INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 70
Chapter 08: Nursing Care of Women with Complications During Labor
and Birth
MULTIPLE CHOICE
1. What nursing assessment should be reported immediately after an amniotomy?
a. Fetal heart rate is regular at 154 beats/min.
b. Amniotic fluid is clear with flecks of vernix.
c. Amniotic fluid is watery and pale green.
d. Maternal temperature is 37.8 C.
ANS: C
Amniotic fluid should be clear. Green fluid indicates the fetus has passed meconium, which is associated with
fetal compromise.
DIF: Cognitive Level: Application REF: Page 184
TOP: Obstetric ProceduresAmniotomy
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
2. A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to induce labor and
begins to have contractions every 90 seconds. What is the nurses initial action?
a. Stop the oxytocin infusion.
b. Continue the infusion and report the findings to the physician.
c. Turn her on her left side and reassess the contractions.
d. Administer oxygen by mask.
ANS: A
Oxytocin is discontinued if signs of fetal compromise or excessive uterine contractions occur.
NURSINGTB.COM
DIF: Cognitive Level: Application REF: Page 185
TOP: Obstetric ProceduresInduction of Labor
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
3. What nursing care should be provided to a woman with a third-degree laceration immediately after delivery?
a. Warm compresses to the perineum
b. Cold pack to the perineum
c. Warm sitz bath
d. Elevation of hips to prevent edema
ANS: B
Ice is applied to the perineum to reduce bruising and edema.
DIF: Cognitive Level: Application REF: Page 188
TOP: Obstetric ProceduresLacerations
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
4. After several hours of labor, a nursing assessment reveals that a womans cervix is 5 cm dilated but
contractions are becoming shorter and less frequent. What is this labor pattern considered?
a. Normal
b. Hypotonic
c. Hypertonic
d. False
ANS: B
The woman with labor dysfunction related to decreased uterine muscle tone begins labor normally, but
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:06:53 GMT -05:00
https://www.coursehero.com/file/59642227/TB-Chapter-08-Nursing-Care-of-Women-with-Complications-During-Labor-and-Birth1pdf/
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 71
contractions diminish after the active phase.
DIF: Cognitive Level: Comprehension REF: Page 195
OBJ: 5 TOP: Abnormal Labor
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
5. A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to 5 cm with
membranes intact. What action by the physician will the nurse anticipate?
a. Perform an amniotomy.
b. Initiate tocolytic drugs.
c. Order a sedative for the patient.
d. Plan to do an emergency cesarean section.
ANS: A
Medical treatment for hypotonic labor dysfunction includes an amniotomy as the first remedy if the
membranes are intact.
DIF: Cognitive Level: Comprehension REF: Page 184
OBJ: 2 | 5 TOP: Abnormal Labor
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
6. An infant is delivered with the use of forceps. What should the nurse assess for in the newborn?
a. Loss of hair from contact with forceps
b. Sacral hematoma
c. Facial asymmetry
d. Shoulder dislocation
ANS: C NURSINGTB.COM
Pressure from forceps may injure the infants facial nerve, which is evidenced by facial asymmetry.
DIF: Cognitive Level: Application REF: Page 189
TOP: Obstetric ProceduresForceps Delivery
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
7. A new mother is distressed and tearful about the elevated dome over her infants posterior fontanelle. The
nurse responds, This condition will resolve itself in a few days. What is the cause?
a. Prolonged pressure against the partially dilated cervix
b. Small leak of fluid through the posterior fontanelle
c. Pressure of the forceps during delivery
d. The effect of the vacuum extractor
ANS: D
The chignon is due to the effect of the vacuum extractor and will disappear in a few days.
DIF: Cognitive Level: Comprehension REF: Page 189
TOP: Chignon KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
8. A frustrated patient in labor has been affected by decreased uterine muscle tone and reports, My doctor wont
induce my labor because of some silly score. He said I was a 4. What kind of magic number do I need? What is
the lowest Bishop score the patient should have prior to induction?
a. 6
b. 8
c. 10
d. 12
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:06:53 GMT -05:00
https://www.coursehero.com/file/59642227/TB-Chapter-08-Nursing-Care-of-Women-with-Complications-During-Labor-and-Birth1pdf/
NURSINGTB.COM
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 70
Chapter 08: Nursing Care of Women with Complications During Labor
and Birth
MULTIPLE CHOICE
1. What nursing assessment should be reported immediately after an amniotomy?
a. Fetal heart rate is regular at 154 beats/min.
b. Amniotic fluid is clear with flecks of vernix.
c. Amniotic fluid is watery and pale green.
d. Maternal temperature is 37.8 C.
