NU 317 EXAM 2 REVIEW QUESTIONS AND ANSWERS

NU 317 EXAM 2 REVIEW QUESTIONS AND ANSWERS A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: -1. Which of the following interpretations of this finding should the nurse make? A. The presenting part is 1 cm above the ischial spines. B. The presenting part is 1 cm below the ischial spines. C. The cervix is 1 cm dilated. D. The cervix is effaced 1 cm. - Ans:-A. The presenting part is 1 cm above the ischial spines A woman is in the second stage of labor and has a spinal block in place for pain management. The nurse obtains the woman's blood pressure and notes that it is 20% lower than the baseline level. Which action should the nurse take? A. Encourage her to empty her bladder. B. Decrease her intravenous (IV) rate to a keep vein-open rate. ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/20 C. Turn the woman to the left lateral position or place a pillow under her hip D. No action is necessary since a decrease in the woman's blood pressure is expected. - Ans:-C. Turn the woman to the left lateral position or place a pillow under her hip When monitoring a woman in labor who has just received spinal analgesia, the nurse should report which assessment findings to the health care provider or charge nurse? (Select all that apply.) A. Maternal blood pressure of 108/79 B. Maternal heart rate of 98 C. Respiratory rate of 14 breaths/min D. Fetal heart rate of 100 beats/min E. Minimal variability on a fetal heart monitor - Ans:-D. Fetal heart rate of 100 beats/min E. Minimal variability on a fetal heart monitor The nurse would expect which maternal cardiovascular finding during labor? A. Increased cardiac output B. Decreased pulse rate C. Decreased white blood cell count ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/20 D. Decreased blood pressure - Ans:-A. Increased cardiac output After delivering a healthy baby boy with epidural anesthesia, a woman on the postpartum unit complains of a severe headache. The nurse should anticipate which actions in the patient's plan of care? (Select all that apply.) A. Keeping the head of bed elevated at all times B. Administration of oral analgesics C. Avoid caffeine D. Assisting with a blood patch procedure E. Frequent monitoring of vital signs - Ans:-B. Administration of oral analgesics D. Assisting with a blood patch procedure E. Frequent monitoring of vital signs Which test is performed to determine if membranes are ruptured? A. Urine analysis B. Fern test C. Leopold maneuvers ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 4/20 D. Artificial rupture of membranes (AROM) - Ans:-B. Fern test .Through vaginal examination the nurse determines that a woman is 4 cm dilated, and the external fetal monitor shows uterine contractions every 3.5 to 4 minutes. The nurse would report this as: A. first stage, latent phase. B. first stage, active phase. C. first stage, transition phase. D. second stage, latent phase. - Ans:-B. first stage, active phase. A primigravida at 40 weeks of gestation is having uterine contractions every 1.5 to 2 minutes and says that they are very painful. Her cervix is dilated 2 cm and has not changed in 3 hours. The woman is crying and wants an epidural. What is the likely status of this womans labor? A. She is exhibiting hypotonic uterine dysfunction. B. She is experiencing a normal latent stage. C. She is exhibiting hypertonic uterine dysfunction. D. She is experiencing pelvic dystocia. - Ans:-C. She is exhibiting hypertonic uterine dysfunction. ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 5/20 The nurse recognizes that uterine hyperstimulation with oxytocin requires emergency interventions. What clinical cues would alert the nurse that the woman is experiencing uterine hyperstimulation? (Select all that apply)? A. Uterine contractions lasting 90 seconds and occurring 2 minutes in frequency B. Uterine contractions lasting 90 seconds and occurring 2 minutes in frequency C. Uterine tone 20 mm Hg D. Uterine tone 20 mm Hg E. Increased uterine activity accompanied by a nonreassuring fetal heart rate (FHR) and pattern - Ans:-B. Uterine contractions lasting 90 seconds and occurring 2 minutes in frequency D. Uterine tone 20 mm Hg E. Increased uterine activity accompanied by a nonreassuring fetal heart rate (FHR) and pattern After completing an afterbirth assessment on a woman who d