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ATI (OBSTERICS) CHAPTER 6-8 QUESTIONS AND CORRECT ANSWERS LATEST UPDATED
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ATI (OBSTERICS) CHAPTER 6-8 QUESTIONS AND CORRECT ANSWERS LATEST UPDATED
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ATI (OBSTERICS) CHAPTER 6-8 QUESTIONSAND CORRECT ANSWERS LATEST UPDATED.
A woman is having a difficult labor because the fetus is presenting in the right
occipital position (ROP). What position will the nurse promote to encourage fetal
rotation and pain relief?
a. Prone with legs supported and give her a back massage
b. Supine with legs bent at the knee
c. Standing with support
d. Sitting up and leaning forward on the over-bed table
ANS: D
A position that favors fetal rotation and descent and that is helpful for the woman
with back labor is to sit or kneel leaning forward on a support.
The initial vaginal examination of a woman admitted to the labor unit reveals that
the cervix is dilated 9 cm. The panicked woman begs the nurse, Please give me
something. What is the most appropriate pain relief intervention for a woman in
precipitate labor?
a. Get an order for an intravenous narcotic.
b. Notify the anesthesiologist for an epidural block.
c. Stay and breathe with her during contractions.
d. Tell her to bear with it because she is close to delivery.
ANS: C
The nurse would stay with the woman experiencing precipitate labor and breathe
with her during contractions to help the woman focus and cope with each
contraction.
A woman who is 33 weeks pregnant is admitted to the obstetric unit because her
membranes ruptured spontaneously. What complication should the nurse closely
assess for with this patient?
a. Chorioamnionitis
b. Hemorrhage
,c. Hypotension
d. Amniotic fluid embolism
ANS: A
Infection of the amniotic sac, called chorioamnionitis, may cause prematurely
ruptured membranes, or it may be a consequence of rupture because the barrier to
the uterine cavity is broken.
The nurse is administering terbutaline (Brethine) to a pregnant woman to prevent
preterm labor. The nurse would assess for which adverse effect?
a. Maternal tachycardia
b. Maternal hypertension
c. Fetal bradycardia
d. Fetal hypokalemia
ANS: A
Maternal tachycardia is the common negative side effect of terbutaline, which
should be corrected with a dose of propranolol.
Which statement indicates a woman understands activity limitations for the
management of preterm labor?
a. After my shower in the morning, I do the laundry and straighten up the house;
then I rest.
b. I pack a picnic basket and put it next to the sofa so I do not have to get up for
food during the day.
c. I have a 2-year-old to care for, but I try to rest as much as I can.
d. I get really bored at home, so I go to the shopping mall for just a little while.
ANS: B
Lengthy activity restrictions are often needed to prevent preterm birth. The nurse can
help the woman identify ways to organize necessary activities and maximize rest.
A student nurse questions the instructor regarding what alteration should be
made for the assessment of the fundus of a new postoperative cesarean section
patient. What is the best response?
,a. The fundus is not assessed until the second postoperative day.
b. The fundus is assessed by walking fingers from the side of the uterus to the
midline.
c. The fundus is assessed only if large clots appear in lochia.
d. The fundus is assessed only once every shift.
ANS: B
Assessment of the fundus following a cesarean section is done as usual, but using
especially gentle fundal massage.
A pulsating structure is felt during a vaginal examination of a woman in labor. How
would the nurse position the woman to prevent compression of a prolapsed cord?
a. On her right side with knees flexed
b. On her left side with a pillow placed between her legs
c. On her back with her head lower than the rest of her body
d. Supine with her legs elevated and bent at the knee
ANS: C
The Trendelenburg (head down) position displaces the fetus upward to stop
compression of the prolapsed cord.
Several hours after delivery the nurse finds a woman crying. The woman says
repeatedly, My baby is beautiful, but I was planning on a vaginal delivery. Instead I
needed an emergency C-section. What is the most appropriate nursing diagnosis?
a. Anxiety related to the development of postpartum complications b. Ineffective
individual coping related to unfamiliarity with procedures
c. Risk for ineffective parenting related to emergency cesarean section
d. Grieving related to loss of expected birth experience
ANS: D
Women who have cesarean births usually need greater support than those who have
vaginal births. They may feel grief, guilt, or anger because the expected course of
birth did not occur.
, A pregnant womans membranes ruptured prematurely at 34 weeks. She will be
discharged to her home for the next few weeks. What would the nurse planning
discharge instruction teach the woman to do?
a. Report any increase in fetal activity.
b. Notify her obstetrician if she has a temperature above 37.8 C (100 F).
c. Massage her breasts to promote uterine relaxation.
d. Rest in a side-lying Trendelenburg position with hips elevated.
ANS: B
For the woman with premature rupture of membranes (PROM) who is not having
labor induced right away, teaching combines information about infection and
preterm labor. The woman should monitor her temperature and report a temperature
greater than 37.8 C (100 F).
A woman who is 24 weeks pregnant is placed on an intravenous infusion of
magnesium sulfate. What side effect should the nurse inform the patient that she
might experience?
a. Nausea and vomiting
b. Headache
c. Warm flush
d. Urinary frequency
ANS: C
Magnesium sulfate is the drug of choice for initiating therapy to stop labor. The
patient will notice a warm flush with the initiation of the drug.
When a woman is admitted to the labor and delivery unit, she tells the nurse that
she is anxious about delivery, the welfare of her infant, and how quickly she will
recover. How can anxiety affect labor?
a. By decreasing a womans pain sensitivity
b. By reducing blood flow to the uterus
c. By increasing the ability to tolerate pain
d. By enhancing maternal pushing through greater muscle tension
ANS: B
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