Antepartum/Intrapartum Period OB Scc 4th QuarterQUESTION PACK EXAM GRADED A+
QUESTIONS AND CORRECT ANSWERS 100% VERIFIED
A nurse is developing a care plan for a client in her 34th week of gestation
who's experiencing premature labor. What nonpharmacologic intervention
should the plan include to halt premature labor?
Promoting adequate hydration
A 26-year-old primigravida visiting the prenatal clinic for her regular visit at 34
weeks' gestation tells the nurse that she takes mineral oil for occasional
constipation. What should the nurse should instruct the client to do?
Avoid mineral oil because it interferes with the absorption of fat-soluble vitamins
Umbilical cord prolapse occurs after spontaneous rupture of the membranes.
What should the nurse do immediately?
Place the client in a Trendelenburg position.
An adolescent client in labor is dilated 4 cm and asks for an epidural. For
cultural reasons, the client's mother states that her daughter "has to bite the
bullet, just like I did." What should the nurse do to make sure her client's
request is honored?
Ask the client in a nonthreatening way if she wishes to have an epidural, and then
speak with the physician.
Which outcome would the nurse identify as the priority to achieve when
developing the plan of care for a primigravid client at 38 weeks' gestation who
is hospitalized with severe preeclampsia and receiving intravenous
magnesium sulfate?
absence of any seizure activity during the first 48 hours
Two hours ago, examination of a multigravid client in labor without anesthesia
revealed the following: cervical dilation at 5 cm with complete effacement,
presenting part at 0 station, and membranes intact. The nurse caring for the
client now observes that the client is irritable and has had some nausea with
one episode of vomiting. The client is most likely experiencing:
, transition phase of labor.
The health care provider (HCP) who elects to perform a cesarean birth on a
primigravid client for fetal distress has informed the client of possible risks
during the procedure. When the nurse asks the client to sign the consent form,
the client's husband says, "I will sign it for her. She's too upset by what is
happening to make this decision." The nurse should:
ask the client to sign the consent form.
During a preparation for parenting class, one of the participants asks the
nurse, "How will I know if I am really in labor?" What should the nurse tell the
participant about true labor contractions?
"True labor contractions are felt first in the lower back, then the abdomen."
A nursing assistant escorts a client in the early stages of labor to the
bathroom. When the nurse enters the client's room, she detects a strange odor
coming from the bathroom and suspects the client has been smoking
marijuana. What should the nurse do next?
Notify the physician and security immediately.
A client is scheduled for amniocentesis. When preparing her for the
procedure, the nurse should:
ask the client to void.
A multigravid client at term is admitted to the hospital for a trial labor and
possible vaginal birth. She has a history of previous cesarean birth because of
fetal distress. When the client is 4 cm dilated, she receives nalbuphine
intravenously. While monitoring the fetal heart rate, the nurse observes
minimal variability and a rate of 120 bpm. The nurse should explain to the
client that the decreased variability is most likely caused by which factor?
effects of the analgesic medication
During labor, a primigravid client receives an epidural anesthetic, and the
nurse assists in monitoring maternal and fetal status. Which finding suggests
an adverse reaction to the anesthesia?
Maternal hypotension
Initial client assessment information includes: blood pressure 160/110 mm Hg,
pulse 88 beats/minute, respiratory rate 22 breaths/minute, reflexes +3/+4 with 2
beat clonus. Urine specimen reveals +3 protein, negative sugar and ketones.
QUESTIONS AND CORRECT ANSWERS 100% VERIFIED
A nurse is developing a care plan for a client in her 34th week of gestation
who's experiencing premature labor. What nonpharmacologic intervention
should the plan include to halt premature labor?
Promoting adequate hydration
A 26-year-old primigravida visiting the prenatal clinic for her regular visit at 34
weeks' gestation tells the nurse that she takes mineral oil for occasional
constipation. What should the nurse should instruct the client to do?
Avoid mineral oil because it interferes with the absorption of fat-soluble vitamins
Umbilical cord prolapse occurs after spontaneous rupture of the membranes.
What should the nurse do immediately?
Place the client in a Trendelenburg position.
An adolescent client in labor is dilated 4 cm and asks for an epidural. For
cultural reasons, the client's mother states that her daughter "has to bite the
bullet, just like I did." What should the nurse do to make sure her client's
request is honored?
Ask the client in a nonthreatening way if she wishes to have an epidural, and then
speak with the physician.
Which outcome would the nurse identify as the priority to achieve when
developing the plan of care for a primigravid client at 38 weeks' gestation who
is hospitalized with severe preeclampsia and receiving intravenous
magnesium sulfate?
absence of any seizure activity during the first 48 hours
Two hours ago, examination of a multigravid client in labor without anesthesia
revealed the following: cervical dilation at 5 cm with complete effacement,
presenting part at 0 station, and membranes intact. The nurse caring for the
client now observes that the client is irritable and has had some nausea with
one episode of vomiting. The client is most likely experiencing:
, transition phase of labor.
The health care provider (HCP) who elects to perform a cesarean birth on a
primigravid client for fetal distress has informed the client of possible risks
during the procedure. When the nurse asks the client to sign the consent form,
the client's husband says, "I will sign it for her. She's too upset by what is
happening to make this decision." The nurse should:
ask the client to sign the consent form.
During a preparation for parenting class, one of the participants asks the
nurse, "How will I know if I am really in labor?" What should the nurse tell the
participant about true labor contractions?
"True labor contractions are felt first in the lower back, then the abdomen."
A nursing assistant escorts a client in the early stages of labor to the
bathroom. When the nurse enters the client's room, she detects a strange odor
coming from the bathroom and suspects the client has been smoking
marijuana. What should the nurse do next?
Notify the physician and security immediately.
A client is scheduled for amniocentesis. When preparing her for the
procedure, the nurse should:
ask the client to void.
A multigravid client at term is admitted to the hospital for a trial labor and
possible vaginal birth. She has a history of previous cesarean birth because of
fetal distress. When the client is 4 cm dilated, she receives nalbuphine
intravenously. While monitoring the fetal heart rate, the nurse observes
minimal variability and a rate of 120 bpm. The nurse should explain to the
client that the decreased variability is most likely caused by which factor?
effects of the analgesic medication
During labor, a primigravid client receives an epidural anesthetic, and the
nurse assists in monitoring maternal and fetal status. Which finding suggests
an adverse reaction to the anesthesia?
Maternal hypotension
Initial client assessment information includes: blood pressure 160/110 mm Hg,
pulse 88 beats/minute, respiratory rate 22 breaths/minute, reflexes +3/+4 with 2
beat clonus. Urine specimen reveals +3 protein, negative sugar and ketones.
