Pregnancy/Labor/Birth - MB Group Project

The client at 28 weeks' gestation is Rh negative and Coombs antibody negative. The nurse determines that the client understands what the nurse has taught her about Rh sensitization when the client makes which statement? 1. "I know I can never have another child." 2. "I am glad I won't have to have these shots if I have another child." 3. "I will have to have an injection once a month until the baby is born." 4. "I will tell the nurse at the hospital that I had an Rh shot during pregnancy."

"I will tell the nurse at the hospital that I had an Rh shot during pregnancy."

A nulliparous woman asks the nurse when she will feel fetal movements. The nurse responds by telling the woman that the first recognition of fetal movement will occur at approximately which week of gestation? 1. 10 2. 12 3. 14 4. 18

18

The nurse is assigned to work in the delivery room and is assisting with caring for a client who has just delivered a newborn. The nurse is monitoring for signs of placental separation knowing that which indicates that the placenta has separated? 1. A change in the uterine contour 2. Sudden and sharp abdominal pain 3. A shortening of the umbilical cord 4. A decrease in blood loss from the introitus

A change in the uterine contour

The nurse is reviewing the record of a client who has just been told that her pregnancy test is positive. The nurse notes that the primary health care provider has documented the presence of Goodell's sign. The nurse determines that this sign is indicative of which change that occurs with pregnancy? 1. A softening of the cervix 2. The presence of fetal movement 3. The presence of human chorionic gonadotropin in the urine 4. A soft blowing sound that corresponds with the maternal pulse that is heard while auscultating the uterus

A softening of the cervix

The nurse is caring for a client diagnosed with abruptio placentae. During labor, the priority nursing action is to monitor which criteria? 1. Effacement and dilation of the cervix 2. Frequency, duration, and intensity of contractions 3. The presence of both clear and red vaginal discharge 4. All vital signs, especially heart rate and blood pressure

All vital signs, especially heart rate and blood pressure

The nurse is collecting data from a pregnant client when the client asks the nurse about the purpose of the fallopian tubes. Which is the accurate response the nurse would make? 1. The organ of copulation 2. Where the fetus develops 3. Where fertilization occurs 4. The organ that secretes estrogen and progesterone

Where fertilization occurs

The nurse is assigned to care for a client who is in early labor. When collecting data from the client, which would the nurse check first? 1. Baseline fetal heart rate 2. Intensity of contractions 3. Frequency of contractions 4. Maternal blood pressure

Baseline fetal heart rate

The nurse is preparing a pregnant client for a transvaginal ultrasound exam. The nurse should tell the client that which will occur? 1. The client will be placed in the supine position. 2. The client will feel some pain during the procedure. 3. The client will feel some pressure when the vaginal probe is moved. 4. The client will need to drink 2 quarts of water to attain a full bladder.

The client will feel some pressure when the vaginal probe is moved.

A primigravida's membranes rupture spontaneously. Which action would the nurse take first? 1. Determine the fetal heart rate. 2. Prepare for immediate delivery. 3. Monitor the contraction pattern. 4. Note the amount, color, and odor of the amniotic fluid.

Determine the fetal heart rate.

The nurse is assigned to assist with caring for a client who is being admitted to the birthing center in early labor. During admission, which action would the nurse take initially? 1. Estimate the fetal size. 2. Check pelvic adequacy. 3. Administer an analgesic. 4. Determine the maternal and fetal vital signs.

Determine the maternal and fetal vital signs.

The client arrives at the prenatal clinic for her first prenatal assessment. The client tells the nurse that the first day of her last menstrual period (LMP) was October 20, 2022. Using Nägele's rule, the nurse determines the estimated date of birth is which date? 1. July 12,2023 2. July 27,2023 3. August 12 2023 4. August 27th 2023

July 27th 2023

A pregnant client at 36 weeks' gestation experiences painless bleeding and is admitted to the labor room. In addition to maintaining complete bed rest, which other actions would the nurse include in the plan of care? 1. Encourage fluids and reduce stimuli. 2. Monitor IV fluid intake and monitor the fetal heart rate. 3. Assist with the vaginal exam and restrict food and fluids. 4. Monitor IV fluid intake and monitor for uterine contractions.

Monitor IV fluid intake and monitor the fetal heart rate.

The nurse assisting in the care of a woman in labor should focus primarily on which client at the time of delivery? 1. Mother 2. Newborn 3. Support person 4. Primary health care provider

Newborn

A client was admitted to the maternity unit 12 hours ago at station 0 and has been experiencing strong contractions every 3 minutes, and the fetus is currently still at station 0. The fetal heart rate on admission was 140 beats per minute and regular. The fetal heart rate is decreasing and a persistent non-reassuring fetal heart rate pattern is present. Which nursing action is appropriate? 1. Prepare to induce labor. 2. Turn the client to the left side. 3. Prepare the client for a cesarean delivery. 4. Continue to monitor the fetal heart rate pattern.

