OB Midterm - purple lizard questions

The nurse is caring for a client in labor whose fetus is in the breech presentation. Which would be an expected finding for this client? Hemorrhagic shock Increased blood pressure Compression of the cord Meconium in the amniotic fluid

Meconium in the amniotic fluid

The nurse determines that a client's placenta has separated during the third stage of labor. Which clinical finding supports the nurse's conclusion? A gush of blood Bogginess of the uterus Shrinkage of the uterus An abrupt drop in blood pressure

A gush of blood

What nursing action is the priority for a client in the second stage of labor? Check the fetus's position. Administer medication for pain. Promote effective pushing by the client. Explain that breastfeeding can start right after birth.

Promote effective pushing by the client.

A client who is in the first trimester is being discharged after a week of hospitalization for hyperemesis gravid arum. She is to be maintained at home with rehydration infusion therapy. What is the nursing priority for the home health nurse? Determing fetal-well being Monitoring signs of infection Monitoring the client for signs of electrolyte imbalances Teaching about changes in nutrional needs during pregancy

Monitoring the client for signs of electrolyte imbalances

Prolapsed umbilical cord. Notified the HCP. Place the folloing in order? Moving the presenting part off the cord Checking fetal heart rate Placing the client in Trandelenberg position Administering oxygen by facemask

Moving the prsenting part off the cord Placing the client in Trandelenberg position Administering oxygen by facemask Checking fetal heart rate

Which information concerning the childbearing process should the nurse teach a client during the first trimester of pregnancy? Labor and birth Signs and symptoms of complications Role transition into parenthood and its acceptance Physical and emotional changes resulting from pregnancy

Physical and emotional changes resulting from pregnancy

What is the best advice a nurse can provide to a pregnant woman in her first trimester? "Cut down on drugs, alcohol, and cigarettes." "Avoid drugs and don't smoke or drink alcohol." "Avoid smoking, limit alcohol consumption, and don't take aspirin." "Take only prescription drugs, especially in the second and third trimesters."

"Avoid drugs and don't smoke or drink alcohol."

A client at 24 weeks' gestation is admitted in early labor. What should the nurse take into consideration regarding this client's early gestation? If contractions are regular, labor cannot be stopped effectively. Birth at this gestational age usually results in a severely compromised neonate. Attempts will be made to sustain the pregnancy for 2 or 3 more weeks to ensure neonatal survival. Infants born at 30 to 34 weeks' gestation have a low morbidity rate because of advances in neonatal health care.

Birth at this gestational age usually results in a severely compromised neonate.

A client who is at 13 weeks' gestation arrives at the emergency department. She states that she began to have spotting and a small amount of vaginal bleeding several hours ago. This is her second pregnancy. Which gravidity should the nurse record? Multipara Primipara Multigravida Primigravida

Multigravida

The nurse instructs a pregnant woman in labor that she must avoid lying on her back. The nurse bases this instruction on the information that the supine position is primarily avoided because it can do what? Prolong the course of labor Cause decreased placental perfusion Lead to transient episodes of hypertension Interfere with free movement of the coccyx

Cause decreased placental perfusion

A client who has missed two menstrual periods arrives at the prenatal clinic with vaginal bleeding and one-sided lower quadrant pain. Which condition does the nurse suspect? Placenta previa Ectopic pregnancy Incomplete abortion Rupture of a graafian follicle

Ectopic pregnancy

The nurse is assessing a client with a tentative diagnosis of hydatidiform mole. Which clinical finding should the nurse anticipate? Hypotension Decreased fetal heart rate Unusual uterine enlargement Painless, heavy vaginal bleeding

Unusual uterine enlargement

A nurse at the prenatal clinic examines a client and determines that her uterus has risen out of the pelvis and is now an abdominal organ. At what week of gestation would the nurse expect this clinical finding to occur? 8th week of pregnancy 10th week of pregnancy 12th week of pregnancy 18th week of pregnancy

