Test Bank Complete- Davis Advantage for Maternal-
Newborn Nursing: Critical Components of Nursing Care
4th Edition (2022-Durham, Chapman, Miller (Authors))
All Chapter 1-19
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. -
ANSWERReassure 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. - ANSWEREvery 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. - ANSWERContractions
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. - ANSWERThe
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. - ANSWERHer
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). -
ANSWEREFM 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. -
ANSWEROrders 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!"
Newborn Nursing: Critical Components of Nursing Care
4th Edition (2022-Durham, Chapman, Miller (Authors))
All Chapter 1-19
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. -
ANSWERReassure 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. - ANSWEREvery 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. - ANSWERContractions
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. - ANSWERThe
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. - ANSWERHer
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). -
ANSWEREFM 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. -
ANSWEROrders 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!"
