HISTORY 101 Freezing blue intrapartum
HISTORY 101 Freezing blue intrapartum
Filename: Maternity - Intrapartum
Updated: 2014-04-19 23:46:46
Tags: NCLEX RN
Folders: Maternity
Description: Intrapartum
,HISTORY 101 Freezing blue intrapartum
Show Answers:
1. A nursing student is assigned to care for a client in labor.
The nursing instructor asks the student to describe fetal
circulation, specifically the ductus venosus. Which
statement is correct regarding the ductus venosus?
1. Connects the pulmonary artery to the aorta
2. Is an opening between the right and left atria
3. Connects the umbilical vein to the inferior vena cava
4. Connects the umbilical artery to the inferior vena cava
3. Connects the umbilical vein to the inferior vena cava
2. The nurse in a maternity unit is reviewing the clients'
records. Which client would the nurse identify as being at
the most risk for developing disseminated intravascular
coagulation?
1. A primigravida with mild preeclampsia
2. A primigravida who delivered a 10-lb infant 3 hours ago
3. A gravida II who has just been diagnosed with dead fetus
syndrome
4. A gravida IV who delivered 8 hours ago and has lost 500
mL of blood
3. A gravida II who has just been diagnosed with dead fetus syndrome
3. The nurse is caring for a client in labor. Which assessment
finding indicates to the nurse that the client is beginning the
second stage of labor?
1. The contractions are regular.
2. The membranes have ruptured.
,HISTORY 101 Freezing blue intrapartum
3. The cervix is dilated completely.
4. The client begins to expel clear vaginal fluid.
3. The cervix is dilated completely.
4. 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?
1. Administer oxygen via face mask.
2. Place the mother in a supine position.
3. Increase the rate of the oxytocin (Pitocin) intravenous
infusion.
4. Document the findings and continue to monitor the fetal
patterns.
1. Administer oxygen via face mask.
5. The nurse is performing an assessment of a client who is
scheduled for a cesarean delivery. Which assessment
finding would indicate the need to contact the health care
provider?
1. Hemoglobin of 11 g/dL
2. Fetal heart rate of 180 beats/minute
3. Maternal pulse rate of 85 beats/minute
4. White blood cell count of 12,000 cells/mm3
2. Fetal heart rate of 180 beats/minute
6. 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
, HISTORY 101 Freezing blue intrapartum
presenting part is located at which area?
1. 1 inch below the coccyx
2. 1 inch below the iliac crest
3. 1 cm above the ischial spine
4. 1 fingerbreadth below the symphysis pubis
3. 1 cm above the ischial spine
7. A client arrives at a birthing center in active labor. Her
membranes are still intact, and the health care provider
prepares to perform an amniotomy. What will the nurse
relay to the client as the most likely outcome of the
amniotomy?
1. Less pressure on her cervix
2. Decreased number of contractions
3. Increased efficiency of contractions
4. The need for increased maternal blood pressure
monitoring
3. Increased efficiency of contractions
8. 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?
1. Variability
2. Accelerations
3. Early decelerations
4. Variable decelerations
4. Variable decelerations
9. 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
HISTORY 101 Freezing blue intrapartum
Filename: Maternity - Intrapartum
Updated: 2014-04-19 23:46:46
Tags: NCLEX RN
Folders: Maternity
Description: Intrapartum
,HISTORY 101 Freezing blue intrapartum
Show Answers:
1. A nursing student is assigned to care for a client in labor.
The nursing instructor asks the student to describe fetal
circulation, specifically the ductus venosus. Which
statement is correct regarding the ductus venosus?
1. Connects the pulmonary artery to the aorta
2. Is an opening between the right and left atria
3. Connects the umbilical vein to the inferior vena cava
4. Connects the umbilical artery to the inferior vena cava
3. Connects the umbilical vein to the inferior vena cava
2. The nurse in a maternity unit is reviewing the clients'
records. Which client would the nurse identify as being at
the most risk for developing disseminated intravascular
coagulation?
1. A primigravida with mild preeclampsia
2. A primigravida who delivered a 10-lb infant 3 hours ago
3. A gravida II who has just been diagnosed with dead fetus
syndrome
4. A gravida IV who delivered 8 hours ago and has lost 500
mL of blood
3. A gravida II who has just been diagnosed with dead fetus syndrome
3. The nurse is caring for a client in labor. Which assessment
finding indicates to the nurse that the client is beginning the
second stage of labor?
1. The contractions are regular.
2. The membranes have ruptured.
,HISTORY 101 Freezing blue intrapartum
3. The cervix is dilated completely.
4. The client begins to expel clear vaginal fluid.
3. The cervix is dilated completely.
4. 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?
1. Administer oxygen via face mask.
2. Place the mother in a supine position.
3. Increase the rate of the oxytocin (Pitocin) intravenous
infusion.
4. Document the findings and continue to monitor the fetal
patterns.
1. Administer oxygen via face mask.
5. The nurse is performing an assessment of a client who is
scheduled for a cesarean delivery. Which assessment
finding would indicate the need to contact the health care
provider?
1. Hemoglobin of 11 g/dL
2. Fetal heart rate of 180 beats/minute
3. Maternal pulse rate of 85 beats/minute
4. White blood cell count of 12,000 cells/mm3
2. Fetal heart rate of 180 beats/minute
6. 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
, HISTORY 101 Freezing blue intrapartum
presenting part is located at which area?
1. 1 inch below the coccyx
2. 1 inch below the iliac crest
3. 1 cm above the ischial spine
4. 1 fingerbreadth below the symphysis pubis
3. 1 cm above the ischial spine
7. A client arrives at a birthing center in active labor. Her
membranes are still intact, and the health care provider
prepares to perform an amniotomy. What will the nurse
relay to the client as the most likely outcome of the
amniotomy?
1. Less pressure on her cervix
2. Decreased number of contractions
3. Increased efficiency of contractions
4. The need for increased maternal blood pressure
monitoring
3. Increased efficiency of contractions
8. 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?
1. Variability
2. Accelerations
3. Early decelerations
4. Variable decelerations
4. Variable decelerations
9. 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
