NUR 202 Mod F Quiz || Possible Questions Accurately Answered.
A primigravida who is at 38 weeks' gestation is undergoing a nonstress test. The nurse
determines that the baseline fetal heart rate is 130 to 140 beats/min. It rises to 160 on two
occasions and 157 once during a 20-minute period. Each of the episodes in which the heart rate
is increased lasts 20 seconds. What action should the nurse take? correct answers Discontinuing
the test because the pattern is within the expected rang
. The accelerations meet the criteria for an increase of 15 beats that lasts at least 15 seconds
during a 20-minute period
A woman at 39 weeks' gestation whose membranes have ruptured at home arrives at the clinic to
be evaluated. Assessment reveals mild irregular contractions 10 to 15 minutes apart and a fetal
heart rate (FHR) of 186 beats/min is auscultated between contractions. In light of this
assessment, what does the nurse conclude? correct answers A further assessment is necessary
The fetal heart rate should be 110 to 160 beats/min; an FHR of 186 is tachycardic and further
evaluation is necessary because the fetus may be at risk.
As a means of halting preterm labor a client is started on terbutaline (Brethine). For which side
effect of this medication should the nurse monitor the client? correct answers Widening pulse
pressure
A widening pulse pressure is a side effect of terbutaline
A nurse is caring for a client in preterm labor who is receiving a course of corticosteroids to
promote fetal lung maturity. What test may be used to most accurately determine fetal lung
maturity? correct answers Amniocentesis
A woman is admitted to the high-risk unit in preterm labor at 30 weeks' gestation. What does the
nurse suspect precipitated this preterm labor? correct answers Incompetent cervix
An incompetent cervix indicates a short cervix, cervical scarring from previous births, or cervical
or uterine anomalies. It puts the client at risk for second-trimester miscarriage
, A client at 31 weeks' gestation is admitted in preterm labor. She asks the nurse whether there is
any medication that can stop the contractions. What is the nurse's response? correct answers "A
beta-adrenergic."
Beta-adrenergic medications are tocolytic agents that may halt labor, although only temporarily.
A nurse places fetal and uterine monitors on the abdomen of a client in labor. While observing
the relationship between the fetal heart rate and uterine contractions, the nurse identifies four late
decelerations. What condition is most frequently associated with late decelerations? correct
answers Uteroplacental insufficiency
Late decelerations, suggestive of fetal hypoxia, occur in the setting of uteroplacental
insufficiency
A client at 30 weeks' gestation is admitted in preterm labor. An intravenous solution of the
tocolytic agent ritodrine (Yutopar) is started. The nurse prepares to administer an intramuscular
injection of betamethasone (Celestone). The client asks why betamethasone is being
administered. The nurse responds, "It: correct answers Stimulates fetal lung maturity"
It stimulates the release of enzymes that produce lung surfactant, which promotes fetal lung
maturity
A client in labor is receiving an oxytocin (Pitocin) infusion. What should the nurse do first when
repetitive late decelerations of the fetal heart rate are observed? correct answers Discontinue the
oxytocin infusion
The infusion should be stopped because it is the likely source of fetal compromise.
A client at 40 weeks' gestation is admitted to the birthing unit in early active labor. During her
intake assessment, she tells the nurse that her membranes ruptured 26 hours ago. Initial
assessments of the fetal heart rate range between 168 and 174 beats/min. What is the priority
nursing action? correct answers Assessing maternal vital signs
A prolonged period after the rupture of membranes and fetal tachycardia indicate the possibility
of maternal infection; the maternal vital signs should be assessed for fever and increased pulse
and respirations
A primigravida who is at 38 weeks' gestation is undergoing a nonstress test. The nurse
determines that the baseline fetal heart rate is 130 to 140 beats/min. It rises to 160 on two
occasions and 157 once during a 20-minute period. Each of the episodes in which the heart rate
is increased lasts 20 seconds. What action should the nurse take? correct answers Discontinuing
the test because the pattern is within the expected rang
. The accelerations meet the criteria for an increase of 15 beats that lasts at least 15 seconds
during a 20-minute period
A woman at 39 weeks' gestation whose membranes have ruptured at home arrives at the clinic to
be evaluated. Assessment reveals mild irregular contractions 10 to 15 minutes apart and a fetal
heart rate (FHR) of 186 beats/min is auscultated between contractions. In light of this
assessment, what does the nurse conclude? correct answers A further assessment is necessary
The fetal heart rate should be 110 to 160 beats/min; an FHR of 186 is tachycardic and further
evaluation is necessary because the fetus may be at risk.
As a means of halting preterm labor a client is started on terbutaline (Brethine). For which side
effect of this medication should the nurse monitor the client? correct answers Widening pulse
pressure
A widening pulse pressure is a side effect of terbutaline
A nurse is caring for a client in preterm labor who is receiving a course of corticosteroids to
promote fetal lung maturity. What test may be used to most accurately determine fetal lung
maturity? correct answers Amniocentesis
A woman is admitted to the high-risk unit in preterm labor at 30 weeks' gestation. What does the
nurse suspect precipitated this preterm labor? correct answers Incompetent cervix
An incompetent cervix indicates a short cervix, cervical scarring from previous births, or cervical
or uterine anomalies. It puts the client at risk for second-trimester miscarriage
, A client at 31 weeks' gestation is admitted in preterm labor. She asks the nurse whether there is
any medication that can stop the contractions. What is the nurse's response? correct answers "A
beta-adrenergic."
Beta-adrenergic medications are tocolytic agents that may halt labor, although only temporarily.
A nurse places fetal and uterine monitors on the abdomen of a client in labor. While observing
the relationship between the fetal heart rate and uterine contractions, the nurse identifies four late
decelerations. What condition is most frequently associated with late decelerations? correct
answers Uteroplacental insufficiency
Late decelerations, suggestive of fetal hypoxia, occur in the setting of uteroplacental
insufficiency
A client at 30 weeks' gestation is admitted in preterm labor. An intravenous solution of the
tocolytic agent ritodrine (Yutopar) is started. The nurse prepares to administer an intramuscular
injection of betamethasone (Celestone). The client asks why betamethasone is being
administered. The nurse responds, "It: correct answers Stimulates fetal lung maturity"
It stimulates the release of enzymes that produce lung surfactant, which promotes fetal lung
maturity
A client in labor is receiving an oxytocin (Pitocin) infusion. What should the nurse do first when
repetitive late decelerations of the fetal heart rate are observed? correct answers Discontinue the
oxytocin infusion
The infusion should be stopped because it is the likely source of fetal compromise.
A client at 40 weeks' gestation is admitted to the birthing unit in early active labor. During her
intake assessment, she tells the nurse that her membranes ruptured 26 hours ago. Initial
assessments of the fetal heart rate range between 168 and 174 beats/min. What is the priority
nursing action? correct answers Assessing maternal vital signs
A prolonged period after the rupture of membranes and fetal tachycardia indicate the possibility
of maternal infection; the maternal vital signs should be assessed for fever and increased pulse
and respirations