12th week of pregnancy

A pregnant client is admitted with abdominal pain and heavy vaginal bleeding. What is the priority nursing action? Administering oxygen Elevating the head of the bed Drawing blood for a hematocrit level Giving an intramuscular analgesic

Administering oxygen

What is the desired outcome for the intrapartum client during the third stage of labor? Absence of discomfort Firmly contracted uterine fundus Efficient fetal heart beat-to-beat variability Maternal respiratory rate within the expected range

Firmly contracted uterine fundus

Severe preeclampsia. What objective finding indicates an impending seizure? Persistent headache with blurred vision Epigastric pain with nausea and vomiting Spots and flashes of light before the eyes Rolling of the eyes to one side with fixed stare

Rolling of the eyes to one side with fixed stare

A pregnant woman who is in the third trimester arrives in the emergency department with vaginal bleeding. She states that she snorted cocaine approximately 2 hours ago. Which complication does the nurse suspect as the cause of the bleeding? Placenta previa Tubal pregnancy Abruptio placentae Spontaneous abortion

Abruptio placentae

A client in the high-risk postpartum unit has had a precipitous labor and birth. Which maternal complication should the nurse anticipate? Hypertension Hypoglycemia Chilling and shivering Bleeding and infection

Bleeding and infection

Which nursing assessment is most important for a large-for-gestational-age (LGA) infant of a diabetic mother (IDM)? Temperature less than 98° F (36.6° C) Heart rate of 110 beats/min Blood glucose level less than 40 mg/dL (2.2 mmol/L) Increasing bilirubin during the first 24 hours

Blood glucose level less than 40 mg/dL (2.2 mmol/L)

A client in labor is admitted to the birthing unit. Assessment reveals that the fetus is in a footling breech presentation. What should the nurse consider regarding breech presentations when caring for this client? Severe back discomfort will occur. Length of labor usually is shortened. Cesarean birth probably will be necessary. Meconium in the amniotic fluid is a sign of fetal hypoxia.

Cesarean birth probably will be necessary.

A client on her first prenatal clinic visit is at 6 weeks' gestation. She asks how long she may continue to work and when she should plan to quit. How should the nurse respond? "What activities does your job entail?" "How do you feel about continuing to work?" "Most women work throughout their pregnancies." "Usually women quit work at the start of their third trimester."

"What activities does your job entail?"

A pregnant woman is admitted in active labor. What should the nurse instruct her coach to do when the client complains of back pain? Position her with her legs elevated. Apply pressure to the sacrum during contractions. Encourage performance of a panting-breathing pattern. Encourage her to do Kegel exercises between contractions.

Apply pressure to the sacrum during contractions.

A pregnant client arrives on the birthing unit from the emergency department with frank blood running down both legs and a reported low blood pressure. What is the priority nursing intervention? Assessing fetal heart tones Assessing for a prolapsed cord Starting an intravenous (IV) infusion Inserting a uterine pressure catheter

Assessing fetal heart tones

The nurse is caring for a client in preterm labor who reports that she fell down the stairs. Bruises are apparent on the left part of the client's lower abdomen, the back of each shoulder, and on both wrists. After instituting electronic fetal monitoring, starting tocolytic therapy, and examining the monitor strips, what action should the nurse take next? Ambulating the client to promote circulation Inserting two small-bore intravenous catheters Determining whether the client feels safe at home Ensuring that the client has her glasses to ambulate

Determining whether the client feels safe at home

A 28-year-old woman is recovering from her third consecutive spontaneous abortion in 2 years. What is the most therapeutic nursing intervention for this client at her follow-up appointment? Focusing on the client's physical needs Encouraging the client to verbalize her feelings about the loss Reminding the client that she will be able to become pregnant again Encouraging the client to think of herself, her husband, and their future

Encouraging the client to verbalize her feelings about the loss

The nurse is caring for a pregnant client who is undergoing an ultrasound examination during the first trimester. The nurse explains that an ultrasound during the first trimester is utilized in order to do what? Estimate fetal age Detect hydrocephalus Rule out congenital defects Approximate fetal linear growth

