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Intrapartum Period NU201 EXAM 3 Questions And Correct Answers
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Intrapartum Period NU201 EXAM 3 Questions AndCorrect Answers
A 24-year-old primigravid client in active labor requests to use the jet hydrotherapy tub
to enhance pain relief. The nurse should inform the health care provider (HCP) for
clarification of which condition?
The client's membranes have ruptured.
The client is demonstrating hypotonic labor patterns.
The client has been diagnosed with type 2 diabetes.
The client's pregnancy is multifetal. - ANSWER Correct answer:
The client's membranes have ruptured.
Explanation:
Some HCPs do not allow clients with ruptured membranes to use a hot tub or jet
hydrotherapy tub during labor for fear of infections. The nurse should check with the
HCP before continuing. Jet hydrotherapy is not contraindicated for clients with
multifetal gestation, diabetes mellitus, or hypotonic labor patterns.
The nurse is caring for a multigravid client in active labor when the nurse detects
variable fetal heart rate decelerations on the electronic monitor. The nurse interprets
this as the compression of which structure?
chest
head
umbilical cord
placenta - ANSWER Correct response:
umbilical cord
Explanation:
Variable decelerations are associated with compression of the umbilical cord. The
nurse should change the client's position and increase the IV fluid rate. Fetal head
compression is associated with early decelerations. Severe compression of the fetal
, chest, as would occur during the process of vaginal birth, may cause transient
bradycardia. Compression or injury to the placenta, usually from abruptio placentae,
results in severe, late decelerations.
The membranes of a multigravid client in active labor rupture spontaneously and reveal
greenish-colored amniotic fluid. The nurse interprets this finding as indicative of which
of the following?
passage of meconium by the fetus
maternal sexually transmitted disease
Rh incompatibility between mother and fetus
maternal intrauterine infection - ANSWER Correct answer:
passage of meconium by the fetus
Explanation:
Greenish-colored amniotic fluid is caused by passage of meconium, usually secondary
to a fetal insult during labor. Passage of meconium also may be related to an intact
gastrointestinal system of the neonate, especially those neonates who are full term or of
postdate gestational age. Amnioinfusion may be used to treat the condition and dilute
the fluid. Cloudy amniotic fluid is associated with an infection caused by bacteria or a
sexually transmitted disease. Severe yellowcolored fluid is associated with Rh
incompatibility or erythroblastosis fetalis.
A nurse and an LPN are working together on the labor and birth unit. Of the following
actions that must be done stat, which should the nurse delegate to the LPN
Straight catheterize a client to obtain a protein sample.
Perform an initial assessment on a client.
Perform an assessment on a client in labor to assess for a labor pattern change.
Administer an increase to the oxytocin rate on a client in labor. - ANWER Correct
answer:
Straight catheterize a client to obtain a protein sample.
Rationale:
The skill of straight catheterization is within the scope of practice of a licensed practical
nurse. Initial and/or ongoing assessment is beyond the scope of practice of the licensed
practical nurse. Assessment must be completed before an increase in the IV rate of
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