OB: Mini-Quiz #3

A nurse is providing care to a woman in labor. After assessment of the fetus, the nurse documents the fetal lie. Which term would the nurse most likely use? A. longitudinal B. cephalic C. flexion D. extension

A

A woman in labor has chosen to use hydrotherapy as a method of pain relief. Which statement by the woman would lead the nurse to suspect that the woman needs additional teaching? A. "The temperature of the water should be at least 105 degrees F." B. "The warmth and buoyancy of the water has a nice relaxing effect." C. "I can stay in the bath for as long as I feel comfortable." D. "My cervix should be dilated more than 5 cm before I try using this method."

A

A client states, "I think my waters broke! I felt this gush of fluid between my legs." The nurse tests the fluid with a Nitrazine swab and confirms membrane rupture if the swab turns: A. yellow. B. blue. C. olive green. D. pink.

B

A woman in labor is to receive continuous internal electronic fetal monitoring. The nurse prepares the client for this monitoring based on the understanding that which criterion must be present? A. a neonatologist to insert the electrode B. cervical dilation of 2 cm or more C. intact membranes D. floating presenting fetal part

B

A woman telephones her health care provider and reports that her water just broke. Which suggestion by the nurse would be most appropriate? A. "Come in as soon as you feel the urge to push." B. "Come to the clinic or emergency department for an evaluation." C. "Drink 3 to 4 glasses of water and lie down." D. "Call us back when you start having contractions."

B

When assessing cervical effacement of a client in labor, the nurse assesses which characteristic? A. extent of opening to its widest diameter B. degree of thinning C. fetal presenting part D. passage of the mucous plug

B

When assessing fetal heart rate, the nurse finds a heart rate of 175 bpm, accompanied by a decrease in variability and late decelerations. Which action would the nurse perform next? A. Continue to monitor the pattern every 15 minutes. B. Notify the health care provider. C. Administer oxygen. D. Have the woman change her position.

B

A nurse is preparing a class for pregnant women about labor and birth. When describing the typical movements that the fetus goes through as it travels through the passageway, which movement would the nurse most likely include? Select all that apply. A. abduction B. internal rotation C. pronation D. flexion E. descent

B, D, E

A woman in her third trimester comes to the clinic for a prenatal visit. During assessment the woman reports that her breathing has become much easier in the last week but she has noticed increased pelvic pressure, cramping, and lower back pain. The nurse determines that which event has most likely occurred? A. cervical dilation B. bloody show C. lightening D. Braxton-Hicks contractions

C

A woman in labor who received an opioid for pain relief develops respiratory depression. The nurse would expect which agent to be administered? A. butorphanol B. promethazine C. naloxone D. fentanyl

C

Assessment of a woman in labor reveals that the fetus is in a cephalic presentation and engagement has occurred. The nurse interprets this finding to indicate that the presenting part is at which station? A. -2 B. +1 C. 0 D. -1

C

The nurse notes persistent early decelerations on the fetal monitoring strip. Which action would the nurse do next? A. Perform a vaginal exam to assess cervical dilation and effacement. B. Stay with the client while reporting the finding to the primary care provider. C. Continue to monitor the FHR because this pattern is benign. D. Administer oxygen after turning the client on her left side.

C

When planning the care of a woman in the active phase of labor, the nurse would anticipate assessing the fetal heart rate at which interval? A. every 15 minutes B. every 60 minutes C. every 30 minutes D. every 4 hours

C

When planning the care of a woman in the active phase of labor, the nurse would anticipate assessing the fetal heart rate at which interval? A. every 2 to 4 hours B. every 45 to 60 minutes C. every 15 to 30 minutes D. every 10 to 15 minutes

C

A client has not received any medication during her labor. She is having frequent contractions every 1 to 2 minutes and has become irritable with her coach and no longer will allow the nurse to palpate her fundus during contractions. Her cervix is 8 cm dilated and 90% effaced. The nurse interprets these findings as indicating: A. latent phase of the first stage of labor. B. active phase of the first stage of labor. C. pelvic phase of the second stage of labor. D. transition phase of the first stage of labor.

D

A nurse is describing how the fetus moves through the birth canal. Which component would the nurse identify as being most important in allowing the fetal head to move through the pelvis? A. biparietal diameter B. frontal bones C. fontanelles D. sutures

D

A nurse is reading a journal article about the various medications used for pain relief during labor. Which drug would the nurse most likely note as producing amnesia but no analgesia? A. fentanyl B. meperidine C. prochlorperazine D. midazolam

D

The nurse is performing Leopold's maneuvers to determine fetal presentation, position, and lie. Which action would the nurse do first? A. Feel for the fetal back and limbs as the hands move laterally on the abdomen. B. Palpate for the presenting part in the area just above the symphysis pubis. C. Determine flexion by pressing downward toward the symphysis pubis. D. Feel for the fetal buttocks or head while palpating the abdomen.

D