Test Bank for Davis Advantage for Maternal Child Nursing
Care 3rd Edition Scannell Chapter 1 - 33 Updated , All Chapters
with Answers and Rationals
Mariah is in active labor and being continuously monitored. FHR is 120 with moderate variability and
contractions every 3 to 5 minutes. The nurse also notes decelerations that begin and end with the
contractions. What is the appropriate nursing action to address these decelerations?
Turn the patient left lateral and apply oxygen via facemask at 10 L/min to improve the variability.
Notify the provider the patient has a category III strip and needs an emergency cesarean section.
Reassure the patient and her support persons that she and the baby are doing well.
Perform full intrauterine resuscitation by turning patient to the side, applying oxygen at 8 to 10 L/min,
bolusing 500 mL IV fluid, and stopping any oxytocin infusion. - ANSWER: Reassure the patient and her
support persons that she and the baby are doing well.
Which of the following statements about labor and delivery are true? Select all that apply.
Every labor and delivery is different.
Once labor starts, the uterus does not completely relax again until after delivery.
If the fetus is not in a favorable position, the provider may attempt to turn them externally.
True labor can be defined as cervical change.
Spontaneous rupture of membranes (SROM) does not occur until the fetus is about to be delivered. -
ANSWER: Every labor and delivery is different.
If the fetus is not in a favorable position, the provider may attempt to turn them externally.
True labor can be defined as cervical change.
Susan is 40 weeks 3 days pregnant and has come to OB triage for an assessment of labor. On the
monitor, FHR is 145 with moderate variability, and contractions are every 2 to 3 minutes lasting 60 to
90 seconds. Her abdomen palpates as mild to moderate during contractions. Her cervix is 2 cm
dilated, 50% effaced, and the fetus is at -2 station. Which part of this assessment is not an expected
finding for this stage of labor?
FHR 145 with moderate variability.
Contractions every 2 to 3 minutes lasting 60 to 90 seconds.
2 cm dilated, 50% effaced, -2 station.
Abdomen palpates as mild to moderate during contractions. - ANSWER: Contractions every 2 to 3
minutes lasting 60 to 90 seconds.
Fetal attitude is _________________________.
The relationship of fetal body parts to each other.
The relationship of the fetal long axis, or spine, to the maternal long axis, or spine.
The fetal part that that enters the birth canal first.
The level of the presenting part in relation to the maternal pelvis. - ANSWER: The relationship of fetal
body parts to each other.
Marna is a term G3P1102 patient who was admitted to labor and delivery in active labor a few hours
ago. Her NST in OB triage before admittance showed a FHR of 150 with moderate variability and an
occasional early deceleration. Her contractions are lasting 40 to 60 seconds every 2 to 4 minutes. Her
membranes ruptured 16 hours ago at home, and she didn't begin to contract until an hour ago.
Otherwise, her labor has been uncomplicated. Why is the provider ordering continuous fetal
monitoring and not intermittent auscultation for Marna?
She has a history of a preterm delivery according to her GTPAL.
FHR 150 with moderate variability and an occasional early deceleration.
Her membranes ruptured 16 hours ago before the onset of labor.
Her contractions are lasting 40 to 60 seconds every 2 to 4 minutes. - ANSWER: Her membranes
ruptured 16 hours ago before the onset of labor.
, Which of the following statements about electronic fetal monitoring (EFM) is not true?
EFM has reduced the cesarean rate in healthy pregnancies since its introduction.
EFM can indicate the beginning of the second stage of labor.
EFM can indicate fetal sleep/wake cycles.
EFM can indicate a tight nuchal cord (cord wrapped around the fetal neck). - ANSWER: EFM has
reduced the cesarean rate in healthy pregnancies since its introduction.
Aimee is a G1P001 at 38 weeks 3 days who has been in labor for 23 hours. She is now 7 cm dilated,
80% effaced, and the infant is at zero station. Over the last 2 hours, her strip has begun to resemble
this FHR pattern. What orders should the nurse anticipate? (Strip has many decelerations)
Orders for an emergency cesarean section.
This is a normal labor pattern, and no new orders would be needed.
