart rate after you walk for 30
minutes . "
2 . " Expect vigorous and frequent contractions in about 30
minutes . "
3 . " Call your nurse if you notice fluid leaking from your vagina
."
4 . " Stay in bed on your left side until oxytocin infusion is
started . "
3 . " Call your nurse if you notice fluid leaking from your vagina
."
Solutions
Which is the most typical labor characteristic when the fetus is
in an occiput posterior position ?
1. Labor duration shorter than 3 hours
2. Persistent back discomfort
3. Rapid fetal descent
4. Mild contraction strength
2. Persistent back discomfort
A woman who is at 32 weeks gestation telephones the nurse in a
labor unit and says that her baby seems to be " pushing down "
much of the time and that she has a constant backache . Choose
the most appropriate nursing response .
1. Ask her to have someone bring her to the labor unit for further
assessment .
2. Reassure her that pressure and backache are common during
late pregnancy .
3. Tell her she should rest with her feet elevated several times
each day .
4. Encourage her to promote bladder emptying by increasing her
fluid intake .
1. Ask her to have someone bring her to the labor unit for further
assessment .
External version is most likely to be done in which of these
situations ?
,1. Early labor with frank breech presentation
2. Breech presentation with placenta previa
3. Twins in cephalic and breech presentations
4. Breech presentation at 38 weeks gestation
4. Breech presentation at 38 weeks gestation
The first nursing action if a visibly prolapsed umbilical cord
occurs is to :
1. call the health care provider .
2. palpate the cord for a pulse .
3. apply the internal fetal monitor .
4. relieve pressure on the cord .
4. relieve pressure on the cord .
What is the priority nursing action following amniotomy ?
1. Turn the woman to her side .
2 . Check the fetal heart rate .
3 . Assess the color of the fluid .
4 . Change the underpad .
2 . Check the fetal heart rate .
The nursing intervention most likely to make the woman with a
perineal laceration more comfortable during the first 2 hours
after birth is :
1. warm - water soaks .
2 . a small dressing .
3 . an ice pack .
4. antibacterial ointment .
3 . an ice pack .
,Parents of a newborn delivered with low forceps ask about small
bruises on each side of the baby's head . The nurse should tell
the parents that the bruises :
1. will be reported to the health care provider .
2. usually disappear in a few days .
3. may indicate brain damage .
4. occur in all vertex births .
2. usually disappear in a few days .
Of these options for cesarean birth , the most important nursing
care during the postanesthesia recover is to : WHETHE
1. provide analgesia .
2 . assess the fundus .
3 . position for comfort .
4. encourage urination .
2 . assess the fundus .
When caring for a woman following a vehicle accident at 36
weeks of pregnancy , the priority fetal as sessment should be
for :
1. undetected trauma.fi
2. poor oxygenation .
3. intrauterine infection .
4. precipitous birth .
2. poor oxygenation .
The nurse must particularly observe for signs and symptoms of
uterine rupture if the laboring woman just admitted at 8 cm has :
1. a hypotonic labor pattern .
, 2. estimated fetal weight of 3500 g .
3. prematurely ruptured membranes .
4. a prior cesarean birth .
4. a prior cesarean birth .
An infant's amniotic fluid was meconium - stained . During the
admission assessment , the nurse notes that the infant is crying
vigorously . Her skin is peeling and she has a long , thin
appearance These facts suggest that this infant is probably :
1. preterm .
2. postterm .
3. in respiratory distress .
4. large for her gestational age .
2. postterm .
A woman has a prostaglandin vaginal insert placed the day
before she is scheduled for induction of la bor at 40 weeks .
Which is the most appropriate teaching immediately after the
procedure ?
1. " We will check your baby's heart rate after you walk for 30
minutes . "
2 . " Expect vigorous and frequent contractions in about 30
minutes . "
3 . " Call your nurse if you notice fluid leaking from your vagina
."
4 . " Stay in bed on your left side until oxytocin infusion is
started . "
3 . " Call your nurse if you notice fluid leaking from your vagina
."
