Labor & Delivery Questions and Correct Detailed
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Quiz: A nurse assesses a client during the third stage of labor. Which assessment findings
indicate that the client is experiencing postpartum hemorrhage?
o
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, Ans: Heart rate 120 beats/minute, respiratory rate 28 breaths/minute, blood pressure
80/40 mm HgzA client in the first stage of labor is being monitored using an external fetal
monitor. A nurse notes variable decelerations on the monitoring strip. Into what position
should the nurse assist the client?
Ans: axwrtlateralzA client with hemolysis, elevated liver enzymes, and low platelet count
(HELLP) syndrome is admitted to the labor and delivery unit. The client's condition rapidly
deteriorates and despite efforts by the staff, the client dies. After the client's death, the
nursing staff displays many emotions. Who should the nurse manager consult to help the
staff cope with this unexpected death?
1. The human resource director, so she can arrange vacation time for the staff
2. The physician, so he can provide education about HELLP syndrome
3. The social worker, so she can contact the family about funeral arrangements and pass
along the information to the nursing staff
4. The chaplain, because his educational background includes strategies for handling grief
Ans: axwrtAnswer: 4
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in the number given.
, RATIONALES: The chaplain should be consulted because his educational background
provides strategies for helping others handle grief. Providing the staff with vacation isn't
feasible from a staffing standpoint and doesn't help staff cope with their grief. The staff
needs grief counseling, not education about HELLP syndrome. Asking the social worker to
contact the family about the funeral arrangements isn't appropriate.zTwo clients arrive at
the labor and delivery triage area at the same time. The first client states that her water
has been leaking, but that she hasn't had any contractions. The second client says she's
having 1-minute contractions every 3 minutes and that she feels like pushing. How should
a nurse prioritize these clients?
Ans: axwrtThe nurse should assign priority to the second client. Her signs and symptoms
indicate that her baby's birth is imminent.zA primigravid client in active labor has had no
anesthesia. The client's cervix is 7 cm dilated, and she is starting to feel considerable
discomfort during contractions. The nurse should instruct the client to change from slow
chest breathing to which breathing technique?
a) deep chest breathing
b) rapid pant-blow breathing
c) slow abdominal breathing
d) rapid, shallow chest breathing
Ans: axwrtRapid, shallow chest breathing
The psychoprophylaxis method of childbirth suggests using slow chest breathing until it
becomes ineffective during labor contractions, then switching to shallow chest breathing
(mostly at the sternum) during the peak of a contraction. The rate is 50 to 70 breaths/min.
o
o
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in the number given.
, Deep chest breathing is appropriate for the early phase of labor, in which the client
exhibits less frequent contractions.
When transition nears, a rapid pant-blow pattern of breathing is used.
Slow abdominal breathing is very difficult for clients in labor.zWhile a 31-year-old
multigravida at 39 weeks' gestation in active labor is being admitted, her amniotic
membranes rupture spontaneously. The client's cervix is 5 cm dilated and the presenting
part is at 0 station. Which of the following should the nurse do first?
a) Prepare the client for imminent birth.
b) Note the color, amount, and odor of the amniotic fluid.
c) Auscultate the client's blood pressure.
d) Perform a vaginal examination to determine dilation.
Ans: axwrtNote the color, amount, and odor of the amniotic fluid.zThe primary health
care provider orders an amniocentesis for a primigravid client at 35 weeks' gestation in
early labor to determine fetal lung maturity. Which of the following is an indicator of fetal
lung maturity?
Ans: axwrtLecithin-sphingomyelin (L/S ratio).zA multigravid client is admitted at 4-cm
dilation and is requesting pain medication. The nurse gives the client nalbuphine 15 mg.
Within five minutes, the client tells the nurse she feels like she needs to have a bowel
movement. The nurse should first:
o
o
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in the number given.
Answers (Verified Answers) ||Already Graded
A+||Newest Version
Quiz: A nurse assesses a client during the third stage of labor. Which assessment findings
indicate that the client is experiencing postpartum hemorrhage?