Orders for an amnioinfusion.
Orders to discontinue continuous EFM and begin IA so patient can ambulate. - ANSWER: Orders for an
amnioinfusion.
An amnioinfusion witll help to reduce the cord compression
Anna is a patient who just ambulated to OB triage for labor assessment. She is a 37 week 5 day
G3P0111. As the nurse working in triage, which of the following statements from Anna would indicate
she should be evaluated? Select all that apply.
"My contractions spaced out and got better when I walked in from the parking lot."
"The bed was wet when I woke up this morning."
"There was a pinkish, thick discharge on the toilet paper when I wiped this morning."
"The baby has been playing soccer in there today!"
"I feel like the baby is lower this week because I've been having to pee so much." - ANSWER: The bed
was wet when I woke up this morning."
"There was a pinkish, thick discharge on the toilet paper when I wiped this morning."
When assisting a hypotensive patient receiving an epidural, which of the following situations is the
most concerning?
A drop ≥ 20 mm Hg in blood pressure.
Increased need for oxytocin in labor.
A maternal shiver response.
An inability to void leading to urinary catheterization. - ANSWER: A drop ≥ 20 mm Hg in blood
pressure.
Which of the following are expected findings for a patient who has received an epidural? Select all
that apply.
The patient will be unable to walk for up to 24 hours after receiving an epidural.
The patient may need help holding her legs and being directed when to push.
The patient may develop intense pruritus.
The patient may have a decrease in temperature immediately following the placement.
Urinary retention and stress incontinence may occur immediately postpartum. - ANSWER: The patient
may need help holding her legs and being directed when to push.
The patient may develop intense pruritus.
Urinary retention and stress incontinence may occur immediately postpartum.
The urge to push will usually occur when the presenting part is at what station in the pelvis?
-2
0
+2
+3 - ANSWER: +3
Teasha is 38 weeks 4 days and is in the office for a routine checkup. She tells the provider she's been
breathing easier, but now her feet are starting to swell and she woke up with a leg cramp this
morning. What normal physiological finding is Teasha experiencing?
Care 3rd Edition Scannell Chapter 1 - 33 Updated , All Chapters
with Answers and Rationals
Mariah is in active labor and being continuously monitored. FHR is 120 with moderate variability and
contractions every 3 to 5 minutes. The nurse also notes decelerations that begin and end with the
contractions. What is the appropriate nursing action to address these decelerations?
Turn the patient left lateral and apply oxygen via facemask at 10 L/min to improve the variability.
Notify the provider the patient has a category III strip and needs an emergency cesarean section.
Reassure the patient and her support persons that she and the baby are doing well.
Perform full intrauterine resuscitation by turning patient to the side, applying oxygen at 8 to 10 L/min,
bolusing 500 mL IV fluid, and stopping any oxytocin infusion. - ANSWER: Reassure the patient and her
support persons that she and the baby are doing well.
Which of the following statements about labor and delivery are true? Select all that apply.
Every labor and delivery is different.
Once labor starts, the uterus does not completely relax again until after delivery.
If the fetus is not in a favorable position, the provider may attempt to turn them externally.
True labor can be defined as cervical change.
Spontaneous rupture of membranes (SROM) does not occur until the fetus is about to be delivered. -
ANSWER: Every labor and delivery is different.
If the fetus is not in a favorable position, the provider may attempt to turn them externally.
True labor can be defined as cervical change.
Susan is 40 weeks 3 days pregnant and has come to OB triage for an assessment of labor. On the
monitor, FHR is 145 with moderate variability, and contractions are every 2 to 3 minutes lasting 60 to
90 seconds. Her abdomen palpates as mild to moderate during contractions. Her cervix is 2 cm
dilated, 50% effaced, and the fetus is at -2 station. Which part of this assessment is not an expected
finding for this stage of labor?
FHR 145 with moderate variability.
Contractions every 2 to 3 minutes lasting 60 to 90 seconds.
2 cm dilated, 50% effaced, -2 station.
Abdomen palpates as mild to moderate during contractions. - ANSWER: Contractions every 2 to 3
minutes lasting 60 to 90 seconds.
