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Case Study # 1
Questions refer to this study.
Julie Bangay, a primigravida at 30 weeks gestation, is admitted to the birthing suite in
active labour.
A few hours after being admitted, Julie becomes very restless, flushed, irritable and
perspires profusely. She states that she is going to vomit. Which stage of labour is Julie
in?
A. Late stage
B. Third stage
C. Second stage
D. Transition stage - ANSWERS-A. Late stage
Which of the following signs would be NOT be displayed by Julie when she is close to
the delivery of her infant?
A. She would become irritable and not follow instructions.
,B. Her perineum would begin to bulge with each contraction.
C. There would be an decrease in the amount of bloody discharge from the vagina.
D. The contractions would occur every 2 - 3 minutes and last 60 seconds. - ANSWERS-
C. There would be an decrease in the amount of bloody discharge from the vagina.
Julie delivers a healthy infant. Four hours after a vaginal delivery, she still has not
voided. What would be the nurse's initial action?
A. Palpate her suprapubic area for distension.
B. Encourage voiding by placing her on a bedpan frequently.
C. Place her hands in cold water to discourage micturition.
D. Inform the physician of her inability to void and await orders - ANSWERS-D. Inform
the physician of her inability to void and await orders
Which nursing intervention would the nurse perform during the fourth stage of labour?
A. Administer pain medication and monitor vital signs.
B. Assess uterine contractions every 30 minutes.
C. Coach for effective maternal pushing.
D. Promote parent-newborn interactions - ANSWERS-A. Administer pain medication
and monitor vital signs.
Case Study # 2
Questions refer to this study
Lynn is 25 weeks pregnant, and she attends her regular prenatal check-up. You are the
LPN working in a prenatal clinic. Lynn's physician asks you to prepare Lynn for her visit.
You escort her to the examining room, where you assist her in laying on her back on the
exam table.
, While you are preparing for her examination, Lynn expresses feeling of strength and
vitality. You note she is flushed. She feels warm and dry to the touch. You recall from
your training that this problem is called:
A. Cardiac tamponade
B. Sensitivity hypertension
C. Kernicterus
D. Supine hypotension - ANSWERS-C. Kernicterus
Lynn is 25 weeks pregnant, and she attends her regular prenatal check-up. You are the
LPN working in a prenatal clinic. Lynn's physician asks you to prepare Lynn for her visit.
You escort her to the examining room, where you assist her in laying on her back on the
exam table.
From your experience working in the prenatal clinic, you recall that this syndrome is
caused by what?
A. Clots forming in the lower legs
B. The first indication Lynn is starting labour
C. Pressure of the uterus and fetus on the minor blood vessels
D. Consuming alcohol - ANSWERS-D. Consuming alcohol
You recognize Lynn's symptoms and know exactly how to alleviate them. You assist
Lynn to do which of the following?
A. Remove her restrictive clothing
B. Remain in a lying position with her legs raised
C. Remove pillows from under her head
D. To lay in the left lateral position - ANSWERS-B. Remain in a lying position with her
legs raised