Actual Complete Real Exam Questions And Correct Answers (Verified
Answers) Already Graded A+ | Guaranteed Success!! Newest Exam |
Just Released!!
The nurse is admitting a client to the birthing unit. What question
should the nurse ask to gain a better understanding of the client's
psychosocial status?
1. "How did you decide to have your baby at this hospital?"
2. "Who will be your labor support person?"
3. "Have you chosen names for your baby yet?"
4. "What feeding method will you use for your baby?" -ANSWER-
Answer: 2
Explanation: 2. The expectant mother's partner or support person is an
important member of the birthing team, and assessments of the
couple's coping, interactions, and teamwork are integral to the nurse's
knowledge base. The nurse's physical presence with the laboring
woman provides the best opportunity for ongoing assessment.
The nurse is admitting a client to the labor and delivery unit. Which
aspect of the client's history requires notifying the physician?
1. Blood pressure 120/88
2. Father a carrier of sickle-cell trait
3. Dark red vaginal bleeding
4. History of domestic abuse -ANSWER-Answer: 3
,Explanation: 3. Third-trimester bleeding is caused by either placenta
previa or abruptio placentae. Dark red bleeding usually indicates
abruptio placentae, which is life-threatening to both mother and fetus.
The nurse is working with a pregnant adolescent. The client asks the
nurse how the baby's condition is determined during labor. The nurse's
best response is that during labor, the nurse will do which of the
following?
1. Check the client's cervix by doing a pelvic exam every 2 hours.
2. Assess the fetus's heart rate with an electronic fetal monitor.
3. Look at the color and amount of bloody show that the client has.
4. Verify that the client's contractions are strong but not too close
together. -ANSWER-Answer: 2
Explanation: 2. This statement best answers the question the client has
asked.
During the initial intrapartal assessment of a client in early labor, the
nurse performs a vaginal examination. The client's partner asks why
this pelvic exam needs to be done. The nurse should explain that the
purpose of the vaginal exam is to obtain information about which of
the following?
Select all that apply.
1. Uterine contraction pattern
2. Fetal position
3. Presence of the mucous plug
,4. Cervical dilation and effacement
5. Presenting part -ANSWER-Answer: 4, 5
Explanation: 4. The vaginal examination of a laboring client obtains
information about the station of the presenting part and the dilation
and effacement of the cervix.
5. The vaginal examination of a laboring client obtains information
about the fetal presenting part.
A client has just arrived in the birthing unit. What steps would be most
important for the nurse to perform to gain an understanding of the
physical status of the client and her fetus?
Select all that apply.
1. Check for ruptured membranes and apply a fetal scalp electrode.
2. Auscultate the fetal heart rate between and during contractions.
3. Palpate contractions and resting uterine tone.
4. Assess the blood pressure, temperature, respiratory rate, and pulse
rate.
5. Perform a vaginal exam for cervical dilation, and perform Leopold
maneuvers. -ANSWER-Answer: 2, 3
Explanation: 2. Fetal heart rate auscultation gives information about
the physical status of the fetus.
3. Contraction palpation provides information about the frequency,
duration, and intensity of the contractions.
, During a maternal assessment, the nurse determines the fetus to be in
a left occiput anterior (LOA) position. Auscultation of the fetal heart
rate should begin in what quadrant?
1. Right upper quadrant
2. Left upper quadrant
3. Right lower quadrant
4. Left lower quadrant -ANSWER-Answer: 4
Explanation: 4. The fetal heart rate (FHR) is heard most clearly at the
fetal back. Thus, in a cephalic presentation, the FHR is best heard in the
lower quadrant of the maternal abdomen.
A laboring client asks the nurse, "Why does the physician want to use
an intrauterine pressure catheter (IUPC) during my labor?" The nurse
would accurately explain that the best rationale for using an IUPC is
which of the following?
1. The IUPC can be used throughout the birth process.
2. A tocodynamometer is invasive.
3. The IUPC provides more accurate data than does the
tocodynamometer.
4. The tocodynamometer can be used only after the cervix is dilated 2
cm. -ANSWER-Answer: 3
Explanation: 3. The IUPC has several benefits over an external
tocotransducer or palpation. Because the IUPC is inserted directly into
the uterus, it provides near-exact pressure measurements for
contraction intensity and uterine resting tone. The increased sensitivity