Exam (elaborations)
Labor & Birth Quiz – Questions With Solutions
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Labor & Birth Quiz – Questions With Solutions
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Labor & Birth Quiz – Questions With SolutionsA nurse is caring for a client in the first stage of labor who is using pattern-
paced breathing. The client says she feels lightheaded and her fingers are
tingling. Which of the following actions should the nurse take? ✔️Ans -
Assist the client to breathe into a paper bag
A nurse is caring for a client following an amniotomy who is now in the active
phase of the first stage of labor. Which of the following should the nurse
implement? ✔️Ans - Encourage the client to empty her bladder q2h
A nurse is caring for a client who experienced a cesarean birth due to
dysfunctional labor. The client states that she is disappointed that she did not
have natural childbirth. Which of the following responses should the nurse
make? ✔️Ans - "It sounds like you are feeling sad that things didn't go as
planned"
A nurse is caring for a client who is 2 hr postpartum. The nurse notes that the
client soaked a perineal pad in 10 min, the client's skin color is ashen, and she
states she states she feels weak and light headed. After applying oxygen via
nonrebreather face mask at 10 L/min which of the following actions should
the nurse take next? ✔️Ans - Massage the client's funds to promote
contractions
A nurse is caring for a client who is in the active phase of the first stage of
labor. When monitoring the uterine contractions, which of the following
findings should the nurse report to the provider? ✔️Ans - Contractions
lasting longer than 90 seconds
A nurse is caring for a client who is in active labor with 7 cm of cervical
dilation and 100% effacement. The fetus is at 1+ station, and the client's
amniotic membranes are intact. The client suddenly states that she needs to
push. Which of the following actions should the nurse take? ✔️Ans - Have
the client pant during the next contractions
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the
nurse palpates a round, firm, moveable part in the funds of the uterus and a
long, smooth surface on the client's right side. In which abdominal quadrant
, should the nurse expect to auscultate fetal heart tones? ✔️Ans - Right
upper
A nurse receives report about a client who is in labor and is having
contractions 4 min apart. Which of the following patterns should the nurse
expect on the fetal monitoring tracing? ✔️Ans - Contractions that last for
60 sec each with 3 min rest between contractions
A nurse on the labor and delivery unit is caring for a pt who is having
induction of labor with oxytocin administers through a secondary IV line.
Uterine contractions occur q2min, last 90 sec, and are strong to palpation. The
baseline fetal heart rate is 150/min, with uniform decelerations beginning at
the peak of the contraction and the return to baseline after the contraction is
over. Which of the following actions should the nurse take? ✔️Ans -
Discontinue the infusion fo the IV oxytocin
A nurse is caring for a client who was admitted to the maternity unit at 38
weeks of gestation and who is experiencing polyhydramnios. The nurse
should understand that this diagnosis means which of the following? ✔️Ans
- An excessive amount of amniotic fluid is present
A nurse on the l&d unit is caring for a client following a vaginal exam by the
provider which is document as: -1. Which of the following interpretations of
this finding should the nurse make? ✔️Ans - The presenting part is 1 cm
above the ischial spines
A nurse is assessing a client who is 12 h postpartum and received spinal
anesthesia for a cesarean birth. Which of the following findings requires
immediate intervention by the nurse? ✔️Ans - RR @ 10/min
A nurse is assessing a client who is in active labor and notes that the
presenting part is at 0 station. Which of the following is the correct
interpretation of this clinical finding? ✔️Ans - The lowermost portion of
the fetus is at level of the ischial spines
A nurse is assessing a client in labor who has had epidural anesthesia for pain
relief. Which of the following findings should the nurse identify as a
complication from the epidural block? ✔️Ans - Hypotension
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