ANSWERS\VERIFIED 100% ALREADY GRADED A+ || ACTUAL
FINAL EXAM 2026-2027 UNIT 3
Which is the expected color and consistency of amniotic fluid at 36
weeks' gestation?
ANSWERS : Straw colored, clear, and containing little white specks
Which factor distinguishes true labor from false labor?
ANSWERS : Cervical dilation is evident
A client who is in labor is admitted 30 hours after her membranes
ruptured. Which condition is this client at increased risk for?
ANSWERS : Chorioamnionitis
Which of these presentations would indicate that the nurse should
direct a primipara to call a health care provider?
ANSWERS : Rupture of membranes or contractions 5 minutes apart
A client in labor is admitted to the birthing unit 20 hours after the
membranes have ruptured. Which is a possible complication for this
client?
ANSWERS : Maternal sepsis
,A client's membranes ruptured 20 hours before admission. She gave
birth 18 hours after admission. For which postpartum complication is
this client at risk?
ANSWERS : Infection
Which is the nurse's immediate action when a laboring client
experiences a spontaneous rupture of membranes?
ANSWERS : Assess the fetal heart rate
Which would the nurse identify as the most widely used off-label
medication for cervical ripening and the enhancement of uterine
muscle tone?
ANSWERS : Misoprostol
An oxytocin infusion is prescribed to augment labor for a client with
mild
contractions that last 30 seconds and are 3 to 5 minutes apart. Which is
the priority nursing intervention at this time?
ANSWERS : Infusing oxytocin by piggybacking into the primary line
An amniotomy is performed on a client admitted for labor
augmentation with oxytocin. Immediately after the amniotomy, the
nurse assesses the fetal heart rate for at least 1 full minute for signs
of which complication?
ANSWERS : umbilical cord prolapse
,Which action would the nurse take first, when a client receiving
oxytocin to augment labor begins to moan loudly, and her contractions
become more intense and prolonged, with little or no rest period
between them?
ANSWERS : Discontinue the oxytocin infusion
During a prenatal education class, the nurse discusses the importance of
fetal movement awareness. Why is this an important concept to teach?
ANSWERS : A decrease in fetal movement necessitates an evaluation of
fetal well-being.
Which statement contains information that would be included when
answering a client's questions about episiotomy versus laceration?
ANSWERS : Lacerations are easier to repair than an episiotomy
A client required an extensive episiotomy because her newborn was
large.
Which nursing intervention will minimize edema and lessen
discomfort associated with an episiotomy?
ANSWERS : Applying ice packs to the perineum
Which instruction would the nurse include when teaching episiotomy
care?
ANSWERS : Perform perineal care after toileting until healing occurs
, A client with a large fetus is to have a pudendal block during the
second stage of labor. Which would the nurse plan to instruct the
client regarding the effectiveness of the block?
ANSWERS : Perineal pain will not be felt
The bearing-down reflex will be diminished
After the vaginal birth of an infant weight 8lb, 13 oz (3997 g) an ice pack
if
applied to a client's perineum to ease the swelling and pain.
Subsequently, the client complains, "My vagina feels so full and heavy
and the pain in it and in my rectum is excruciating." Which problem
would the nurse suspect is the cause of the pain?
ANSWERS : Vaginal hematoma
By which mechanism do sitz bath aid healing of an episiotomy?
ANSWERS : Promoting vasodilation
Which common indication for a cesarean birth would the nurse
discuss in a class for expectant parents?
ANSWERS : Cephalopelvic disproportion