OB NURSING (EXAM 2) questions and answers
Graded A+
A.
RATIONALE: If c-section occurs AFTER labor has begun, it's considered
an emergency c-section. Emergency C-sections must be done within 30 minutes
of the decision to operate.
The diabetic mother has been in active labor for 9 hours and has only reached 3
cm dilation (dilatation). It has been determined by ultrasound the fetus is very
large. The decision has been made to deliver the fetus via cesarean. How much
time does the nurse have to prepare the client before the surgery begins?
(GIVE RATIONALE)
A. 30 minutes
B. 45 minutes
C. 60 minutes
D. 15 minutes
D.
Placental abruption is one of the main causes of precipitous labor.
The nurse is caring for a laboring mother experiencing a precipitous delivery. The
nurse would assess the mother for symptoms of which complication?
A. poor Apgar scores
B. prolapsed cord
C. fetal hypoglycemia
D. placental abruption (abruptio placentae)
A, B, D, E
The nurse plans to complete a preoperative checklist for the laboring client who
requires a cesarean delivery. Which actions should be completed by the nurse?
,(Select all that apply)
A. Check hemoglobin and blood type.
B. Place a wedge under the mother’s side.
C. Discontinue fetal monitoring.
D. Administer antibiotics.
E. Insert a bladder catheter.
A.
When reviewing the medical record of a postpartum client, the nurse notes that
the client has experienced a third-degree laceration. The nurse understands that
the laceration extends to which area?
A. through the anal sphincter muscle
B. through the perineal muscles
C. through the anterior rectal wall
D. superficial structures above the muscle
1st degree = Tear in the skin only.
2nd degree = Tear in the skin AND tissue.
3rd degree = Tear that extends through the rectal/anal sphincter muscle.
4th degree = Tear that extends all the way through the rectum/anal muscle and
into the anal canal.
Describe each degree of perineal lacerations/tears/episiotomy?
1st degree = ?
2nd degree = ?
3rd degree = ?
4th degree = ?
A.
RATIONALE: Fetal intracranial hemorrhage resulting from a sudden change in
pressure on the fetal head during rapid expulsion.
,A nurse is caring for a client who has been diagnosed with precipitous labor. For
which potential fetal complication should the nurse monitor?
A. intracranial hemorrhage
B. facial nerve injury
C. facial lacerations
D. cephalohematoma
B.
A client in the active phase of labor is diagnosed as having a protracted labor
pattern. Which pattern would the nurse assess as indicative of a protracted labor
pattern?
A. prolonged deceleration phase
B. delayed descent of the fetal head
C. secondary arrest of cervical dilation (dilatation)
D. arrest of the descent of the fetal head
D.
A 19-year-old nulliparous woman is in early labor with erratic contractions. An
assessment notes that she is remaining at 3 cm. There is also a concern that the
uterus is not fully relaxing between contractions. The nurse suspects which
complication?
A. cephalopelvic disproportion
B. ruptured uterus
C. precipitate labor
D. reduced oxygen to the fetus
36 week visit
The nurse instructs the pregnant mother that it will necessary to collect swabs for
group B streptococcus at which prenatal visit?
What week visit??
A, B, E
, A laboring woman is receiving oxytocin IV to augment her labor and 2 hours later
begins having contractions every 2 minutes lasting 60 to 90 seconds each with
little, if any, rest time in between the contractions. At this time, which
interventions would be the priority for the nurse caring for this client?
(Select all that apply)
A. Discontinue the oxytocin infusion.
B. Apply oxygen to the woman via mask at 8 to 10 L/min.
C. Administer betamethasone to mature the fetal lungs.
D. Ask the woman to drink 32 ounces (1 L) of water.
E. Administer an IV bolus of fluids.
A, D, E
A nurse is conducting a review course on tocolytic therapy for perinatal nurses.
After teaching the group, the nurse determines that the teaching was successful
when they identify which drugs as being used for tocolytics?
(SELECT ALL THAT APPLY)
A. Magnesium sulfate
B. Dinoprostone
C. misoprostol
D. Nifedipine
E. Indomethacin
C.
A nurse is preparing an in-service program about labor and the hormones
involved with the initiation of labor. Which information would the nurse include
as believing to play a role in the onset of labor?