Estimate fetal age

During the assessment of a client in labor, the cervix is determined to be dilated 4 cm. What stage of labor does the nurse record? First Second Prodromal Transitional

First

The nurse is reviewing the obstetric history of a client who has had an abruptio placentae. Which prenatal condition does the nurse expect to find in this client's history? Cardiac disease Hyperthyroidism Gestational hypertension Cephalopelvic disproportion

Gestational hypertension

A client at 24 weeks' gestation arrives at the clinic for a routine examination. She tells the nurse, "I feel puffy all over." In light of this statement, what is the nurse's most important assessment? Obtaining her blood pressure Determining how much salt she uses Asking the extent of her daily fluid intake Reviewing her history for total weight gain

Obtaining her blood pressure

A client is admitted to the emergency department in active labor. The client is bearing down, the fetal head is crowning, and birth appears imminent. Which breathing pattern should the nurse instruct the patient to adopt? Take slow, deep breaths Hold her breath and push with each contraction Breathe faster than usual with long cleansing breaths Pant and then exhale through the mouth with pursed lips

Pant and then exhale through the mouth with pursed lips

A multiparous client presents to the labor and delivery area in active labor. The initial vaginal examination reveals that the cervix is dilated 4 cm and 100% effaced. Two hours later the client experiences rectal pressure, followed by delivery 5 minutes later. How is this delivery best documented? Precipitous vaginal delivery Prolonged transitional phase Primigravida primary delivery Normal spontaneous vaginal delivery

Precipitous vaginal delivery

A client's membranes rupture during labor. The nurse immediately assesses the electronic fetal heart rate. Variable decelerations lasting more than 90 seconds, followed by bradycardia, are observed on the monitoring strip. Which physiologic finding does the nurse suspect is the cause of this abrupt change? Fetal acidosis Prolapsed cord Head compression Uteroplacental insufficiency

Prolapsed cord

A client who is 38 weeks pregnant presents to the labor unit for a nonstress test (NST). The resulting fetal monitor strip is shown. How does the nurse interpret this finding? (picture) Negative because of the lack of contractions Nonreassuring; fetal heart rate lacks variability Reassuring; fetal heart rate accelerates with movement Positive; demonstrates decelerations with fetal movement

Reassuring; fetal heart rate accelerates with movement

A primigravida is admitted to the emergency department with a sharp, shooting pain in the lower abdomen and vaginal spotting. A ruptured tubal pregnancy is diagnosed. During what week of gestation does this condition most commonly occur? Sixth Twelfth Sixteenth Eighteenth

Sixth

A client at 12 weeks' gestation arrives in the prenatal clinic complaining of cramping and vaginal spotting. A pelvic examination reveals that the cervix is closed. Which probable diagnosis should the nurse expect? Missed abortion Inevitable abortion Incomplete abortion Threatened abortion

Threatened abortion

A 16-year-old primigravida who appears to be at or close to term arrives at the emergency department stating that she is in labor and complaining of pain continuing between contractions. The nurse palpates the abdomen, which is firm and shows no sign of relaxation. What problem does the nurse conclude that the client is experiencing? Placenta previa Precipitous birth Abruptio placentae Breech presentation

Abruptio placentae

While a multiparous client is in active labor, her membranes rupture spontaneously. The nurse notes a loop of umbilical cord protruding from her vagina. What is the priority nursing action at this time? Monitoring the fetal heart rate Covering the cord with a saline dressing Pushing the cord back into the vaginal vault Holding the presenting part away from the cord

Holding the presenting part away from the cord

A client at her first visit to the prenatal clinic states that she has missed three menstrual periods and thinks that she is carrying twins because her abdomen is so large. She now has a brownish vaginal discharge. Her blood pressure is increased, indicating that she may have gestational hypertension. What condition does the nurse suspect the client may have? Renal failure Placenta previa Hydatidiform mole Abruptio placentae

