Chapter 16: Intrapartum Complications
Foundations of Maternal-Newborn &
Women's Health Nursing, 7th Edition
Questions and Correct Answers
Which pelvic shape is most conducive to vaginal labor and birth?
a.
Android
b.
Gynecoid
c.
Platypelloid
d.
Anthropoid - correct answers:b.
Gynecoid
Which action by the nurse prevents infection in the labor and birth area?
a.
Using clean techniques for all procedures
b.
Keeping underpads and linens as dry as possible
c.
Cleaning secretions from the vaginal area by using a back to front motion
d.
Performing vaginal examinations every hour while the patient is in active labor - correct answers:b.
Keeping underpads and linens as dry as possible
,A pregnant patient with premature rupture of membranes is at higher risk for postpartum infection.
Which assessment data indicates a potential infection?
a.
Fetal heart rate, 150 beats/minute
b.
Maternal temperature, 37.2°C (99°F)
c.
Cloudy amniotic fluid, with strong odor
d.
Lowered maternal pulse and decreased respiratory rates - correct answers:c.
Cloudy amniotic fluid, with strong odor
A patient with polyhydramnios is admitted to a labor-birth-recovery-postpartum (LDRP) suite. Her
membranes rupture and the fluid is clear and odorless; however, the fetal heart monitor indicates
bradycardia and variable decelerations. Which action should be taken next?
a.
Perform Leopold maneuvers.
b.
Perform a vaginal examination.
c.
Apply warm saline soaks to the vagina.
d.
Place the patient in a high Fowler position. - correct answers:b.
Perform a vaginal examination.
Which technique is least effective for the patient with persistent occiput posterior position?
a.
Squatting
b.
Lying supine and relaxing
, c.
Sitting or kneeling, leaning forward with support
d.
Rocking the pelvis back and forth while on hands and knees - correct answers:b.
Lying supine and relaxing
Birth for the nulliparous patient with a fetus in a breech presentation is usually
a.
cesarean birth.
b.
vaginal birth.
c.
vacuumed extraction.
d.
forceps-assisted birth. - correct answers:a.
cesarean birth.
Which patient situation presents the greatest risk for the occurrence of hypotonic dysfunction during
labor?
a.
A primigravida who is 17 years old
b.
A 22-year-old multiparous patient with ruptured membranes
c.
A primigravida who has requested no analgesia during her labor
d.
A multiparous patient at 39 weeks of gestation who is expecting twins - correct answers:d.
A multiparous patient at 39 weeks of gestation who is expecting twins
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