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Ch. 10 Birth

Quiz by Tricia Parks

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10 questions
Show answers
  • Q1
    A woman presents to labor and delivery and states "I have water leaking down my legs." What data collection is most appropriate at this time?
    Nitrazine test
    Urine dipstick for protein
    Deep tendon reflexes
    Pregnancy history
    120s
  • Q2
    A primipara is 8 cm, 100%, and +1 station. She says she needs to push. Which of the following responses is the most appropriate for the nurse to use?
    "Let me get you a cool rag."
    "You cannot push! The doctor isn't here yet."
    "Let's take some deep breaths and blow out during each contraction."
    "I need to recheck your cervix to see if you can push."
    120s
  • Q3
    A client is an active labor. The nurse notes some variable decelerations, what is the nurses first intervention?
    Obtain assistance for a prolapsed cord.
    Document the finding and reassess in 30 minutes.
    Help the client change positions.
    Prepare client for emergency c-section.
    120s
  • Q4
    While assessing the client in the 4th stage of labor, which of the following findings would be an indication of hypovolemic shock?
    Tachycardia and crackles at the bases of the lungs
    Tachypnea and increasing blood pressure
    Tachycardia and falling blood pressure
    Bradycardia and increasing blood pressure
    120s
  • Q5
    Which of the following is the most important factor on how much admission information can be gathered when a laboring client reports to the hospital?
    Imminence of birth
    Support person is with the client
    Amount of prenatal care received
    Attended prenatal class
    120s
  • Q6
    The LPN is assisting an RN with the admission of a client that is 38 weeks gestation. Which of the following task could be delegated to the LPN?
    Analyze the fetal monitor strip.
    Place the client on the fetal monitor
    Complete the admission history.
    Complete the head to toe admission assessment.
    120s
  • Q7
    Which of the following can the nurse perform to determine fetal presentation and position for a client hospitalized in early labor?
    Leopold Maneuver
    Fetal Kick Counts
    Applying a fetal monitor
    Ultrasound
    120s
  • Q8
    A client experiences a large gush of fluid from her vagina while walking in the labor room. The nurse's first action after establishing the fluid is amniotic fluid should be:
    Check the fetal heart rate
    Check the client's blood pressure
    Dry the client off and make her comfortable
    Monitor contraction pattern
    120s
  • Q9
    The most important nursing intervention for a client in labor who has just received epidural anesthesia would be to monitor which of the following?
    fetus for tachycardia
    mother for hypotension
    neonatal respiratory depression
    mother for edema
    120s
  • Q10
    A nurse is reinforcing teaching about external monitoring with a client admitted for labor induction. Which of the following is important for the nurse to include in her education?
    Membranes must be ruptured to initiate external monitoring.
    The monitor must be applied by an RN or physician.
    There is an increased risk for infection with external monitors.
    External monitors cannot measure intensity of contractions.
    120s

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