C HAPTER 08: N URSING C ARE OF W OMEN
WITH C OMPLICATIONS D URING L ABOR AND
B IRTH
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. Which statement indicates a woman understan ds activit y limitations for
the management of preterm labor?
a. After m y shower in the morning, I do the laundry and straighten up
the house; then I rest.
b. I pack a picnic basket and put it next to the sofa so I do not have to
get up for food during the day.
c. I have a 2-year-old to care for, but I try to rest as much as I can.
d. I get reall y bored at home, so I go to the shopping mall for just a
little while.
ANS: B
Lengthy activit y restrictions are often needed to prevent preterm birth.
The nurse can help the w oman identify ways to organize necessary
activities and maximize rest.
DIF: Cognitive Level: Comprehension REF: Page 202
TOP: Preterm Labor KEY: Nursing Process Step:
Evaluation MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Detec tion of Disease
,2. A student nurse questions the instructor regarding what alteration should
be made for the assessment of the fundus of a new postoperative cesarean
section patient. What is the best response?
a. The fundus is not assessed until the second post operative day.
b. The fundus is assessed by walking fingers from the side of the
uterus to the midline.
c. The fundus is assessed onl y if large clots appear in lochia.
d. The fundus is assessed onl y once every shift.
ANS: B
Assessment of the fundus following a ce sarean section is done as usual,
but using especiall y gentle fundal massage.
DIF: Cognitive Level: Comprehension REF: Page 191
TOP: Cesarean Postoperative Care KEY: Nursing
Process Step: Implementation MSC: NC LEX:
Physiological Integrity: Basic Care and Comfort
3. A pulsating structure is felt during a vaginal examination of a woman in
labor. How would the nurse position the woman to prevent compression of
a prolapsed cord?
a. On her right side with knees flexed
b. On her left side with a pillow placed betwee n her legs
c. On her back with her head lower than the rest of her body
d. Supine with her legs elevated and bent at the knee
ANS: C
, The Trendelenburg (head down) position displaces the fetus upward to
stop compression of the prolapsed cord.
DIF: Cognitive Le vel: Application REF: Page 203 TOP:
Emergencies During Childbirth Prolapsed Umbilical Cord
KEY: Nursing Process Step: Implementation MSC:
NCLEX: Physiological Integrit y: Reduction of Risk
4. Several hours after delivery the nurse finds a woman crying. T he woman
says repeatedl y, My baby is beautiful, but I was planning on a vaginal
delivery. Instead I needed an emergency C -section. What is the most
appropriate nursing diagnosis?
a. Anxiet y related to the development of postpartum complications
b. Ineffective individual coping related to unfamiliarit y with
procedures
c. Risk for ineffective parenting related to emergency cesarean section
d. Grieving related to loss of expected birth experience
ANS: D
Women who have cesarean births usuall y need greater support than
those who have vaginal births. They may feel grief, guilt, or anger
because the expected course of birth did not occur.
DIF: Cognitive Level: Application REF: Page 191 TOP:
Cesarean Section KEY: Nursing Process Step: Nursing
Diagnosis MSC: NC LEX: Psychosocial Integrit y: Coping and
Adaptation
WITH C OMPLICATIONS D URING L ABOR AND
B IRTH
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. Which statement indicates a woman understan ds activit y limitations for
the management of preterm labor?
a. After m y shower in the morning, I do the laundry and straighten up
the house; then I rest.
b. I pack a picnic basket and put it next to the sofa so I do not have to
get up for food during the day.
c. I have a 2-year-old to care for, but I try to rest as much as I can.
d. I get reall y bored at home, so I go to the shopping mall for just a
little while.
ANS: B
Lengthy activit y restrictions are often needed to prevent preterm birth.
The nurse can help the w oman identify ways to organize necessary
activities and maximize rest.
DIF: Cognitive Level: Comprehension REF: Page 202
TOP: Preterm Labor KEY: Nursing Process Step:
Evaluation MSC: NC LEX: Health Promotion and Maintenance:
Prevention and Earl y Detec tion of Disease
,2. A student nurse questions the instructor regarding what alteration should
be made for the assessment of the fundus of a new postoperative cesarean
section patient. What is the best response?
a. The fundus is not assessed until the second post operative day.
b. The fundus is assessed by walking fingers from the side of the
uterus to the midline.
c. The fundus is assessed onl y if large clots appear in lochia.
d. The fundus is assessed onl y once every shift.
ANS: B
Assessment of the fundus following a ce sarean section is done as usual,
but using especiall y gentle fundal massage.
DIF: Cognitive Level: Comprehension REF: Page 191
TOP: Cesarean Postoperative Care KEY: Nursing
Process Step: Implementation MSC: NC LEX:
Physiological Integrity: Basic Care and Comfort
3. A pulsating structure is felt during a vaginal examination of a woman in
labor. How would the nurse position the woman to prevent compression of
a prolapsed cord?
a. On her right side with knees flexed
b. On her left side with a pillow placed betwee n her legs
c. On her back with her head lower than the rest of her body
d. Supine with her legs elevated and bent at the knee
ANS: C
, The Trendelenburg (head down) position displaces the fetus upward to
stop compression of the prolapsed cord.
DIF: Cognitive Le vel: Application REF: Page 203 TOP:
Emergencies During Childbirth Prolapsed Umbilical Cord
KEY: Nursing Process Step: Implementation MSC:
NCLEX: Physiological Integrit y: Reduction of Risk
4. Several hours after delivery the nurse finds a woman crying. T he woman
says repeatedl y, My baby is beautiful, but I was planning on a vaginal
delivery. Instead I needed an emergency C -section. What is the most
appropriate nursing diagnosis?
a. Anxiet y related to the development of postpartum complications
b. Ineffective individual coping related to unfamiliarit y with
procedures
c. Risk for ineffective parenting related to emergency cesarean section
d. Grieving related to loss of expected birth experience
ANS: D
Women who have cesarean births usuall y need greater support than
those who have vaginal births. They may feel grief, guilt, or anger
because the expected course of birth did not occur.
DIF: Cognitive Level: Application REF: Page 191 TOP:
Cesarean Section KEY: Nursing Process Step: Nursing
Diagnosis MSC: NC LEX: Psychosocial Integrit y: Coping and
Adaptation
