Exam Questions Answers
/. A primigravida is admited to labor and delivery and her initial assessment is noted
below. What is the nurse's interpretation of this data and primary actions at this time?
Uterine activity:
Freq: every 10 mins
Duration: lasting 30-40secs
Intensity: mild
Cervix activity:
dilation: 2cm
effacement: 75%
fetal activity:
heart rate: 145 bpm
variability: average
periodic patterns: accelerations and early decelerations
a. in active phase of labor and the primary care provider would be put on standby
b. in transition phase of labor and the primary care provider would be called to the
facility
c. in latent phase of labor and there would be no need to notify the primary care
provider
d. in the second stage of labor and the primary care provider would be notified to come
to the room - Answer-c. in latent phase of labor and there would be no need to notify the
primary care provider
/.The nurse is providing patient teaching about intrapartum group B streptococcus
(GBS) prophylaxis What is the primary rationale or purpose for this therapy?
a. to ensure that the childbearing woman can get pregnant in the future
b. to minimize drug-resistant strains of this bacterium in carriers
c. to prevent vertical transmission of GBS to the fetus or newborn
d. to cure the laboring woman from this sexually transmitted disease - Answer-c. to
prevent vertical transmission of GS to the fetus or newborn
/.The nurse reviewing prenatal records for a primigravida admitted in the latent phase of
labor. Test results were as follows:
Blood type O-
HIV antibody screen: non reactive