Fetal attitude is _________________________.
The relationship of fetal body parts to each other.
The relationship of the fetal long axis, or spine, to the maternal long axis, or spine.
The fetal part that that enters the birth canal first.
The level of the presenting part in relation to the maternal pelvis. - ANSWER: The relationship of fetal
body parts to each other.
Marna is a term G3P1102 patient who was admitted to labor and delivery in active labor a few hours
ago. Her NST in OB triage before admittance showed a FHR of 150 with moderate variability and an
occasional early deceleration. Her contractions are lasting 40 to 60 seconds every 2 to 4 minutes. Her
membranes ruptured 16 hours ago at home, and she didn't begin to contract until an hour ago.
Otherwise, her labor has been uncomplicated. Why is the provider ordering continuous fetal
monitoring and not intermittent auscultation for Marna?
She has a history of a preterm delivery according to her GTPAL.
FHR 150 with moderate variability and an occasional early deceleration.
Her membranes ruptured 16 hours ago before the onset of labor.
Her contractions are lasting 40 to 60 seconds every 2 to 4 minutes. - ANSWER: Her membranes
ruptured 16 hours ago before the onset of labor.
, Which of the following statements about electronic fetal monitoring (EFM) is not true?
EFM has reduced the cesarean rate in healthy pregnancies since its introduction.
EFM can indicate the beginning of the second stage of labor.
EFM can indicate fetal sleep/wake cycles.
EFM can indicate a tight nuchal cord (cord wrapped around the fetal neck). - ANSWER: EFM has
reduced the cesarean rate in healthy pregnancies since its introduction.
Aimee is a G1P001 at 38 weeks 3 days who has been in labor for 23 hours. She is now 7 cm dilated,
80% effaced, and the infant is at zero station. Over the last 2 hours, her strip has begun to resemble
this FHR pattern. What orders should the nurse anticipate? (Strip has many decelerations)
Orders for an emergency cesarean section.
This is a normal labor pattern, and no new orders would be needed.
Orders for an amnioinfusion.
Orders to discontinue continuous EFM and begin IA so patient can ambulate. - ANSWER: Orders for an
amnioinfusion.
An amnioinfusion witll help to reduce the cord compression
Anna is a patient who just ambulated to OB triage for labor assessment. She is a 37 week 5 day
G3P0111. As the nurse working in triage, which of the following statements from Anna would indicate
she should be evaluated? Select all that apply.
"My contractions spaced out and got better when I walked in from the parking lot."
"The bed was wet when I woke up this morning."
"There was a pinkish, thick discharge on the toilet paper when I wiped this morning."
"The baby has been playing soccer in there today!"
"I feel like the baby is lower this week because I've been having to pee so much." - ANSWER: The bed
was wet when I woke up this morning."
"There was a pinkish, thick discharge on the toilet paper when I wiped this morning."
When assisting a hypotensive patient receiving an epidural, which of the following situations is the
most concerning?
A drop ≥ 20 mm Hg in blood pressure.
Increased need for oxytocin in labor.
A maternal shiver response.
An inability to void leading to urinary catheterization. - ANSWER: A drop ≥ 20 mm Hg in blood
pressure.
Which of the following are expected findings for a patient who has received an epidural? Select all
that apply.
The patient will be unable to walk for up to 24 hours after receiving an epidural.
The patient may need help holding her legs and being directed when to push.
The patient may develop intense pruritus.
The patient may have a decrease in temperature immediately following the placement.
Urinary retention and stress incontinence may occur immediately postpartum. - ANSWER: The patient
may need help holding her legs and being directed when to push.
The patient may develop intense pruritus.
Urinary retention and stress incontinence may occur immediately postpartum.
The urge to push will usually occur when the presenting part is at what station in the pelvis?
-2
0
+2
+3 - ANSWER: +3
Teasha is 38 weeks 4 days and is in the office for a routine checkup. She tells the provider she's been
breathing easier, but now her feet are starting to swell and she woke up with a leg cramp this
morning. What normal physiological finding is Teasha experiencing?
