– Practice Questions with
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The nurse in a maternity unit is reviewing the clients' records. Which clients
should the nurse identify as being at the most risk for developing disseminated
intravascular coagulation (DIC)? Select all that apply. - Answer✔✔-3.
A gravida II who has just been diagnosed with dead fetus syndrome
5.
A primigravida at 29 weeks of gestation who was recently diagnosed with
severe preeclampsia
The nurse is caring for a client in labor. Which assessment findings indicate to
the nurse that the client is beginning the second stage of labor? Select all that
apply. - Answer✔✔-3.
The cervix is dilated completely.
5.
,The spontaneous urge to push is initiated from perineal pressure.
The nurse in the labor room is caring for a client in the active stage of the first
phase of labor. The nurse is assessing the fetal patterns and notes a late
deceleration on the monitor strip. What is the most appropriate nursing
action? - Answer✔✔-1. Administer oxygen via face mask.
The nurse is performing an assessment of a client who is scheduled for a
cesarean delivery at 39 weeks of gestation. Which assessment finding indicates
the need to contact the health care provider (HCP)? - Answer✔✔-2 .Fetal heart
rate of 180 beats/minute
The nurse is reviewing the record of a client in the labor room and notes that
the health care provider has documented that the fetal presenting part is at the
-1 station. This documented finding indicates that the fetal presenting part is
located at which area? Click on the image to indicate your answer. -
Answer✔✔-3
A client arrives at a birthing center in active labor. Following examination, it is
determined that her membranes are still intact and she is at a -2 station. The
health care provider prepares to perform an amniotomy. What will the nurse
relay to the client as the most likely outcomes of the amniotomy? Select all
that apply. - Answer✔✔-3.
Increased efficiency of contractions
5.
The need for frequent fetal heart rate monitoring to detect the presence of a
prolapsed cord
, The nurse is monitoring a client in labor. The nurse suspects umbilical cord
compression if which is noted on the external monitor tracing during a
contraction? - Answer✔✔-4. Variable decelerations
A client in labor is transported to the delivery room and prepared for a
cesarean delivery. After the client is transferred to the delivery room table, the
nurse should place the client in which position? - Answer✔✔-1.Supine position
with a wedge under the right hip
The nurse is monitoring a client in active labor and notes that the client is
having contractions every 3 minutes that last 45 seconds. The nurse notes that
the fetal heart rate between contractions is 100 beats/minute. Which nursing
action is most appropriate? - Answer✔✔-1. Notify the health care provider
(HCP).
The nurse is caring for a client in labor and is monitoring the fetal heart rate
patterns. The nurse notes the presence of episodic accelerations on the
electronic fetal monitor tracing. Which action is most appropriate? -
Answer✔✔-4. Document the findings and tell the mother that the pattern on
the monitor indicates fetal well-being.
The nurse is admitting a pregnant client to the labor room and attaches an
external electronic fetal monitor to the client's abdomen. After attachment of
the electronic fetal monitor, what is the next nursing action? - Answer✔✔-2.
Assess the baseline fetal heart rate.
The nurse is reviewing true and false labor signs with a multiparous client. The
nurse determines that the client understands the signs of true labor if she
makes which statement? - Answer✔✔-4. "My contractions will increase in
duration and intensity."