Hydatidiform mole

A nurse performs Leopold maneuvers on a newly admitted client in labor. Palpation reveals a soft, firm mass in the fundus; a firm, smooth mass on the mother's left side; several knobs and protrusions on the mother's right side; and a hard, round, movable mass in the pubic area with the brow on the right. On the basis of these findings, the nurse determines that the fetal position is what? LOA ROA LMP RMP

LOA

The nurse is assessing a client with worsening preeclampsia. What is the most significant clinical manifestation of severe preeclampsia? Polyuria Vaginal spotting Proteinuria of 3+ Blood pressure of 130/80 mm Hg

Proteinuria of 3+

While caring for a client in labor, the nurse notes that during a contraction there is a 15-beat-per-minute acceleration of the fetal heart rate above the baseline. What is the nurse's most appropriate action at his time? Call the practitioner to prepare for an imminent birth. Turn the mother on her left side to increase venous return. Record the fetal response to contractions and continue to monitor the heart rate. Document the fetal heart rate abnormality and monitor the fetal heart rate continuously.

Record the fetal response to contractions and continue to monitor the heart rate

A client at 42 weeks' gestation is scheduled for induction of labor. The nurse begins the induction with a piggyback infusion of 15 units of oxytocin. Which clinical finding requires the nurse to discontinue the oxytocin infusion? Contractions that occur every 3 minutes and lasting 60 seconds Elevation of blood pressure from 110/70 to 135/85 mm Hg during the last 30 minutes Rupture of membranes with amniotic fluid that contains threads of blood and mucus Several late fetal heart rate decelerations that return to baseline after the contraction is over

Several late fetal heart rate decelerations that return to baseline after the contraction is over

During a follow-up appointment, a client at 21 weeks' gestation is diagnosed with hyperemesis gravidarum. The client says, "Why is this happening to me? I don't know whether I can go on like this." What is the ideal response by the nurse? "Are you saying that you want to schedule an abortion?" "This must be physically and emotionally challenging for you." "We're doing the best we can here, so please be patient with us." "There are dietary changes and medications available that can ease the nausea."

"This must be physically and emotionally challenging for you."

Physical assessment of a client in active labor reveals that the cervix is dilated 3 to 4 cm and 50% effaced, the fetus is in the right sacrum anterior (RSA) position, and contractions are 5 minutes apart. Where should the nurse place the stethoscope to best locate the fetal heart tones? *picture of abdomen*

a

The nurse is caring for a pregnant client with type 1 diabetes. Which complication is the result of type 1 diabetes? Increased risk of hypertensive states Abnormal placental implantation Excessive weight gain because of increased appetite Decreased amount of amniotic fluid as the pregnancy progresses

Increased risk of hypertensive states

A nurse is caring for a client during an ultrasonogram. Which parameters does the nurse expect to be used in the determination of pregnancy dates? Occipital frontal diameter at term Crown-to-rump measurement until 11 weeks Biparietal diameter of 12 cm or more at term Diagonal conjugate between 26 and 37 weeks

Crown-to-rump measurement until 11 weeks

A laboring client reports low back pain. Which intervention should the nurse recommend to the client's coach to promote the most comfort for this client? Instruct her to flex her knees. Place her in the supine position. Apply pressure to her back during contractions. Perform neuromuscular control exercises with her.

