OB Study Guide Ch. 14

19. A nurse is teaching a couple about patterned breathing during their childbirth education. Which of the following techniques should the nurse suggest for slow-paced breathing?

Ans: Inhale slowly through nose and exhale through pursed lips

18. A pregnant client has opted for hydrotherapy for pain management during labor. Which of the following should the nurse consider when assisting the client during the birthing process?

Ans: Initiate the technique only when the client is in active labor.

4. A nurse is required to obtain the FHR for a pregnant client. If the presentation is cephalic, which maternal site should the nurse monitor to hear the FHR clearly?

Ans: Lower quadrant of the maternal abdomen

10. A pregnant client is admitted with vaginal bleeding. The nurse performs a nitrazine test to confirm that the membrane have ruptured. The nitrazine tape remains yellow to olive green, with pH between 5 & 6. What does this indicate?

Ans: Presence of vaginal fluid

16. A client administered combined spinal-epidural analgesia is showing signs of hypotension and associated FHR changes. What interventions should the nurse perform to manage the changes?

Ans: Provide supplemental oxygen

15. A nurse is caring for a client who has been administered an epidural block. Which of the following symptoms must the nurse monitor the client for?

Ans: Respiratory depression

20. A pregnant client requires administration of an epidural block for management of pain during labor. Which of the following conditions should the nurse check for in the client before administering the epidural block? Select all that apply

Ans: Spinal abnormality Ans: Hypovolemia Ans: Coagulation defects

13. A nurse caring for a pregnant client in labor observes that the FHR is below 110. Which of ht following interventions should the nurse perform? Select all that apply

Ans: Turn the client on her left side Ans: Administer oxygen by mask Ans: Assess client for underlying causes

17. A nurse is caring for a client administered general anesthesia for an emergency cesarean birth. What complications associated with general anesthesia should the nurse monitor for?

Ans: Uterine relaxation

11. A nurse assisting a pregnant client during pregnancy is to monitor uterine contractions. Which of the following factors should the nurse assess to monitor uterine contractions? Select all that apply

Ans: Uterine resting tone Ans: Frequency of contractions Ans: Intensity of contractions

1. It is the nurse's first meeting with a pregnant client. What is the first point that the nurse needs to ascertain as part of the admission assessment to check whether the client needs to be admitted?

Ans: Whether the client is in true or false labor.

14. The nurse caring for a client in preterm labor observes non reassuring FHR patterns. Which of the following nursing interventions should the nurse perform?

Ans: Administration of oxygen by mask

9. During an admission assessment of a client in labor, the nurse observes that there is no vaginal bleeding yet. What nursing intervention is appropriate in the absence of vaginal bleeding when the client is in the early stage of labor?

Ans: Assess amount of cervical dilation

12. The nurse performing Leopold's maneuvers for a pregnant client explains to the client the purpose of the maneuvers. Which of the following is the purpose of the maneuvers? Select all that apply

Ans: Determining the presentation of the fetus Ans: Determining the position of the fetus Ans: Determining the lie of the fetus

2. A nurse is assigned to conduct an admission assessment on the phone for pregnant client. Which of the following information should the nurse obtain from the client? Select all that apply

Ans: Estimated due date Ans: Characteristics of contractions Ans: Appearance of vaginal blood

3. A nurse is caring for a pregnant client who is in the active phase of labor. At what intervals should the nurse monitor the client's vital signs?

Ans: Every 30 minutes

8. The nurse is monitoring a pregnant client admitted to a health care center who is in the latent phase of labor. The nurse demonstrates appropriate nursing care by monitoring the FHR with the Doppler at least how often?

Ans: Every hour

5. The nurse is assessing the laboring client to determine fetal oxygenation status. What indirect assessment method will the nurse likely use?

Ans: External electronic fetal monitoring

7. A pregnant client with a history of spinal injury is being prepared for cesarean birth. Which of the following methods of anesthesia is to be administered to the client?

Ans: General anesthesia

6. A client in labor is administered lorazepam to help her release enough so that she can participate effectively during her labor process rather than fighting against it. Which of the following is an adverse effect of the drug that the nurse should monitor for?

Ans: Increased sedation