OB L&D
A 40-week gestation woman has received Cytotec (misoprostol) for cervical ripening. For which of the following s/s should the nurse carefully monitor the client? A diarrhea and back pain B Hypothermia and rectal pressure C Urinary retention and rash D Tinnitis and respiratory distress
A
A woman in active labor received Nubain (nalbuphine hydrochloride) 14mg IV for pain relief. One half hour later her respirations are 8 rpm. The nurse reports the resp rate to the dr. Which of the following medications would be appropriate for the physician to order at this time? A Narcan (naloxone) B Reglan (metoclopramide) C Benadryl (diphenhydramine) D Vistaril (hydroxyzine)
A
A client G2 P1001 5cm dilated and 40% effaced, has just received an epidural. Which of the following actions is important for the nurse to take at this time? A Assess the woman's temp B Place a wedge under the woman's side C Place a blanket roll under the woman's feet D Assess the woman's pedal pulses
B
A client with an internal fetal monitor catheter in place has just received IV butorphanol (stadol) for pain relief. Which of the following monitor tracing changes should the nurse anticipate? A early decels B late decels C diminished short and long term variability D accelerations after contractions
C
A woman is to receive Prepidil (dinoprostone gel) for labor induction. The nurse should be prepared to administer the medication via which of the following routes? A intravenously B Orally C Endocervically D Intrathecally
C
An obstetrician is performing an amniotomy on a gravid woman in transition. Which of the following assessments must the nurse make immediately following the procedure? A Maternal blood pressure B Maternal pulse C Fetal Heart Rate D Fetal fibronectin
C
Immediately prior to amniotomy, the external fetal heart monitor tracing shows 145 bpm with early decelerations. Immediately following the procedure, an internal tracing shows a fetal heart rate of 120 with variable decelerations. A moderate amount of clear amniotic fluid is seen on the bed linens. The nurse concludes that which of the following has occurred? A Placental abruption B Eclampsia C Prolapsed cord D Succenturate placenta
C
The nurse is caring for 2 post cesarean clients in the post anesthesia suite. One of the clients had her surgery under spinal anesthesia, while the other client had her surgery under epidural anesthesia. Which of the following is an important difference between the 2 types of anesthesia that the nurse should be aware of? A The level of pain relief is lower in spinals B Placement of the needle is higher in epidurals C Epidurals do not fully sedate motor nerves D Spinal clients complain of nausea and vomiting
C
A woman is scheduled to have external version for a breech presentation. The nurse carefully assesses the client's chart knowing that which of the following is a contraindication to this procedure? A Station -2 B 38 weeks' gestation C Reactive NST D Previous cesarean
D
The health care practitioner performed an amniotomy 5 mins ago on a client G3 P1011 40 wks gestation, -4 station, and ROP position. The fhr is 140 with variable decels. The fluid is green tinged and smells musty. The nurse concludes that which of the following situations is present at this time? A The fetus is post term B The presentation is breech C The cord is prolapsed D The amniotic fluid is infected
D
To reduce possible side effects from a cesarean section under general anesthesia, clients are routinely given which of the following meds? A antacids B tranquilizers C antihypertensives D anticoagulants
A
A dr orders a narcotic analgesic for a laboring client. Which of the following situations would lead a nurse to hold the medication? A Contraction pattern is every 3 mins x 60 sec B Fetal monitor tracing shows late decels C Client sleeps between contractions D The blood pressure is 150/90
B
A physician has given a nurse a verbal order to apply cricoid pressure. Which of the following is the likely indication for the action? A Forceps delivery B Endotracheal tube insertion C Epidural insertion D Third stage of labor
B
A client G3 P2002 is immediately postexternal version. The nurse monitors this client carefully for which of the following? A Decreased urinary output B Elevated blood pressure C Severe occipital headache D Variable fetal heart decelerations
D
A client is scheduled for an external version. The nurse would expect to prepare which of the following medications to administered prior to the procedure? A Oxytocin (pitocin) B Ergonovine (methergine) C Betamethasone (celestone) D Terbutaline (brethine)
D
The nurse identifies the following nursing diagnosis for a client undergoing an emergency cesarean section: Risk for ineffective individual coping related to emergency procedure. Which of the following nursing interventions would be appropriate in relation to this diagnosis? A Apply antiembolic boots bilaterally B Explain all procedures slowly and carefully C Administer an antacid per MD orders D Monitor the FH and maternal vital signs
B
