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PNU 133 PassPoint PrepU Intrapartum Exam
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PNU 133 PassPoint PrepU Intrapartum ExamA nurse-midwife assesses that a client is in the second stage of labor and the presenting
part is beginning to descend rapidly. What should the nurse instruct the client to do to
minimize complications? -ANSWER Instruct the client to begin breathing exercises to
reduce the urge to push.
Caring for a client in the first stage of labor, the nurse detects cervical dilation of 9 cm
and contractions that are strong with a duration of 45 to 60 seconds, with a frequency of
approximately every 2 minutes. Based on these data, what is the appropriate nursing
action? - ANSWER Notify the obstetrician
The nurse places a client in labour in a supine position to obtain a good monitor tracing
when suddenly the client becomes lightheaded and diaphoretic. Which of the following
should be the nurse's first action? ANSWER Reposition the client to her left side.
A nurse is caring for a client in labor. The external fetal monitor reflects a pattern of
variable decelerations in the FHR. After notifying the registered nurse in charge, what
does the nurse do next? ANSWER Change the client's position.
A nurse is caring for a primigravida client who is in labour. At what time does the nurse
suspect the client has progressed to second stage of labour? - ANSWER Client has an
uncontrollable urge to bear down.
A client in her pregnancy comes to the health care facility and relates that when she
woke up this morning, her bed linens were wet. She denies any current leakage of fluid
but describes having mild abdominal cramps and lower back discomfort. Vaginal
examination indicates that the cervix is dilated 3 cm, with 100% effacement, and ferning
is positive. Based on these assessments, the nurse determines that this client is in
which phase of the first stage of labor? ANSWER Latent phase
The nurse is about to admit a client who arrived in the delivery area accompanied by her
husband. The client says, "I am in labor and I attended the facility clinic for prenatal
, care." Which question should the nurse ask her first? - ANSWER "What is your expected
due date?"
Which care intervention is appropriate for the fourth stage of labor? - ANWER Checking
lochia and the position and integrity of the fundus
The client and her partner are extremely upset and relate that they believe the nurse has
been negligent in care provided during labor. What is the best defense by the nurse
against an allegation of negligence? - ANWER The national standards of practice were
met when care was provided.
The family of a laboring client is distressed to discover that the physician on call is a
male. The husband refuses to let the physician care for his wife. Which is the
beststrategy the nurse provides when caring for the client in labor and birth who
presents a cultural conflict? - ANSWER "I will do my best to work with your cultural
beliefs."
A nurse is providing care for a client in the fourth stage of labor. Which of the following
nursing interventions can prevent uterine atony? - ANWER Massage the fundus.
Which of the following health conditions requires the nurse to monitor blood pressure
frequently during labor? - ANWER Preeclampsia
The nurse is caring for a female client who is to receive a lumbar epidural anesthetic
block to manage pain during labor. Which of the following nursing actions is indicated to
prevent hypotension? ANSWER Maintain adequate I.V. hydration, as ordered by the
physician, prior to administration of the anesthetic.
A nurse is caring for a client in active labor who is crying and asking for something for
pain. Her medical record shows that she does not tolerate prescribed opioid analgesics.
Which of the following nonpharmacologic interventions might be helpful to this client? -
ANSWER Provide back massage to the client.
A client in labor and admitted to the labor and birth unit in early labor has active genital
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