OB Test Chapter 14 Prep-U Questions

The client questions how analgesia will help her pain during labor. Which answer is best?

"The analgesia will reduce the sensation of pain for a limited period of time."

The nurse anticipates noting which finding when the membranes rupture?

Clear to straw-colored fluid

A multigravida client admitted in active labor has progressed well and the client ane fetus have remained in good condition. Which action should the nurse prioritize if the client suddenly shouts out, "The baby is coming!"?

Inspect the perineum.

The nurse is monitoring a laboring client with continuous fetal monitoring and notes a decrease in FHR with variable deceleration to 75 bpm. Which intervention should the nurse prioritize?- A)Change the position of the client. B)Notify the primary care provider.

Change the position of the client.

In providing culturally competent care to a laboring woman, which is a priority?- A)Identify the decision maker within the family. b)Identify how the client expresses labor pain.

Identify how the client expresses labor pain.

What does a greenish-color fluid in the vaginal vault indicate?

Meconium in the fluid

A nurse is auscultating the fetal heart rate of a woman in labor. To ensure that the nurse is assessing the FHR and not the mother's heart rate, which action would be most appropriate for the nurse to do?- A)Have the woman lie completely flat on her back while auscultating. B)Palpate the mother's radial pulse at the same time.

Palpate the mother's radial pulse at the same time.

The nurse is analyzing the readout on the EFM and determines the FHR pattern is reassuring based on which recording? A)Acceleration of at least 15 bpm for 15 seconds B)Deceleration followed by acceleration of 15 bpm

Acceleration of at least 15 bpm for 15 seconds

A client in labor has requested the administration of narcotics to reduce pain. At 2 cm cervical dilatation, she says that she is managing the pain well at this point but does not want it to get ahead of her. What should the nurse do?

Advise the client to hold out a bit longer, if possible, before administration of the drug, to prevent slowing labor.

The nurse is assessing the laboring client to determine fetal oxygenation status. What indirect assessment method will the nurse likely use? A)fetal oxygen saturation B)external electronic fetal monitoring

Analysis of the FHR using external electronic fetal monitoring is one of the primary evaluation tools used to determine fetal oxygen status indirectly. external electronic fetal monitoring

A woman's husband expresses concern about risk of paralysis from an epidural block being given to his wife. Which would be the most appropriate response by the nurse?

"The injection is given in the space outside the spinal cord."

A client has just received combined spinal epidural. Which nursing assessment should be performed first? A) Assess vital signs B)Assess for fetal tachycardia.

Assess vital signs. The most common side effect of spinal and epidural anesthesia is hypotension, which can lead to fetal bradycardia, decelerations, or fetal distress.

Which documentation in the health record is most correct for the third stage of labor?

Begins with the time of delivery of the fetus and ends with the time of the delivery of the placenta.

Which nursing action is essential if the laboring client has the urge to push but she is not fully dilated? A)Assist the client to a Fowler's position. B) Have the client pant and blow through the contraction.

Have the client pant and blow through the contraction. The essential nursing action does not allow the client to push. The action is to have the client pant at the beginning of the contraction and then have the client blow through the peak of the contraction.

At what time is the laboring client encouraged to push? A)When she feels the urge to push b)When the cervix is fully dilated

When the cervix is fully dilated To avoid birth trauma, the client is not encouraged to push until the cervix is fully dilated. This is determined on vaginal exam

The nurse caring for a client in preterm labor observes abnormal fetal heart rate (FHR) patterns. Which nursing intervention should the nurse perform next? A)apply vibroacoustic stimulation b)tactile stimulation C)fetal scalp stimulation D)administration of oxygen by mask

administration of oxygen by mask