PN 135 OB EXAM INTRAPARTUM EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

PN 135 OB EXAM INTRAPARTUM EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED) 1. What is a side effect of meperidine hydrochloride when a client is in labor? Correct Answer sleepiness 2. What does an external fetal monitor measure? Correct Answer Amount of oxygen baby is receiving 3. A nurse in the labor and delivery suite is planning care for a group of 4 clients. Which of the following clients should the nurse see first? A. A client who is in active labor and has late decelerations on the fetal heart monitor strip B. A client who is in transition and screaming and disturbing other clients C. A client who has epidural analgesia and is reporting breakthrough painD. A client who has received oxytocin infusion and is experiencing contractions every 2 min lasting 60 sec Correct Answer A. A client who is in active labor and has late decelerations on the fetal heart monitor strip 1 / 11 4. A nurse if caring for a client in labor whose cervix is dilated to 9 cm. She is experiencing strong contractions every 2 min lasting 75 sec. The nurse should recognize that the client is in which of the following phases or stages of labor? A. latent phase of first stage B. Active phase of first stage C. second stage D. transition phase of first stage Correct Answer D. transition phase of first stage 5. A nurse is performing a nonstress NST) on a client who is at 41 weeks of gestation. The client asks what the purpose of the test is. Which of the following responses should the nurse provide? A. This test will determine if you are likely to deliver within the next week B. This test will help determine if your baby is healthy C. This test can see how your baby responds when you have contractionsD. This test will determine if your baby's lungs are mature Correct Answer B. This test will determine if your baby is healthy. 6. A nurse is caring for a client in labor and observes a pattern of early decelerations on the fetal monitor. Which of the following actions should the nurse take? 2 / 11 A. Notify the provider B. Document the findings and continue to monitor C. Administer oxygen via face mask D. Assist with a sterile speculum examination Correct Answer B. Document the findings and continue to monitor 7. A nurse is caring for a client who is in labor. A vaginal examination reveals the following findings; 2 cm, 50%, +1, right occiput anterior (ROA). Based on this information, which of the following fetal positions should the nurse document in the medical record? A. Transverse B. Breech C. Vertex D. Mentum Correct Answer C. Vertex 8. When assessing a client who is in the fourth stage of labor, the nurse suspects bladder distention. Which of the following findings should the nurse anticipate with bladder distention? A. The fundus is at midline B. The fundus is below the umbilicus C. The bladder is resonant with percussion D. The bladder fluctuates with palpation Correct Answer D. The bladder fluctuates with palpation 3 / 11 9. A nurse is caring for a client who is at 38 weeks gestation and in the active phase of the first stage of labor. The nurse notes 2 late decelerations of the fetal heart rate during the last 5 contractions. Which of the following actions should the nurse take? A. Slow the IV infusion rate B. Assist the client to a lateral position C. Assess the bladder for urinary retention D. Initiate an oxytocin infusion Correct Answer B. Assist the client to a lateral position A late deceleration is a variation in the fetal heart rate that results from uteroplacental insufficiency. Side-lying position helps improve uteroplacental blood flow. 10. A nurse is caring for a client who had a precipitous delivery. Which of the following assessments is the priority during the fourth stage of labor? A. Obtaining the client's temperature B. Inspecting the client's perineum C. Palpating the client's fundus D. Checking the client for hemorrhoids Correct Answer C. Palpating the client's fundus A precipitous delivery follows a labor 3 hours. Regardless of the cause of the rapid delivery, uterine atony can result, causing postpartum hemorrhage. The nurse should palpate the fundus and massage as needed to monitor for an reduce the risk of hemorrhage.