ANS: C
Amniotic fluid should be clear. Green fluid indicates the fetus has passed meconium, which is associated with
fetal compromise.
DIF: Cognitive Level: Application REF: Page 184
TOP: Obstetric ProceduresAmniotomy
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
2. A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to induce labor and
begins to have contractions every 90 seconds. What is the nurses initial action?
a. Stop the oxytocin infusion.
b. Continue the infusion and report the findings to the physician.
c. Turn her on her left side and reassess the contractions.
d. Administer oxygen by mask.
ANS: A
Oxytocin is discontinued if signs of fetal compromise or excessive uterine contractions occur.
NURSINGTB.COM
DIF: Cognitive Level: Application REF: Page 185
TOP: Obstetric ProceduresInduction of Labor
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
3. What nursing care should be provided to a woman with a third-degree laceration immediately after delivery?
a. Warm compresses to the perineum
b. Cold pack to the perineum
c. Warm sitz bath
d. Elevation of hips to prevent edema
ANS: B
Ice is applied to the perineum to reduce bruising and edema.
DIF: Cognitive Level: Application REF: Page 188
TOP: Obstetric ProceduresLacerations
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
4. After several hours of labor, a nursing assessment reveals that a womans cervix is 5 cm dilated but
contractions are becoming shorter and less frequent. What is this labor pattern considered?
a. Normal
b. Hypotonic
c. Hypertonic
d. False
ANS: B
The woman with labor dysfunction related to decreased uterine muscle tone begins labor normally, but
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:06:53 GMT -05:00
https://www.coursehero.com/file/59642227/TB-Chapter-08-Nursing-Care-of-Women-with-Complications-During-Labor-and-Birth1pdf/
NURSINGTB.COM
, INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 71
contractions diminish after the active phase.
DIF: Cognitive Level: Comprehension REF: Page 195
OBJ: 5 TOP: Abnormal Labor
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
5. A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to 5 cm with
membranes intact. What action by the physician will the nurse anticipate?
a. Perform an amniotomy.
b. Initiate tocolytic drugs.
c. Order a sedative for the patient.
d. Plan to do an emergency cesarean section.
ANS: A
Medical treatment for hypotonic labor dysfunction includes an amniotomy as the first remedy if the
membranes are intact.
DIF: Cognitive Level: Comprehension REF: Page 184
OBJ: 2 | 5 TOP: Abnormal Labor
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity
6. An infant is delivered with the use of forceps. What should the nurse assess for in the newborn?
a. Loss of hair from contact with forceps
b. Sacral hematoma
c. Facial asymmetry
d. Shoulder dislocation
ANS: C NURSINGTB.COM
Pressure from forceps may injure the infants facial nerve, which is evidenced by facial asymmetry.
DIF: Cognitive Level: Application REF: Page 189
TOP: Obstetric ProceduresForceps Delivery
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease
7. A new mother is distressed and tearful about the elevated dome over her infants posterior fontanelle. The
nurse responds, This condition will resolve itself in a few days. What is the cause?
a. Prolonged pressure against the partially dilated cervix
b. Small leak of fluid through the posterior fontanelle
c. Pressure of the forceps during delivery
d. The effect of the vacuum extractor
ANS: D
The chignon is due to the effect of the vacuum extractor and will disappear in a few days.
DIF: Cognitive Level: Comprehension REF: Page 189
TOP: Chignon KEY: Nursing Process Step: N/A
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
8. A frustrated patient in labor has been affected by decreased uterine muscle tone and reports, My doctor wont
induce my labor because of some silly score. He said I was a 4. What kind of magic number do I need? What is
the lowest Bishop score the patient should have prior to induction?
a. 6
b. 8
c. 10
d. 12
This study source was downloaded by 100000840946462 from CourseHero.com on 04-16-2022 10:06:53 GMT -05:00
https://www.coursehero.com/file/59642227/TB-Chapter-08-Nursing-Care-of-Women-with-Complications-During-Labor-and-Birth1pdf/
NURSINGTB.COM