A. decrease in fetal cortisol levels
B. suppression of oxytocin
Graded A+
A.
RATIONALE: If c-section occurs AFTER labor has begun, it's considered
an emergency c-section. Emergency C-sections must be done within 30 minutes
of the decision to operate.
The diabetic mother has been in active labor for 9 hours and has only reached 3
cm dilation (dilatation). It has been determined by ultrasound the fetus is very
large. The decision has been made to deliver the fetus via cesarean. How much
time does the nurse have to prepare the client before the surgery begins?
(GIVE RATIONALE)
A. 30 minutes
B. 45 minutes
C. 60 minutes
D. 15 minutes
D.
Placental abruption is one of the main causes of precipitous labor.
The nurse is caring for a laboring mother experiencing a precipitous delivery. The
nurse would assess the mother for symptoms of which complication?
A. poor Apgar scores
B. prolapsed cord
C. fetal hypoglycemia
D. placental abruption (abruptio placentae)
A, B, D, E
The nurse plans to complete a preoperative checklist for the laboring client who
requires a cesarean delivery. Which actions should be completed by the nurse?
,(Select all that apply)
A. Check hemoglobin and blood type.
B. Place a wedge under the mother’s side.
C. Discontinue fetal monitoring.
D. Administer antibiotics.
E. Insert a bladder catheter.
A.
When reviewing the medical record of a postpartum client, the nurse notes that
the client has experienced a third-degree laceration. The nurse understands that
the laceration extends to which area?
A. through the anal sphincter muscle
B. through the perineal muscles
C. through the anterior rectal wall
D. superficial structures above the muscle
1st degree = Tear in the skin only.
2nd degree = Tear in the skin AND tissue.
3rd degree = Tear that extends through the rectal/anal sphincter muscle.
4th degree = Tear that extends all the way through the rectum/anal muscle and
into the anal canal.
Describe each degree of perineal lacerations/tears/episiotomy?
1st degree = ?
2nd degree = ?
3rd degree = ?
4th degree = ?
A.
RATIONALE: Fetal intracranial hemorrhage resulting from a sudden change in
pressure on the fetal head during rapid expulsion.
,A nurse is caring for a client who has been diagnosed with precipitous labor. For
which potential fetal complication should the nurse monitor?
A. intracranial hemorrhage
B. facial nerve injury
C. facial lacerations
D. cephalohematoma
B.
A client in the active phase of labor is diagnosed as having a protracted labor
pattern. Which pattern would the nurse assess as indicative of a protracted labor
pattern?
A. prolonged deceleration phase
B. delayed descent of the fetal head
C. secondary arrest of cervical dilation (dilatation)
D. arrest of the descent of the fetal head
D.
A 19-year-old nulliparous woman is in early labor with erratic contractions. An
assessment notes that she is remaining at 3 cm. There is also a concern that the
uterus is not fully relaxing between contractions. The nurse suspects which
complication?
A. cephalopelvic disproportion
B. ruptured uterus
C. precipitate labor
D. reduced oxygen to the fetus
36 week visit
The nurse instructs the pregnant mother that it will necessary to collect swabs for
group B streptococcus at which prenatal visit?
What week visit??
A, B, E
, A laboring woman is receiving oxytocin IV to augment her labor and 2 hours later
begins having contractions every 2 minutes lasting 60 to 90 seconds each with
little, if any, rest time in between the contractions. At this time, which
interventions would be the priority for the nurse caring for this client?
(Select all that apply)
A. Discontinue the oxytocin infusion.
B. Apply oxygen to the woman via mask at 8 to 10 L/min.
C. Administer betamethasone to mature the fetal lungs.
D. Ask the woman to drink 32 ounces (1 L) of water.
E. Administer an IV bolus of fluids.
A, D, E
A nurse is conducting a review course on tocolytic therapy for perinatal nurses.
After teaching the group, the nurse determines that the teaching was successful
when they identify which drugs as being used for tocolytics?
(SELECT ALL THAT APPLY)
A. Magnesium sulfate
B. Dinoprostone
C. misoprostol
D. Nifedipine
E. Indomethacin
C.
A nurse is preparing an in-service program about labor and the hormones
involved with the initiation of labor. Which information would the nurse include
as believing to play a role in the onset of labor?
A. decrease in fetal cortisol levels
B. suppression of oxytocin
