Intrapartum Study Guide Exam with Questions and Answers – 100% Solved
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. - ✔✔✔-3.
Increased efficiency of contractions
5.
The need for frequent fetal heart rate monitoring to detect the presence of a prolapsed cord
A client in labor is dilated 10 cm. At this point in the labor process, at least how often should the
nurse assess and document the fetal heart rate? - ✔✔✔-2. Every 15 minutes
A client in labor is receiving oxytocin by intravenous infusion to stimulate uterine contractions.
Which finding indicates that the rate of infusion needs to be decreased? - ✔✔✔-2. A fetal heart
rate of 180 beats/min
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? - ✔✔✔-1.Supine position with a wedge under the right hip
A client with a 38-week twin gestation is admitted to a birthing center in early labor. One of the
fetuses is a breech presentation. Which intervention is least appropriate in planning the nursing
care of this client? - ✔✔✔-1. Measure fundal height.
A labor room nurse is performing an assessment on a client in labor and notes that the fetal
heart rate (FHR) is 158 beats/minute and regular. The client's contractions are every 5 minutes,
with a duration of 40 seconds and of moderate intensity. On the basis of these assessment
findings, what is the appropriate nursing action? - ✔✔✔-2. Continue to monitor the client.
A pregnant 39-week-gestation client arrives at the labor and delivery unit in active labor. On
confirmation of labor, the client reports a history of herpes simplex virus (HSV) to the nurse,
, Intrapartum Study Guide Exam with Questions and Answers – 100% Solved
who notes the presence of lesions on inspection of the client's perineum. Which should be the
nurse's initial action? - ✔✔✔-3. Explain to the client why a cesarean delivery is necessary.
A pregnant 39-week-gestation gravida 1, para 0 client arrives on the labor and delivery unit with
signs and symptoms of active labor. The nurse reviews the client's prenatal record and discovers
that she has had a positive group B streptococcus (GBS) laboratory report during her prenatal
course. After performing a cervical exam, the nurse confirms that the cervix is dilated 6 cm and
90% effaced. Which should be the nurse's first action? - ✔✔✔-3. Call the health care provider
(HCP) to obtain a prescription for intravenous antibiotic prophylaxis (IAP).
A pregnant client admitted to the labor room arrived with a fetal heart rate (FHR) of 94
beats/minute and the umbilical cord protruding from the vagina. The client tells the nurse that
her "water broke" before coming to the hospital. What is the appropriate nursing action? -
✔✔✔-4. Wrap the cord loosely in a sterile towel soaked with warm, sterile normal saline.
A prenatal client with severe abdominal pain is admitted to the maternity unit. The nurse is
monitoring the client closely because concealed bleeding is suspected. Which assessment
findings indicate the presence of concealed bleeding? Select all that apply. - ✔✔✔-3.
Increase in fundal height
4.
Hard, boardlike abdomen
5.
Persistent abdominal pain
A prenatal client with vaginal bleeding is being admitted to the labor unit. The labor room nurse
is performing the admission assessment and should suspect a diagnosis of placenta previa if
which finding is noted? - ✔✔✔-4. Painless vaginal bleeding
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. - ✔✔✔-3.
Increased efficiency of contractions
5.
The need for frequent fetal heart rate monitoring to detect the presence of a prolapsed cord
A client in labor is dilated 10 cm. At this point in the labor process, at least how often should the
nurse assess and document the fetal heart rate? - ✔✔✔-2. Every 15 minutes
A client in labor is receiving oxytocin by intravenous infusion to stimulate uterine contractions.
Which finding indicates that the rate of infusion needs to be decreased? - ✔✔✔-2. A fetal heart
rate of 180 beats/min
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? - ✔✔✔-1.Supine position with a wedge under the right hip
A client with a 38-week twin gestation is admitted to a birthing center in early labor. One of the
fetuses is a breech presentation. Which intervention is least appropriate in planning the nursing
care of this client? - ✔✔✔-1. Measure fundal height.
A labor room nurse is performing an assessment on a client in labor and notes that the fetal
heart rate (FHR) is 158 beats/minute and regular. The client's contractions are every 5 minutes,
with a duration of 40 seconds and of moderate intensity. On the basis of these assessment
findings, what is the appropriate nursing action? - ✔✔✔-2. Continue to monitor the client.
A pregnant 39-week-gestation client arrives at the labor and delivery unit in active labor. On
confirmation of labor, the client reports a history of herpes simplex virus (HSV) to the nurse,
, Intrapartum Study Guide Exam with Questions and Answers – 100% Solved
who notes the presence of lesions on inspection of the client's perineum. Which should be the
nurse's initial action? - ✔✔✔-3. Explain to the client why a cesarean delivery is necessary.
A pregnant 39-week-gestation gravida 1, para 0 client arrives on the labor and delivery unit with
signs and symptoms of active labor. The nurse reviews the client's prenatal record and discovers
that she has had a positive group B streptococcus (GBS) laboratory report during her prenatal
course. After performing a cervical exam, the nurse confirms that the cervix is dilated 6 cm and
90% effaced. Which should be the nurse's first action? - ✔✔✔-3. Call the health care provider
(HCP) to obtain a prescription for intravenous antibiotic prophylaxis (IAP).
A pregnant client admitted to the labor room arrived with a fetal heart rate (FHR) of 94
beats/minute and the umbilical cord protruding from the vagina. The client tells the nurse that
her "water broke" before coming to the hospital. What is the appropriate nursing action? -
✔✔✔-4. Wrap the cord loosely in a sterile towel soaked with warm, sterile normal saline.
A prenatal client with severe abdominal pain is admitted to the maternity unit. The nurse is
monitoring the client closely because concealed bleeding is suspected. Which assessment
findings indicate the presence of concealed bleeding? Select all that apply. - ✔✔✔-3.
Increase in fundal height
4.
Hard, boardlike abdomen
5.
Persistent abdominal pain
A prenatal client with vaginal bleeding is being admitted to the labor unit. The labor room nurse
is performing the admission assessment and should suspect a diagnosis of placenta previa if
which finding is noted? - ✔✔✔-4. Painless vaginal bleeding