Prepare the client for a cesarean delivery.

The nurse is assigned to assist in caring for a client in labor. The nurse determines that which sign/symptom would least likely indicate dystocia? 1. Signs of fetal distress 2. Failure of a fetus to descend 3. Progressive changes in the cervix 4. High level of maternal fear or anxiety

Progressive changes in the cervix

A pregnant client with severe uterine bleeding is admitted to the labor and birthing department. Which data would best alert the nurse to early signs of hypovolemic shock? 1. Cold and clammy skin 2. Decreased blood pressure 3. Restlessness and agitation 4. Diminished peripheral pulses

Restlessness and agitation

The nurse is caring for a client who is in labor. The nurse rechecks the client's blood pressure and notes that it has dropped. To decrease the incidence of supine hypotension, the nurse would encourage the client to remain in which position? 1. Squatting 2. Side-lying 3. Tailor sitting 4. Semi-Fowler's

Side-lying

The client who is being prepared for a cesarean delivery is brought to the delivery room. To maintain the optimal perfusion of oxygenated blood to the fetus, the nurse would place the client in which position? 1. Prone position 2. Semi-Fowler's position 3. Trendelenburg's position 4. Supine position with a wedge under the right hip

Supine position with a wedge under the right hip

After a precipitous delivery, the nurse notes that the new mother is passive and only touches her newborn briefly with her fingertips. The nurse would do which to help the woman process what has happened? 1. Support the mother in her reaction to the newborn. 2. Encourage the mother to breast-feed soon after birth. 3. Tell the mother that it is important to hold the newborn. 4. Document a complete account of the mother's reaction in the birth record.

Support the mother in her reaction to the newborn.

A pregnant client is seen in the health care clinic for a regular prenatal visit. The client tells the nurse that she is experiencing irregular contractions. The nurse determines that the client is experiencing Braxton Hicks contractions. Based on this finding, which nursing action is appropriate? 1. Contact the primary health care provider. 2. Instruct the client to maintain bed rest for the remainder of the pregnancy. 3. Tell the client that these are common and they may occur throughout the pregnancy. 4. Call the maternity unit and inform them that the client will be admitted in a pre-labor condition.

Tell the client that these are common and they may occur throughout the pregnancy.

Leopold's maneuvers will be performed on a pregnant client. The client asks the nurse about the procedure. Which information would the nurse provide to the client about Leopold's maneuvers? 1. The maneuvers measure the height of the maternal fundus. 2. The maneuvers determine the "lie" and "attitude" of the fetus. 3. The maneuvers are a systematic method for palpating the fetus through the maternal back. 4. The maneuvers are a systematic method for palpating the fetus through the maternal abdominal wall.

The maneuvers are a systematic method for palpating the fetus through the maternal abdominal wall.

The nurse in the delivery room is assisting with the delivery of a newborn. Which observations indicate that the placenta has separated from the uterine wall and is ready for delivery? Select all that apply. 1. A soft and boggy uterus 2. The umbilical cord lengthens 3. Changes in the shape of the uterus 4. Maternal complaints of severe uterine cramping 5. A trickle or gush of blood escapes from the introitus

The umbilical cord lengthens, Changes in the shape of the uterus, A trickle or gush of blood escapes from the introitus

The nurse is monitoring a client who is receiving oxytocin to induce labor. Which assessment findings would cause the nurse to immediately discontinue the oxytocin infusion? Select all that apply. 1. Fatigue 2. Drowsiness 3. Uterine hyperstimulation 4. Late decelerations of the fetal heart rate 5. Early decelerations of the fetal heart rate

Uterine hyperstimulation, Late decelerations of the fetal heart rate

The nurse is assigned to assist with caring for a client with abruptio placentae who is experiencing vaginal bleeding. The nurse collects data from the client, knowing that abruptio placentae is accompanied by which additional finding? 1. Soft abdomen on palpation 2. Uterine tenderness on palpation 3. No complaints of abdominal pain 4. Lack of uterine irritability or tetanic contractions

Uterine tenderness on palpation

The nurse is reviewing the record of a pregnant client and notes that the primary health care provider has documented the presence of Chadwick's sign. Which clinical finding supports the documentation of Chadwick's sign? 1. Softening of the cervical tip 2. Softening of the uterine isthmus 3. Violet bluish color of vaginal mucosa and cervix 4. Palpating the floating fetus by bouncing it gently and feeling the rebound

Violet bluish color of vaginal mucosa and cervix