OB Exam 3 Lippincott Questions

A woman in labor for over 12 hours has very little progress. The health care provider thinks that her contractions lack the force needed to propel the infant downward through the birth canal. The provider asks a group of nursing students which hormone may need to be given to increase the force of the contraction. Which hormone would be the best answer? - Answer- oxytocin, a posterior pituitary hormone What terminology would the nurse use to document a newborn who weighs 4,000 grams (8.13 lb) or more at birth? - Answer- macrosomia A woman gave birth to a newborn via vaginal birth with the use of a vacuum extractor. The nurse would be alert for which possible effect in the newborn? - Answer- cephalhematoma During their experience in L & D, a group of nursing students are observing a woman who is having uncoordinated contractions where the monitor shows some contractions close together, followed by a long period without any contractions. The nurse asks the students, "Which medication may help to stimulate a more effective, consistent pattern of contractions?" Which medication would be considered the best answer? - Answer- oxytocin A nurse is caring for a pregnant client whose fetus has been diagnosed with macrosomia. When reviewing the client's history, which information would the nurse expect to find? - Answer- gestational diabetes A pregnant patient is prescribed to have labor induced with oxytocin. How should the nurse prepare to administer this medication? - Answer- Diluted as a "piggyback" infusion A 16-year-old client has been in the active phase of labor for 14 hours. An ultrasound reveals that the likely cause of delay in dilatation is cephalopelvic disproportion. Which intervention should the nurse most expect in this case? - Answer- cesarean birth A woman in active labor with a history of two previous cesarean births is being monito