Apply pressure to her back during contractions

The nurse concludes that a positive contraction stress test (CST) result may be indicative of potential fetal compromise. A CST result is considered positive when the fetal heart rate shows what during contractions? Late decelerations Early accelerations Variable decelerations Prolonged accelerations

Late decelerations

Which sign or symptom leads the nurse to suspect that a client is experiencing a tubal (ectopic) pregnancy? A painful, tender area in the epigastric region after meals Lower abdominal cramping of 1 week's duration with constipation Leukorrhea or dysuria occurring a few days after the first missed menstrual period A sharp pain in the lower right or left side of the abdomen, radiating to the shoulder

A sharp pain in the lower right or left side of the abdomen, radiating to the shoulder

While monitoring the fetal heart rate (FHR) of a client in labor, the nurse identifies an increase of 15 beats more than the baseline rate of 135 beats per minute that lasts 15 seconds. How should the nurse document this event? An acceleration An early increase A sonographic motion A tachycardic heart rate

An acceleration

A client tells the nurse that the first day of her last menstrual period was July 22. What is the estimated date of birth (EDB)? May 7 April 29 April 22 March 6

April 29

A woman in labor with her third child is dilated to 7 cm, and the fetal head is at station +1. The client's membranes rupture. What is the nurse's priority intervention? Notify the practitioner. Observe the vaginal opening for a prolapsed cord. Reposition the client on a sterile towel on her left side. Check the fetal heart rate while observing the color of the amniotic fluid.

Check the fetal heart rate while observing the color of the amniotic fluid.

The nurse admits a client with preeclampsia to the high-risk prenatal unit. What is the next nursing action after the vital signs have been obtained? Calling the primary healthcare provider Checking the client's reflexes Determining the client's blood type Administering the prescribed intravenous (IV) normal saline

Checking the client's reflexes

After the removal of a hydatidiform mole, the nurse assesses the client's laboratory data during a follow-up visit. The nurse notes that a prolonged increase of the serum human chorionic gonadotropin (hCG) level is a danger sign. Which condition is this client at increased risk of developing? Uterine rupture Choriocarcinoma Hyperemesis gravidarum Disseminated intravascular coagulation (DIC)

Choriocarcinoma

What is the optimal method for the nurse to use to assess blood loss in a client with placenta previa? Count or weigh perineal pads Monitor pulse and blood pressure Check hemoglobin and hematocrit values Measure or estimate the height of the fundus

Count or weigh perineal pads

A nurse teaching a prenatal class is asked why infants of diabetic mothers are larger than those born to women who do not have diabetes. On what information about pregnant women with diabetes should the nurse base the response? Taking exogenous insulin stimulates fetal growth. Consuming more calories covers the insulin secreted by the fetus. Extra circulating glucose causes the fetus to acquire fatty deposits. Fetal weight gain increases as a result of the common response of maternal overeating.

Extra circulating glucose causes the fetus to acquire fatty deposits.

While caring for a client during labor, what does the nurse remember about the second stage of labor? It ends at the time of birth. It ends as the placenta is expelled. It begins with the transition phase of labor. It begins with the onset of strong contractions.

It ends at the time of birth.

A pregnant client's blood test reveals an increased alpha-fetoprotein (AFP) level. Which condition does the nurse suspect that this result indicates? Cystic fibrosis Phenylketonuria Down syndrome Neural tube defect

Neural tube defect

A nurse assesses the frequency of a client's contractions by timing them from the beginning of a contraction until when? The uterus starts to relax The end of a second contraction The uterus has relaxed completely The beginning of the next contraction

The beginning of the next contraction

A woman at 40 weeks' gestation is having contractions. Wondering whether she is in true labor, she asks, "How will you know if I'm really in labor?" Which information should the nurse provide to the patient at this time? The cervix dilates and becomes effaced in true labor. Bloody show is the first sign of true labor. The membranes rupture at the beginning of true labor. Fetal movements lessen and become weaker in true labor.

The cervix dilates and becomes effaced in true labor.

A client in active labor has requested epidural anesthesia for pain management. The anesthetist has completed an evaluation, and the nurse has initiated an intravenous fluid bolus. The client's partner asks why this is necessary. What is the best explanation? It is the policy of the institution to provide 2 bags of lactated Ringer solution. There is a risk of hypotension, and the large amount of IV fluid reduces this risk. Giving the large amount of IV fluid is a means of hydrating the client when she is unable to drink. The client must be given 500 mL of fluid to ascertain that the line is patent.

