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Maternity Chapter 8 questions with answers.
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Maternity Chapter 8 questions withanswers.
What nursing assessment should be reported immediately after an amniotomy? ANS - Amniotic fluid is
watery and pale green
A woman 2 weeks past her expected delivery date is receiving arn oxytocin infusion to induce labor and
begins to have contractions every 90 seconds What is the nurse's initial action? ANS - Stop the oxytocin
infusion
What nursing care should be provided to a woman with a third- degree laceration immediately after
delivery? ANS - Cold pack to the perineum
After several hours of labor, a nursing assessment reveals that a woman's cervix is 5 cm dilated but
contractions are becoming shorter and less frequent. What is this labor pattern considered? ANS -
Hypotonic
A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to 5 cm with
membranes intact. What action by the physician will the nurse anticipate? ANS - Perform an
amniotomy
An infant is delivered with the use of forceps. What should the nurse assess for in the newborn? ANS -
Facial asymmetry
A new mother is distressed and tearful about the elevated dome over her infant's posterior fontanelle.
The nurse responds, "This condition will resolve itself in a few days." What is the cause? ANS - The
effect of the vacuum extractor
A frustrated patient in labor has been affected by decreased uterine muscle tone and reports, "My
doctor won't induce my labor because of some silly score. He said I was a 4. What kind of magic number
do I need?" What is the lowest Bishop score the patient should have prior to induction? ANS - 6
, 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? ANS - Sitting up and
leaning forward on the over-bed table
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? ANS - Stay and breathe with her during
contractions
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? ANS -
Chorioamnionitis
The nurse is administering terbutaline (Brethine) to a pregnant woman to prevent preterm labor. The
nurse would assess for which adverse effect? ANS - Maternal tachvcardia
Which statement indicates a woman understands activity limitations for the management of preterm
labor? ANS - "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."
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? ANS - The
fundus is assessed by "walking" fingers from the side of the uterus to the midline
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? ANS - On her back with her head
lower than the rest of her body
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 ANS - Grieving related to loss of expected birth experience
A pregnant woman's membranes ruptured prematurely at 34 weeks She will be discharged to her home
for the next few weeks. What would the nurse lanning discharge instruction teach the woman to do?
ANS - Notify her obstetrician if she has a temperature above 37.8° C (100 F
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