Intrapartum Pearson Questions And Answer Graded A+!!!
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Course
INTRAPARTEM
Institution
INTRAPARTEM
Pt is admitted for induction of labor. The patient asks, "What exactly does oxytocin do?" Which response by the nurse is accurate? - ANS Oxytocin stimulates uterine contractions
The nurse is reviewing the stages of labor with a patient. The patient asks, "In which stage of labor will my ...
Intrapartum Pearson Questions And
Answer Graded A+!!!
Pt is admitted for induction of labor. The patient asks, "What exactly does oxytocin do?" Which
response by the nurse is accurate? - ANS Oxytocin stimulates uterine contractions
The nurse is reviewing the stages of labor with a patient. The patient asks, "In which stage of
labor will my baby's head start crowning?"
Which response by the nurse is correct? - ANS Second
A laboring patient is exhibiting a hypertonic uterine contraction pattern.
Which is the priority collaborative intervention the nurse should implement? - ANS
Decreasing the oxytocin rate
A patient in the second stage of labor states, "I feel like I have to push."
Which position should the nurse encourage the patient to assume? - ANS Squatting
A patient experiencing contractions states that she noticed "bloody show" before coming to the
hospital. The patient asks the nurse, "Is that bleeding normal since my contractions are 5
minutes apart?"
Which information should the nurse include the response? - ANS The bloody show is a
sign that labor will begin.
Labor usually begins within ______ hours of noting the bloody show - ANS 24-48
The nurse is caring for a patient in the second stage of labor.
Which nursing action is the most appropriate during the second stage of labor? - ANS
Assessing the fetal heart rate every 5-15 minutes
A patient with no analgesia is 8 cm, 100% effaced, +1 station.
Which should the nurse consider as the priority nursing intervention? - ANS Offering
encouragement and support
(Frequent perineal cleaning, repositioning, and frequent sips of water may be appropriate
nursing interventions; however, the overall most important intervention is the encouragement
and support the nurse provides)
, The nurse is assessing a patient in the fourth stage of labor. The patient's BP is 110/60 mmHg
and pulse is 90 beats/min. The patient's fundus is firm, midline, and between the umbilicus and
symphysis pubis.
Which is the priority action based on the assessment findings? - ANS Continuing to
monitor the patient
(The patient's assessment findings are normal for the fourth stage of labor. The priority action is
to continue to monitor the patient. The patient is stable and may have a general diet at this
time.)
A patient has been in the second stage of labor for 2 hours. The patient begins crying and
states, "I am so tired. Can I just have a cesarean birth? I cannot do this anymore."
Which action by the nurse provides the most therapeutic response? - ANS Calmly
providing reassurance and keeping the patient apprised of their progress
The nurse is reviewing the histories of laboring patients on the unit.
Which patient should the nurse identify as having the highest risk for a prolapsed cord? - ANS
The patient at 38 weeks os gestation, 3 cm dilated, 50% effaced, -5 station, with ruptured
membranes
A laboring patient has been pushing for 2 hours. The healthcare provider has discussed using
forceps to assist with the delivery.
Which factor should the nurse recognize that would contraindicate the use of forceps? - ANS
Absolute cephalopelvic disproportion
The nurse is teaching a patient about the signs of impending labor.
Which information should the nurse include as a premonitory sign of labor? - ANS Bloody
show
Fifteen minutes after a patient delivered vaginally the nurse notes that there is a "gush" of blood
and the umbilical cord protrudes from the vagina.
Which is the nursing priority based on the assessment findings? - ANS Assisting in the
delivery of the placenta
The nurse is teaching about pant-blow breathing for the patient breathing too rapidly.
Which describes this breathing pattern? - ANS The patient begins with a cleansing breath
and then inhales and exhales through the mouth with punctuated breathing every few breaths
by a forceful exhalation through pursed lips.
The nurse is caring for a patient in the fourth stage of labor.
Which nursing intervention should be implemented to avoid maternal bladder distention? - ANS
Encouraging the patient to void every 2 hours
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