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Maternal-Newborn chapter 15 test bank Questions and Correct Answers
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Maternal-Newborn chapter 15 test bank Questions and Correct Answers
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Maternal-Newborn chapter 15 test bankQuestions and Correct Answers
Which comfort measure should the nurse utilize a laboring woman to relax?
A: recommend frequent position changes
B: palpate her filling bladder every 15 minutes
C: offer warm wet cloths to use on the client's face and neck
D: keep the room lights lit so the client and her coach can see everything - correct answers:A:
recommend frequent position changes
Frequent maternal position changes reduce the discomfort from constant pressure and promote fetal
descent. A full bladder intensifies labor pain. The bladder should be emptied every 2 hours. Women in
labor become very hot and perspire. Cool cloths will provide greater relief. Soft indirect lighting is more
soothing than irritating bright lights.
Which assessment finding is an indication of hemorrhage in the recently delivered postpartum patient?
A: elevated pulse rate
B: elevated blood pressure
C: firm funds at the midline
D: saturation of two perineal pads in 4 hours - correct answers:A: elevated pulse rate
An increasing pulse rate is an early sign of excessive blood loss. If the blood volume were diminishing,
the blood pressure would decrease. A firm fundus indicates that the uterus is contracting and
compressing the open blood vessels at the placental site. Saturation of one pad within the first hour is
the maximum normal amount of lochial flow. Two pads within 4 hours is within normal limits.
Which intervention is an essential part of nursing care for a laboring patient?
A: helping the woman manage the pain
, B: eliminating the pain associated with labor
C: feeling comfortable with the predictable nature of intrapartal care
D: sharing personal experiences regarding labor and birth to decrease her anxiety - correct answers:A:
helping the woman manage the pain
Helping a patient manage the pain is an essential part of nursing care because pain is an expected part of
normal labor and cannot be fully relieved. Labor pain cannot be fully relieved. The labor nurse should
always be assessing for unpredictable occurrences. Decreasing anxiety is important; however, managing
pain is a top priority.
A patient at 40 weeks' gestation should be instructed to go to a hospital or birth center for evaluation
when she experiences:
A: increased fetal movement
B: irregular contractions for 1 hour
C: a trickle of fluid from the vagina
D: thick pink or dark red vaginal mucus - correct answers:C: a trickle of fluid from the vagina
A trickle of fluid from the vagina may indicate rupture of the membranes, requiring evaluation for
infection or cord compression. Decreased or the lack of fetal movement requires further assessment.
Irregular contractions are a sign of false labor and do not require further assessment. Bloody show may
occur before the onset of true labor. It does not require professional assessment unless the bleeding is
pronounced.
Which patient at term should proceed to the hospital or birth center the immediately after labor begins?
A: gravida 2, para 1, who lives 10 minutes away
B: gravida 1, para 0, who lives 40 minutes away
C: gravida 2, para 1, whose first labor lasted 16 hours
D: gravida 3, para 2, whose longest previous labor was 4 hours - correct answers:D: gravida 3, para 2,
whose longest previous labor was 4 hours
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