Exam (elaborations)

INTRAPARTUM QUIZ (MCN2) COMPLETE ANSWERED TEST FALL 2024

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Course
MCN2 (MCN2)

Institution
Concordia University ( )

DIESTRO, SAM LOIS D. INTRAPARTUM QUIZ (MCN2) 1. A primigravid client at 39 weeks' gestation is admitted to the hospital for induction of labor. The primary health care provider has prescribed prostaglandin E2 gel (Dinoprostone) for the client. Before administering prostaglandin E2 gel to the cl...

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mcn2
intrapartum quiz
a primigravid client at 39 weeks gestation
the nurse is reviewing the health care providers
the nurse has developed a plan of care for a clien
the primary health care provider de

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DIESTRO, SAM LOIS D.

INTRAPARTUM QUIZ (MCN2)

1. A primigravid client at 39 weeks' gesta�on is admi�ed to the hospital for induc�on of labor. The primary health care
provider has prescribed prostaglandin E2 gel (Dinoprostone) for the client. Before administering prostaglandin E2 gel
to the client, which of the following should the nurse do �rst?
a. Assess the frequency of uterine contrac�ons.
b. Place the client in a side-lying posi�on
c. Prepare the client for an amniotomy.
d. Determine whether the membranes have ruptured

2. The nurse is reviewing the health care provider’s (HCP’s) prescrip�ons for a client admi�ed for premature rupture of
the membranes. Gesta�onal age of the fetus is determined to be 37 weeks. Which prescrip�on should the nurse
ques�on?
a. Administer ampicillin 1 g as an intravenous piggyback every 6 hours.
b. Monitor maternal vital signs frequently.
c. Monitor fetal heart rate con�nuously
d. Perform a vaginal examina�on every shi

3. The nurse has developed a plan of care for a client experiencing dystocia and includes several nursing ac�ons in the
plan of care. What is the priority nursing ac�on?
a. Changing the client’s posi�on frequently
b. Keeping the signi�cant other informed of the progress of the labor
c. Monitoring the fetal heart rate
d. Providing comfort measures

4. The primary health care provider determines that outlet forceps are needed to assist in the birth of a primigravid
client in ac�ve labor with a large-for-gesta�onal-size fetus. The nurse reinforces the primary health care provider's
explana�on for using forceps based on the understanding about which of the following concerning the loca�on of
the fetal skull?
a. It has reached the level of the ischial spines
b. It is engaged past the inlet.
c. It is at +1 sta�on.
d. It is visible at the perineal �oor

5. Fetal distress is occurring with a laboring client. As the nurse prepares the client for a cesarean birth, what is the
most important nursing ac�on?
a. Administer oxygen, 8 to 10 L/minute, via face mask
b. Slow the intravenous �ow rate
c. Con�nue the oxytocin (Pitocin) drip if infusing
d. Place the client in a high Fowler’s posi�on

, 6. The nurse in a labor room is performing a vaginal assessment on a pregnant client in labor. The nurse notes the
presence of the umbilical cord protruding from the vagina. What is the �rst nursing ac�on with this �nding?
a. Gently push the cord into the vagina

b. Call the delivery room to no�fy the sta� that the client will be transported immediately.
c. Place the client in Trendelenburg’s posi�on.
d. Find the closest telephone and page the health care provider stat.

7. The nurse is planning care for a postpartum client who had a vaginal delivery 2 hours ago. The client had a midline
episiotomy and has several hemorrhoids. What is the priority nursing considera�on for this client?

a. Inadequate urinary output
b. Client pain level
c. Client percep�on of body changes
d. Poten�al for imbalanced body �uid volume

8. A nurse is preparing to assess the uterine fundus of a client in the immediate postpartum period. A�er loca�ng the
fundus, the nurse notes that the uterus feels so� and boggy. Which nursing interven�on would be most appropriate?

a. Ask the client to turn on her le� side

b. Push on the uterus to assist in expressing clots

c. Elevate the client’s legs

d. Massage the fundus un�l it is �rm

9. The nurse is caring for four 1-day postpartum clients. Which client would require further nursing ac�on?

a. The client with lochia that is red and has a foul-smelling odor

b. The client with a pulse rate of 60 beats/minute

c. The client with mild a�er pains

d. The client with colostrum discharge from both breasts

10. A pregnant woman at 39 weeks’ gesta�on arrives in the triage area of the birthing unit, sta�ng she thinks her “water
broke.” What should the nurse do �rst

a. Perform Leopold’s maneuvers to rule out a breech presenta�on

b. Auscultate the fetal heart to determine fetal well-being.

c. Check the vaginal introitus for the presence of the umbilical cord

d. Do a nitrazine test on the vaginal �uid for veri�ca�on of ruptured membranes

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