There is a risk of hypotension, and the large amount of IV fluid reduces this risk.

While caring for a woman who has had a positive contraction stress test (CST), what complication does the nurse suspect? Preeclampsia Placenta previa Imminent preterm birth Uteroplacental insufficiency

Uteroplacental insufficiency

The nurse is conducting the admission assessment of a client who is positive for group B streptococcus (GBS). Which finding is of most concern to the nurse? Continued bloody show Cervical dilation of 4 cm Contractions every 4 minutes Spontaneous rupture of membranes 3 hours ago

Spontaneous rupture of membranes 3 hours ago

A laboring client experiences a spontaneous rupture of membranes. What is the nurse's priority? Assessing the fetal heart rate Estimating the amount of fluid Assessing the characteristics of the fluid Repositioning the client to a side-lying position

Assessing the fetal heart rate

A client who is at 20-weeks' gestation visits the prenatal clinic for the first time. Assessment reveals temperature of 98.8° F (37.1° C), pulse of 80 beats per minute, blood pressure of 128/80 mm Hg, weight of 142 lb (64.4 kg) (pre-pregnancy weight was 132 lb (59.9 kg), fetal heart rate (FHR) of 140 beats per minute, urine that is negative for protein, and fasting blood glucose level of 92 mg/dL (5.2 mmol/L). What should the nurse do after making these assessments? Report the findings because the client needs immediate intervention. Document the results because they are expected at 20-weeks' gestation. Record the findings in the medical record because they are not within the norm but are not critical. Prepare the client for an emergency admission because these findings may represent jeopardy to the client and fetus.

Document the results because they are expected at 20-weeks' gestation.

The nurse admits a client in active labor to the birthing center. She is 100% effaced, dilated 3 cm, and at +1 station. What stage of labor has this client reached? First Latent Second Transitional

First

The partner of a woman in labor is having difficulty timing the frequency of contractions and asks the nurse to review the procedure. How should contractions be timed? From the end of one contraction to the end of the next contraction From the end of one contraction to the beginning of the next contraction From the beginning of one contraction to the end of the next contraction From the beginning of one contraction to the beginning of the next contraction

From the beginning of one contraction to the beginning of the next contraction

A woman is admitted to the high-risk unit in preterm labor at 30 weeks' gestation. Which factor does the nurse suspect precipitated this preterm labor? Android pelvis Incompetent cervix First-time pregnancy Antiseizure medication

Incompetent cervix

While performing Leopold maneuvers on a client who has been admitted to the birthing room, the nurse identifies a firm, round prominence over the symphysis pubis; a smooth, convex structure along her right side; irregular lumps along her left side; and a soft roundness in the fundus. What is the fetal position? LOP RSA ROA LOA

ROA

After an incomplete abortion, a client tells the nurse that although her primary healthcare provider explained what an incomplete abortion was, she did not understand. What is the best response by the nurse? "I don't think you should focus on this anymore." "It's when the fetus dies but is retained in the uterus for at least 2 months." "It's when the fetus is expelled but other parts of the pregnancy remain in the uterus." "I think it's best for you to ask your primary healthcare provider for the answer to that question."

"It's when the fetus is expelled but other parts of the pregnancy remain in the uterus."

A 24-year-old client is admitted at 40 weeks' gestation. The cervix is dilated 5 cm and is 100% effaced, and the presenting part is at station 0. The nurse assesses that the fetal heart tones are just above the umbilicus. Which fetal presentation does the nurse document? Face Brow Breech Shoulder

Breech

A pregnant client at 37 weeks' gestation is taught the signs and symptoms that should be reported immediately to the primary care provider. The nurse determines that the client understands the information presented when she states that she will immediately report what? Lower back pain White vaginal discharge Irregular strong contractions Leakage of fluid from the vagina

Leakage of fluid from the vagina

In the second hour after the client gives birth her uterus is firm, above the level of the umbilicus, and to the right of midline. What is the most appropriate nursing action at this time? Having the client empty her bladder Watching for signs of retained secundines Massaging the uterus vigorously to prevent hemorrhage

