Labor and Birth at Risk PrepU Exam Questions And Answers Practice Questions with Solutions Newest | Already Graded A+

Labor and Birth at Risk PrepU Exam Questions And Answers Practice Questions with Solutions Newest | Already Graded A+ A woman having contractions comes to the emergency department. She tells the nurse that she is at 34 weeks' gestation. The nurse examines her and finds that she is already effaced and dilated 2 cm. What is this woman demonstrating? A. normal labor B. dystocia C. preterm labor D. macrosomia - Answer- C. preterm labor A client is admitted to the health care facility. The fetus has a gestational age of 42 weeks and is suspected to have cephalopelvic disproportion. Which should the nurse do next? A. Prepare the client for a cesarean birth. B. Administer oxytocin intravenously at 4 mU/minute. C. Perform artificial rupture of membranes. D. Place the client in lithotomy position for birth. - Answer- A. Prepare the client for a cesarean birth. A woman whose fetus is in the occiput posterior position is experiencing increased back pain. Which is the best way for the nurse to help alleviate this back pain? A. applying ice to the back B. performing acupuncture on the back C. applying a heating pad to the back D. applying counter pressure to the back - Answer- D. applying counter pressure to the back A woman in labor for over 12 hours has made very little progress. The health care provider thinks that her contractions lack the force needed to propel the infant downward through the birth canal. The provider asks a group of nursing students which hormone may need to be given to increase the force of the contraction. Which hormone would be the best answer? A. oxytocin, a posterior pituitary hormone B. luteinizing hormone, an anterior pituitary hormone C. growth hormone, an anterior pituitary hormone D. antidiuretic hormone, a posterior pituitary hormone - Answer- A. oxytocin, a posterior pituitary hormone A nurse is caring for an antenatal client diagnosed with umbilical cord prolapse. For which condition should the nurse monitor the fetus? A. rupture of umbilical cord B. late decelerations C. tachycardia D. hypoxia - Answer- D. hypoxia A woman is going to have labor induced with oxytocin. Which statement reflects the induction technique the nurse anticipates the primary care provider will prescribe? A. Administer oxytocin in two divided intramuscular sites. B. Administer oxytocin diluted as a "piggyback" infusion. C. Administer oxytocin diluted in the main intravenous fluid. D. Administer oxytocin in a 20 cc bolus of saline. - Answer- B. Administer oxytocin diluted as a "piggyback" infusion. "Accurate control of the rate of infusion is essential and is best accomplished by an infusion pump. It is convenient to piggyback the Pitocin infusion on a physiologic electrolyte solution, permitting the Pitocin infusion to be stopped abruptly without interrupting the electrolyte infusion" (NIH). A 16-year-old client has been in the active phase of labor for 14 hours. An ultrasound reveals that the likely cause of delay in dilation (dilatation) is cephalopelvic disproportion. Which intervention should the nurse most expect in this case? A. administration of morphine sulfate B. darkening room lights and decreasing noise and stimulation C. administration of oxytocin D. cesarean birth - Answer- D. cesarean birth The client is anxious about her prolonged pregnancy. She informs the nurse she has been doing research on the Internet and has read about certain herbs that can help to induce labor. Which response from the nurse would be appropriate? A. "Why would you do something as stupid as that?" B. "Please talk to your primary care provider first to ensure it is safe." C. "Personally, I would use them, but I cannot tell you to." D. "There is no scientific evidence they work. You will just complicate your situation more." - Answer- B. "Please talk to your primary care provider first to ensure it is safe." A client who has been in prolonged labor reports extreme back pain. She asks why her back hurts so much. What would be the best response by the nurse? A. "Different fetal positions can cause prolonged labor and back pain." B. "This is just a normal part of labor." C. "Perhaps you have been in one position for too long." D. "Let me help you out of bed to try walking it off." - Answer- A. "Different fetal positions can cause prolonged labor and back pain." A client in active labor with a history of two previous cesarean births is being monitored frequently as they try to have a vaginal birth. Suddenly, the client grabs the nurse's hand and states, "Something inside me is tearing." The nurse notes the client's blood pressure is 80/50 mm Hg, pulse rate is 130 bpm and weak, the skin is cool and clammy, and the fetal monitor shows bradycardia. The nurse activates the code team because the nurse suspects the client may be experiencing which complication? A. amniotic embolism to the lungs B. uterine rupture C. compression on the inferior vena cava D. undiagnosed abdominal aorta aneurysm - Answer- B. uterine rupture What terminology would the nurse use to document a newborn who weighs 4,000 grams (8.8 lb) or more at birth? A. meconium B. macrosomia C. microsomia D. hydrocephalus - Answer- B. macrosomia A client gave birth to a newborn via vaginal birth with the use of a vacuum extractor. The nurse will be alert for which possible effect in the newborn? A. asphyxia B. clavicular fracture C. central nervous system injury D. cephalohematoma - Answer- D. cephalohematoma A pregnant client at 24 weeks' gestation comes to the clinic for an evaluation. The client called the clinic earlier in the day stating that they had not felt the fetus moving since yesterday evening. The nurse cannot find fetal heart tones with a Doppler. Which diagnostic test does the nurse anticipate the health care provider will order? A. ultrasound B. human chorionic gonadotropin (hCG) level C. amniocentesis D. triple marker screening - Answer- A. ultrasound