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Chapter 10: High-Risk Labor and Birth
Verified and Updated Questions and
Answers (100% Correct Answers)
1. During labor induction with oxytocin, the fetal heart rate baseline is in the 140s
with moderate variability. Contraction frequency is assessed to be every 2 minutes
with duration of 60 seconds, of moderate strength to palpation. Based on this
assessment, the nurse should take which action?
a. Increase oxytocin infusion rate per physician's protocol.
b. Stop oxytocin infusion immediately.
c. Maintain present oxytocin infusion rate and continue to assess.
d. Decrease oxytocin infusion rate by 2 mU/min and report to physician.
Answer: c. Correct. Maintain present oxytocin infusion rate and continue to assess is
the correct response, as this question describes a normal uterine contraction pattern.
2. If the umbilical cord prolapses during labor, the nurse should immediately:
a. Type and cross-match blood for an emergency transfusion.
b. Await MD order for preparation for an emergency cesarean section.
c. Attempt to reposition the cord above the presenting part.
d. Apply manual pressure to the presenting part to relieve pressure on the cord.
Answer: d. Apply manual pressure to the presenting part to relieve pressure on the
cord represents the first nursing intervention to attempt to improve circulation to
the fetus.
3. Augmentation of labor:
a. Is part of the active management of labor instituted when the labor process is
unsatisfactory and uterine contractions are inadequate
b. Relies on more invasive methods when oxytocin and amniotomy have failed
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c. Is elective induction of labor
d. Is an operative vaginal delivery that uses vacuum cups
Answer: a. Augmentation stimulates uterine contractions after labor has started but
not progressed appropriately
4. Your patient is a 28-year-old gravida 2 para 1 in active labor. She has been in labor
for 12 hours. Upon further assessment, the nurse determines that she is experiencing
a hypotonic labor pattern. Possible maternal and fetal implications from hypotonic
labor patterns are:
a. Intrauterine infection and maternal exhaustion with fetal distress usually
occurring early in labor.
b. Intrauterine infection and maternal exhaustion with fetal distress usually
occurring late in labor.
c. Intrauterine infection and postpartum hemorrhage with fetal distress early in
labor.
d. Intrauterine infection and ruptured uterus and fetal death.
Answer: b. Hypotonic labor patterns increase risk for infection and maternal
exhaustion, with fetal distress occurring late in labor as hypotonic patterns prolong
labor.
5. A primigravida woman at 42 weeks' gestation received Prepidil (dinoprostone) for
induction 12 hours ago. The Bishop score is now 3. Which of the following actions by
the nurse is appropriate?
a. Perform Nitrazine analysis of the amniotic fluid.
b. Report the lack of progress to the obstetrician.
c. Place the woman on her left side.
d. Ask the doctor for an order for oxytocin.
Answer: b. Little progress has taken place. The Bishop score of a primigravida will
need to be 9 or higher before oxytocin will be effective
6. The nurse is assisting a physician in the delivery of a baby via vacuum extraction.
Which of the following nursing diagnoses for the gravida is appropriate at this time?
Chapter 10: High-Risk Labor and Birth
Verified and Updated Questions and
Answers (100% Correct Answers)
1. During labor induction with oxytocin, the fetal heart rate baseline is in the 140s
with moderate variability. Contraction frequency is assessed to be every 2 minutes
with duration of 60 seconds, of moderate strength to palpation. Based on this
assessment, the nurse should take which action?
a. Increase oxytocin infusion rate per physician's protocol.
b. Stop oxytocin infusion immediately.
c. Maintain present oxytocin infusion rate and continue to assess.
d. Decrease oxytocin infusion rate by 2 mU/min and report to physician.
Answer: c. Correct. Maintain present oxytocin infusion rate and continue to assess is
the correct response, as this question describes a normal uterine contraction pattern.
2. If the umbilical cord prolapses during labor, the nurse should immediately:
a. Type and cross-match blood for an emergency transfusion.
b. Await MD order for preparation for an emergency cesarean section.
c. Attempt to reposition the cord above the presenting part.
d. Apply manual pressure to the presenting part to relieve pressure on the cord.
Answer: d. Apply manual pressure to the presenting part to relieve pressure on the
cord represents the first nursing intervention to attempt to improve circulation to
the fetus.
3. Augmentation of labor:
a. Is part of the active management of labor instituted when the labor process is
unsatisfactory and uterine contractions are inadequate
b. Relies on more invasive methods when oxytocin and amniotomy have failed
, Inquire through: | Professional | Confidential Support
c. Is elective induction of labor
d. Is an operative vaginal delivery that uses vacuum cups
Answer: a. Augmentation stimulates uterine contractions after labor has started but
not progressed appropriately
4. Your patient is a 28-year-old gravida 2 para 1 in active labor. She has been in labor
for 12 hours. Upon further assessment, the nurse determines that she is experiencing
a hypotonic labor pattern. Possible maternal and fetal implications from hypotonic
labor patterns are:
a. Intrauterine infection and maternal exhaustion with fetal distress usually
occurring early in labor.
b. Intrauterine infection and maternal exhaustion with fetal distress usually
occurring late in labor.
c. Intrauterine infection and postpartum hemorrhage with fetal distress early in
labor.
d. Intrauterine infection and ruptured uterus and fetal death.
Answer: b. Hypotonic labor patterns increase risk for infection and maternal
exhaustion, with fetal distress occurring late in labor as hypotonic patterns prolong
labor.
5. A primigravida woman at 42 weeks' gestation received Prepidil (dinoprostone) for
induction 12 hours ago. The Bishop score is now 3. Which of the following actions by
the nurse is appropriate?
a. Perform Nitrazine analysis of the amniotic fluid.
b. Report the lack of progress to the obstetrician.
c. Place the woman on her left side.
d. Ask the doctor for an order for oxytocin.
Answer: b. Little progress has taken place. The Bishop score of a primigravida will
need to be 9 or higher before oxytocin will be effective
6. The nurse is assisting a physician in the delivery of a baby via vacuum extraction.
Which of the following nursing diagnoses for the gravida is appropriate at this time?