Have the client empty her bladder

What is the priority nursing intervention during the admission of a primigravida in labor? Monitoring the fetal heart rate Asking the client when she ate last Obtaining the client's health history Determining whether the membranes have ruptured

Monitoring the fetal heart rate

While mopping the kitchen floor, a client at 37 weeks' gestation experiences a sudden sharp pain in her abdomen with a period of fetal hyperactivity. When the client arrives at the prenatal clinic, the nurse examines her and detects fundal tenderness and a small amount of dark-red bleeding. What does the nurse conclude is the probable cause of these clinical manifestations? True labor Placenta previa Partial abruptio placentae Abdominal muscular injury

Partial abruptio placentae

A client with frank vaginal bleeding is admitted to the birthing unit at 30 weeks' gestation. The admission data include blood pressure of 110/70 mm Hg, pulse of 90 beats/min, respiratory rate of 22 breaths/min, and fetal heart rate of 132 beats/min. The uterus is nontender, the client is reporting no contractions, and the membranes are intact. In light of this information, what problem does the nurse suspect? Preterm labor Uterine inertia Placenta previa Abruptio placentae

Placenta previa

A client in labor is admitted with a suspected breech presentation. Which occurrence should the nurse be prepared for? Uterine inertia Prolapsed cord Imminent birth Precipitate labor

Prolapsed cord

The nurse is caring for a client in the first stage of labor, and an external fetal heart monitor is in place. What do the tracings indicate?(picture) Fetal tachycardia Early accelerations Variable decelerations Inadequate long-term variability

Variable decelerations

A nurse teaches warning signs that should be reported throughout prgenancy. Which statement by the client indicates an udnerstanding of the prenatal instructions? "I'll call the clinical if I have abdominal pain" "Mild, irregular contractions mean that my labor is starting" "I need to call the clinic if my ankles start to swell at night" A whitish vaginal discharge means that I'm getting an infection"

"I'll call the clinical if I have abdominal pain"

The nurse is caring for a client who is admitted to the birthing unit with a diagnosis of abruptio placentae. Which complication associated with a placental abruption should the nurse carefully monitor this client for? Cerebral hemorrhage Pulmonary edema Impending seizures Hypovolemic shock

Hypovolemic shock

An expectant couple asks the nurse about the cause of low back pain in labor. The nurse replies that this pain occurs most often when the fetus is in what position? Breech Transverse Occiput anterior Occiput posterior

Occiput posterior

The nurse is assessing the rate of involution of a client's uterus on the second postpartum day. Where does the nurse expect the fundus to be located? At the level of the umbilicus One fingerbreadth above the umbilicus Above and to the right of the umbilicus One or two fingerbreadths below the umbilicus

One or two fingerbreadths below the umbilicus

A nurse is caring for a client in labor. When her cervix is dilated 3 to 4 cm and is 60% effaced and the vertex is at -1 station, there is a sudden spurt of dark blood from the vagina. The uterus is irritable upon palpation and does not relax fully between contractions. What is the initial nursing action? Transporting the client for a cesarean birth Checking the perineum for rupture of membranes Changing the underpad and positioning the client on her left side Assessing the fetal heart rate, uterine activity, and blood pressure

Assessing the fetal heart rate, uterine activity, and blood pressure

The nurse is caring for a client who has had a spontaneous abortion. Which complication should the nurse assess this client for? Hemorrhage Dehydration Hypertension Subinvolution

Hemorrhage

A client who is in labor is admitted 30 hours after her membranes ruptured. Which condition is this client at increased risk for? Cord prolapse Placenta previa Chorioamnionitis Abruptio placentae

Chorioamnionitis The risk of developing chorioamnionitis (intra-amniotic infection) is increased with prolonged rupture of the membranes; foul-smelling fluid is a sign of infection

