Labor & Birth Complications quiz 7

The nurse admits a pregnant woman into the Labor and Delivery room with PPROM at 28 weeks gestation not in labor. The nurse understands that which of the following medications will be administered as a PRIORITY? Antibiotics Magnesium Sulfate loading dose Betamethasone (Celestone) 12mg IM nifedipine (Procardia)

Betamethasone (Celestone) 12mg IM

A woman, G4 P0030 at 12 weeks gestation has just been admitted to the labor and delivery suite for a cerclage procedure. Which of the following long-term outcomes is appropriate for this client? The client will gain less than 25 pounds during the pregnancy The client will deliver after 38 weeks gestation The client will have normal blood glucose levels throughout the pregnancy The client will deliver a baby that is appropriate for gestational age

The client will deliver after 38 weeks gestation

The nurse is getting ready to discharge a patient to home who was admitted for preterm labor that was halted by the use of Magnesium Sulfate. The nurse understands that which of the following medications will now be used to prevent another episode of preterm labor? methylergonoavine (Methergine) Betamethasone (Celestone) Antibiotics Therapy nifedipine (Procardia)

nifedipine (Procardia)

During a vaginal delivery, the obstetrician declares that shoulder dystocia is occurring. Which of the following actions by the nurse should be implemented? Administer oxytocin intravenously per order. Flex the woman's thighs sharply toward her abdomen. Apply oxygen using a tight-fitting facial mask Apply downward pressure on the woman's fundus.

Flex the woman's thighs sharply toward her abdomen.

The nurse is preparing to administer intravenous MgSO4 (magnesium sulfate) to a multipara who has been admitted for pre-term labor. What are the initial side effects that are expected to occur with the bolus dose that the nurse should explain to the patient? Hypotension, decreased respirations. Hyporeflexia and flaccid paralysis. Flushing, sweating, and irritability. Tinnitus and diarrhea

Flushing, sweating, and irritability.

The nurse becomes concerned when noting which of the following past obstetric histories of a woman who plans to have a vaginal delivery after a cesarean section? Documented low transverse incision on the uterus History of previous cesarean sections 5 years ago and 3 years ago History of a cesarean section 3 years ago History of vaginal birth less than 18 months ago

History of previous cesarean sections 5 years ago and 3 years ago

Three 30-week-gestation clients are on the labor and delivery unit in preterm labor. For which of the clients should the nurse question an order for terbutaline (Brethine)? A client with hypothyroidism A client with history of cardiac arrhythmias A client with asthma A client who is pregnant with twins

A client with history of cardiac arrhythmias

A client receiving terbutaline (Brethine) through an intravenous infusion calls out complaining of shortness of breath. The nurse's initial reaction should be: Nothing - this is a normal side effect of this medication. Call the doctor immediately. Auscultate lungs Order a chest x-ray stat.

Auscultate lungs

The nurse questions an order for indomethacin (Indocin) based on which of the following assessment findings? Client has polyhydramnios Client is contracting every 5 minutes at 29 weeks gestation Cervical examination: 2cm - 50% - -3 Client is 33 weeks gestation

Client is 33 weeks gestation

The nurse is titrating the maintenance dose of the Magnesium Sulfate infusion following the initial bolus dose to stop preterm labor. The nurse will continue to increase the infusion rate until which of the following assessments is noted? Decrease of blood pressure to 120/80 mm Hg Respiratory rate of 10 breaths/minute Contractions are no longer present Loss of patellar reflexes

Contractions are no longer present

A labor nurse is caring for a client, 30 weeks gestation who was admitted for premature rupture of membranes (PROM) and is not in labor. Which of the following orders would the nurse question? Daily vaginal exams Prophylactic antibiotics Daily kick counts Administer betamethasone (Celestone) 12 mg IM daily times 2.

Daily vaginal exams

Which of the following assessments would cause the nurse to hold the scheduled dose of terbutaline (Brethine)? (SELECT ALL THAT APPLY). Maternal pulse of 122 bpm FHR of 170 bpm Maternal blood pressure 88/56 Audible rales Absence of contractions in the last hour

Maternal pulse of 122 bpm Maternal blood pressure 88/56 Audible rales

A patient has just undergone a cerclage procedure and is now in recovery. Which of the following interventions will the nurse include in the plan of care? (SELECT ALL THAT APPLY) Continuous fetal monitoring Monitor for uterine cramping Fetal kick count Monitor for vaginal bleeding Monitor for rupture of membranes

Monitor for uterine cramping Monitor for vaginal bleeding Monitor for rupture of membranes

The labor and delivery nurse is reviewing the chart of a client in labor and notes that the client has been 2-3 cm for the last 7 hours despite painful and frequent contractions. The nurse is concerned and calls the health care provider expecting an order for which of the following? Pain medication and sedation Have the Resident perform an amniotomy Get the operating room ready for a cesarean section Send the woman home and tell her to come back in the morning

Pain medication and sedation

A client is on magnesium sulfate for preterm labor. The nurse notes the following assessment at 8:00 am: Urine output 100 ml; 98.6F, 88, 10, 120/70; absent patellar reflexes; decreased level of consciousness. The nurse's first action should be: Call the health care provider Administer calcium gluconate Turn the magnesium sulfate off Apply oxygen per facial mask at 8-10 liters/minute

Turn the magnesium sulfate off