NR 327 Exam 2 Questions with 100% Correct
Answers
When admitting a client to the labor and delivery unit, which is the priority assessment?
Gravida and para status
Time of last meal
Presence of a labor partner
Contraction frequency and duration
Contraction frequency and duration
The nurse is caring for a client in labor who is receiving oxytocin. Which assessment
finding requires immediate action?
Urine output 75 mL in 2 hours
Six contractions in 10 minutes
Contraction duration 50-60 seconds
Fetal heart rate 125 bpm with moderate variability
Six contractions in 10 minutes
What are indications for labor induction? Select all that apply.
Placenta previa
Prolonged rupture of membranes
Client request to select the delivery date
Post-term gestation
History of precipitous labor
Prolonged rupture of membranes
Post-term gestation
History of precipitous labor
,The nurse is caring for a laboring client and evaluates the characteristics of
contractions. Which questions should the nurse ask? Select that all apply.
"When did your contractions start?"
"How long are your contractions lasting?"
"What is the resting tone of your uterus?"
"How often do you have contractions right now?"
"What is the intensity of your contractions?"
"When did your contractions start?"
"How long are your contractions lasting?"
"How often do you have contractions right now?"
Why is it important for a client in labor to maintain an empty bladder? Select all that
apply.
To assess hydration status
To ensure that fetal descent is not impaired
To avoid delayed contraction frequency
To protect the uterus from the pressure of the bladder
To prevent damage to the bladder from uterine compression
To ensure that fetal descent is not impaired
To prevent damage to the bladder from uterine compression
What are possible complications associated with oxytocin for induction of labor? Select
all that apply.
Fetal distress
Maternal bradycardia
Hypertension
,Uterine hyperstimulation
Decreased urine output
Fetal distress
Hypertension
Uterine hyperstimulation
Decreased urine output
What is the highest priority after birth of the fetus?
Establishing the newborn's airway
Medicating the mother for pain
Assisting with the quick delivery of the placenta
Promoting bonding and breastfeeding
Establishing the newborn's airway
The _______ process of the fetal skull is the most rounded and smooth surface of the
fetal head and is best for fitting through the pelvis and dilating the cervix.
occiput
A pregnant client who is 39 weeks gestation reports that she is urinating a lot more
lately and does not feel the baby up as high in her abdomen. What is the likely reason?
Internal rotation
Lightening
Braxton Hicks contractions
Urinary tract infection
Lightening
, The nurse is caring for a gravida 4, para 3 (G4P3) client, 37-weeks-pregnant, who has
come to the hospital because she believes her water has broken. How should the nurse
verify if the wetness the client feels is urine or amniotic fluid?
Use nitrazine paper to test the fluid at the bedside.
Press downward on the fundus and observe for a fluid gush.
Assess the color, consistency, and odor of the fluid.
Complete a vaginal examination to assess for cervical dilation and effacement.
Use nitrazine paper to test the fluid at the bedside.
The nurse is caring for a gravida 2, para 1 (G2P1) client, 41-weeks-pregnant, whose
membranes ruptured prior to arrival at the hospital. The vaginal exam reveals no cord
prolapse. Fetal heart rate is 120 bpm with moderate variability. Cervix is 8 cm dilated
and 100% effaced. The current fetal station is +1. Which stage of labor should the nurse
document?
Stage 1, Transitional phase
Stage 2
Stage 1, Active phase
Stage 3
Stage 1, Transitional phase
What is a normal range for the fetal heart rate?
120-140 bpm
110-160 bpm
110-130 bpm
90-110 bpm
110-160 bpm
Answers
When admitting a client to the labor and delivery unit, which is the priority assessment?
Gravida and para status
Time of last meal
Presence of a labor partner
Contraction frequency and duration
Contraction frequency and duration
The nurse is caring for a client in labor who is receiving oxytocin. Which assessment
finding requires immediate action?
Urine output 75 mL in 2 hours
Six contractions in 10 minutes
Contraction duration 50-60 seconds
Fetal heart rate 125 bpm with moderate variability
Six contractions in 10 minutes
What are indications for labor induction? Select all that apply.
Placenta previa
Prolonged rupture of membranes
Client request to select the delivery date
Post-term gestation
History of precipitous labor
Prolonged rupture of membranes
Post-term gestation
History of precipitous labor
,The nurse is caring for a laboring client and evaluates the characteristics of
contractions. Which questions should the nurse ask? Select that all apply.
"When did your contractions start?"
"How long are your contractions lasting?"
"What is the resting tone of your uterus?"
"How often do you have contractions right now?"
"What is the intensity of your contractions?"
"When did your contractions start?"
"How long are your contractions lasting?"
"How often do you have contractions right now?"
Why is it important for a client in labor to maintain an empty bladder? Select all that
apply.
To assess hydration status
To ensure that fetal descent is not impaired
To avoid delayed contraction frequency
To protect the uterus from the pressure of the bladder
To prevent damage to the bladder from uterine compression
To ensure that fetal descent is not impaired
To prevent damage to the bladder from uterine compression
What are possible complications associated with oxytocin for induction of labor? Select
all that apply.
Fetal distress
Maternal bradycardia
Hypertension
,Uterine hyperstimulation
Decreased urine output
Fetal distress
Hypertension
Uterine hyperstimulation
Decreased urine output
What is the highest priority after birth of the fetus?
Establishing the newborn's airway
Medicating the mother for pain
Assisting with the quick delivery of the placenta
Promoting bonding and breastfeeding
Establishing the newborn's airway
The _______ process of the fetal skull is the most rounded and smooth surface of the
fetal head and is best for fitting through the pelvis and dilating the cervix.
occiput
A pregnant client who is 39 weeks gestation reports that she is urinating a lot more
lately and does not feel the baby up as high in her abdomen. What is the likely reason?
Internal rotation
Lightening
Braxton Hicks contractions
Urinary tract infection
Lightening
, The nurse is caring for a gravida 4, para 3 (G4P3) client, 37-weeks-pregnant, who has
come to the hospital because she believes her water has broken. How should the nurse
verify if the wetness the client feels is urine or amniotic fluid?
Use nitrazine paper to test the fluid at the bedside.
Press downward on the fundus and observe for a fluid gush.
Assess the color, consistency, and odor of the fluid.
Complete a vaginal examination to assess for cervical dilation and effacement.
Use nitrazine paper to test the fluid at the bedside.
The nurse is caring for a gravida 2, para 1 (G2P1) client, 41-weeks-pregnant, whose
membranes ruptured prior to arrival at the hospital. The vaginal exam reveals no cord
prolapse. Fetal heart rate is 120 bpm with moderate variability. Cervix is 8 cm dilated
and 100% effaced. The current fetal station is +1. Which stage of labor should the nurse
document?
Stage 1, Transitional phase
Stage 2
Stage 1, Active phase
Stage 3
Stage 1, Transitional phase
What is a normal range for the fetal heart rate?
120-140 bpm
110-160 bpm
110-130 bpm
90-110 bpm
110-160 bpm