A client is scheduled for a sonogram at 36 weeks' gestation. Shortly before the test she tells the nurse that she is experiencing severe abdominal pain. Assessment reveals heavy vaginal bleeding, a drop in blood pressure, and an increased pulse rate. Which complication does the nurse suspect? Hydatidiform mole Vena cava syndrome Marginal placenta previa Complete abruptio placentae

Complete abruptio placentae

The cervix of a client in labor is fully dilated and effaced. The head of the fetus is at +2 station. What should the nurse encourage the client to do during contractions? Relax by closing her eyes Push with her glottis open Blow to slow the birth process Pant to prevent cervical edema

Push with her glottis open

A 16-year-old primigravida at 32 weeks' gestation is admitted to the high-risk unit. Her blood pressure is 170/110 mm Hg and she has 4+ proteinuria. She has gained 50 lb (22.7 kg) during the pregnancy, and her face and extremities are edematous. Which complication is this client experiencing? Eclampsia Severe preeclampsia Chronic hypertension Gestational hypertension

Severe preeclampsia

As the nurse inspects the perineum of a client who is in active labor, the client suddenly turns pale and states that she feels as if she is going to faint even though she is lying flat on her back. What is the nurse's priority intervention? Turn her onto her left side Elevate the head of the bed Place her feet on several pillows Give her oxygen via a face mask

Turn her onto her left side

A client in labor at 39 weeks' gestation is told by the primary healthcare provider that she will require a cesarean delivery. The nurse reviews the client's prenatal history. What preexisting condition is the most likely reason for the cesarean birth? Gonorrhea Chlamydia Chronic hepatitis Active genital herpes

Active genital herpes

A 36-year-old woman comes to the emergency department complaining of severe abdominal cramping and heavy bleeding. She informs the nurse that she is 10 weeks pregnant. Cervical examination reveals heavy bleeding; the cervical as is open and tissue is present. Which type of abortion is the client experiencing? Missed Complete Inevitable Threatened

Inevitable

A client being prepared for surgery because of a ruptured tubal pregnancy complains that she feels lightheaded. Her pulse is rapid, and her color is pale. Which condition does the nurse anticipate as a common complication of a ruptured tubal pregnancy? Shock Anxiety Infection Hyperoxygenation

Shock

A nurse is assessing a woman with a probable ruptured tubal pregnancy. What clinical manifestation requires immediate intervention? Abdominal distention Intermittent abdominal contractions Dull, continuous upper-quadrant abdominal pain Sudden onset of knifelike pain in one of the lower quadrants

Sudden onset of knifelike pain in one of the lower quadrants

The nurse places fetal and uterine monitors on the abdomen of a client in labor. While observing the relationship between the fetal heart rate and uterine contractions, the nurse identifies four late decelerations. Which condition is most commonly associated with late decelerations? Head compression Maternal hypothyroidism Uteroplacental insufficiency Umbilical cord compression

Uteroplacental insufficiency

A 24-year-old client who has had type 1 diabetes for 6 years is concerned about how her pregnancy will affect both diet and insulin needs. How should the nurse respond? "Insulin needs will decrease; the excess glucose will be used for fetal growth." "Diet and insulin needs won't change, and maternal and fetal needs will be met." "Protein needs will increase, and adjustments to insulin dosage will be necessary." "Insulin dosage and dietary needs will be adjusted in accordance with the results of blood glucose monitoring."

"Insulin dosage and dietary needs will be adjusted in accordance with the results of blood glucose monitoring."

After receiving a diagnosis of placenta previa, the client asks the nurse what this means. What is the nurse's bestresponse? "It's premature separation of a normally implanted placenta." "Your placenta isn't implanted securely in place on the uterine wall." "You have premature aging of a placenta that is implanted in your uterine fundus." "The placenta is implanted in the lower uterine segment, and it's covering part or all of the cervical opening."

"The placenta is implanted in the lower uterine segment, and it's covering part or all of the cervical opening."