EAQ Maternal Exam 2

Which FHR pattern during labor would concern the nurse? a. one that does not slow during contractions b. one that ranges from 130-140 bpm c. one that drops to 100 bpm after the peak of the contraction d. one that drops to 90 bpm during contraction

c. one that drops to 100 bpm after the peak of the contraction

After checking the FHR of a client after an amniotomy procedure, which intervention by the nurse would be appropriate? a. inspecting perineum b. preparing for an immediate birth c. increasing IV fluid rate

a. inspecting the perineum

Which client is most likely to require C-section birth? a. multipara with a shoulder presentation b. multipara with a documented station of floating c. primigravida with twin gestation with the lowermost twin in the vertex position

a. multipara with a shoulder presentation

The nurse discusses the type of anesthesia that will be used for a vaginal birth with a client who has class 1 cardiac disease. Which type of block is the most appropriate? a. spinal b. epidural c. pudendal

b. epidural

A pregnant client at 30 weeks gestation is admitted for active labor. Despite tocolytic therapy, it is determined that preterm birth is inevitable. Which medication would the nurse anticipate administering to the client? a. Norgestrel b. Aminophylline c. Dexamethasone d. Magnesium Sulfate

c. Dexamethasone glucocorticoid that stimulates the production of fetal lung surfactants

Which position is the fetus in when Leopold maneuvers disclose a firm, round prominence over the symphysis pubis; a smooth, convex structure along her right side; irregular lumps along her left side; and soft roundness in the fundus?

Right occiput anterior (ROA)

A client in active labor is 100% effaced, dilated 3 cm, and at 1+ station. Which stage of labor has the client reached? a. First b. Latent c. Second

a. First the first stage of labor lasts from the onset of contractions until the cervix is fully dilated.

What is the nurse's immediate action when a laboring client experiences a spontaneous rupture of membranes? a. assess the FHR b. estimate the amount of fluid c. assess the characteristics of the fluid

a. assess the FHR

Which nursing interventions are essential before epidural anesthesia is administered? a. performing a baseline vaginal examination b. telling the adolescent what to expect with each procedure c. identifying risk factors that contraindicate epidural anesthesia d. explaining the need to stay in one position while the epidural catheter is in place

a. performing a baseline vaginal examination b. telling the adolescent what to expect with each procedure c. identifying risk factors that contraindicate epidural anesthesia

A woman is admitted to the high-risk unit in preterm labor at 30 weeks gestation. Which factor would the nurse suspect precipitated the preterm labor? a. android pelvis b. incompetent cervix c. first-time pregnancy

b. incompetent cervix

A client is receiving an epidural anesthetic during labor. Which alterations would the nurse recognize as a side effect of the anesthetic? a. hypertension b. urine retention c. decreased LOC d. subnormal temperature

b. urine retention

Where would the nurse expect the fundus to be located 3 days after a cesarean birth? a. 1 fingerbreadth below umbilicus b. 2 fingerbreadth below umbilicus c. 3 fingerbreadth below umbilicus

c. 3 fingerbreadth below umbilicus ***The fundus descends 1 fingerbreadth per day from first postpartum day

Which type of lochia would the visiting nurse expect to observe on a client's pad on the 4th day after a vaginal delivery? a. Scant alba b. Scant rubra c. Moderate rubra d. Moderate serosa

c. Moderate rubra ***Lochia rubra lasts about 7 days Lochia serosa lasts 2 weeks Lochia alba lasts about 6 weeks after birth

Which information regarding true labor contractions would the nurse include in a response to the client's question? a. usually fluctuate in length b. related to time of membrane rupture c. accompanied by progressive cervical dilation

c. accompanied by progressive cervical dilation

Which would the nurse recommend to a client who is formula-feeding her infant and complains of discomfort from engorged breasts? a. use warm, moist towels as compresses b. express milk from each breast manually c. apply cold packs and snugly fitting bra

c. apply cold packs and snugly fitting bra

Within minutes of giving birth to a healthy infant, a client displays symptoms of respiratory distress, and amniotic fluid embolism is suspected. For which other complication would the nurse assess this client? a. hypertension b. uterine atony c. thrombophlebitis d. uncontrolled bleeding

d. uncontrolled bleeding

Which factor explains why a breast-feeding mother who is 3 days postpartum complains that her breast are tight and swollen? a. There is an overabundance of milk b. Breast-feeding is probably ineffective c. The lymphatic system in the breasts is congested

c. the lymphatic system in the breasts is congested