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
, Ans: Heart rate 120 beats/minute, respiratory rate 28 breaths/minute, blood pressure
80/40 mm HgzA client in the first stage of labor is being monitored using an external fetal
monitor. A nurse notes variable decelerations on the monitoring strip. Into what position
should the nurse assist the client?
Ans: axwrtlateralzA client with hemolysis, elevated liver enzymes, and low platelet count
(HELLP) syndrome is admitted to the labor and delivery unit. The client's condition rapidly
deteriorates and despite efforts by the staff, the client dies. After the client's death, the
nursing staff displays many emotions. Who should the nurse manager consult to help the
staff cope with this unexpected death?
1. The human resource director, so she can arrange vacation time for the staff
2. The physician, so he can provide education about HELLP syndrome
3. The social worker, so she can contact the family about funeral arrangements and pass
along the information to the nursing staff
4. The chaplain, because his educational background includes strategies for handling grief
Ans: axwrtAnswer: 4
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
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in the number given.
, RATIONALES: The chaplain should be consulted because his educational background
provides strategies for helping others handle grief. Providing the staff with vacation isn't
feasible from a staffing standpoint and doesn't help staff cope with their grief. The staff
needs grief counseling, not education about HELLP syndrome. Asking the social worker to
contact the family about the funeral arrangements isn't appropriate.zTwo clients arrive at
the labor and delivery triage area at the same time. The first client states that her water
has been leaking, but that she hasn't had any contractions. The second client says she's
having 1-minute contractions every 3 minutes and that she feels like pushing. How should
a nurse prioritize these clients?
Ans: axwrtThe nurse should assign priority to the second client. Her signs and symptoms
indicate that her baby's birth is imminent.zA primigravid client in active labor has had no
anesthesia. The client's cervix is 7 cm dilated, and she is starting to feel considerable
discomfort during contractions. The nurse should instruct the client to change from slow
chest breathing to which breathing technique?
a) deep chest breathing
b) rapid pant-blow breathing
c) slow abdominal breathing
d) rapid, shallow chest breathing
Ans: axwrtRapid, shallow chest breathing
The psychoprophylaxis method of childbirth suggests using slow chest breathing until it
becomes ineffective during labor contractions, then switching to shallow chest breathing
(mostly at the sternum) during the peak of a contraction. The rate is 50 to 70 breaths/min.
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
, Deep chest breathing is appropriate for the early phase of labor, in which the client
exhibits less frequent contractions.
When transition nears, a rapid pant-blow pattern of breathing is used.
Slow abdominal breathing is very difficult for clients in labor.zWhile a 31-year-old
multigravida at 39 weeks' gestation in active labor is being admitted, her amniotic
membranes rupture spontaneously. The client's cervix is 5 cm dilated and the presenting
part is at 0 station. Which of the following should the nurse do first?
a) Prepare the client for imminent birth.
b) Note the color, amount, and odor of the amniotic fluid.
c) Auscultate the client's blood pressure.
d) Perform a vaginal examination to determine dilation.
Ans: axwrtNote the color, amount, and odor of the amniotic fluid.zThe primary health
care provider orders an amniocentesis for a primigravid client at 35 weeks' gestation in
early labor to determine fetal lung maturity. Which of the following is an indicator of fetal
lung maturity?
Ans: axwrtLecithin-sphingomyelin (L/S ratio).zA multigravid client is admitted at 4-cm
dilation and is requesting pain medication. The nurse gives the client nalbuphine 15 mg.
Within five minutes, the client tells the nurse she feels like she needs to have a bowel
movement. The nurse should first:
o
o
© 2025 TestTrackers
WhatsApp or call o Resources & Updates: [Testtrackers - Stuvia US]
[+254707240657] o Your Success is Our Mission!
o For online exams and tutor expert, please whatsapp me
in the number given.
