NUR 221 - Final (l) Exam Questions with Correct Answers Verified by Experts| Latest Update
Which of the following variables are scored on a biophysical profile? Select all that apply.
Fetal tone
Fetal position
Fetal movement
Amniotic fluid index
Fetal breathing movements
Contraction stress test results Fetal tone
Fetal movement
Amniotic fluid index
Fetal breathing movements
A fetal monitor is applied to a client in labor. The nurse should take immediate action in
response to which fetal heart rate?
Remains at 140 beats/min during contractions
,Uniformly drops to 120 beats/min with each contraction
Fluctuates from 130 to 140 beats/min unrelated to contractions
Repeatedly drops abruptly to 90 beats/min unrelated to contractions Repeatedly drops
abruptly to 90 beats/min unrelated to contractions
The nurse is caring for a client during active labor. The recording on the electronic fetal monitor
indicates fetal tachycardia. What should the nurse consider as a potential cause of this pattern?
Fetal head compression
Umbilical cord compression
Increased maternal metabolism
Pudendal anesthesia administration Increased maternal metabolism
A rapid fetal heart rate occurs when the maternal metabolism is accelerated; this can be a
result of maternal fever. Fetal head compression causes early decelerations of the fetal heart
rate, not fetal tachycardia. Umbilical cord compression is most commonly associated with
variable decelerations. Pudendal anesthesia does not affect the fetal heart rate.
A client at 35 weeks' gestation calls the prenatal clinic, concerned that she has "not felt the
baby move as much as usual." The most appropriate recommendation by the nurse is to have
the client call the clinic with the results after she has done what?
,Drunk a glass of orange juice and timed 10 fetal movements
Sat in a tub filled with warm water and then timed 30 fetal movements
Taken a nap and counted the number of fetal movements for 20 minutes
Walked for 15 minutes and checked to see whether the fetus has moved more frequently
Drunk a glass of orange juice and timed 10 fetal movements
The nurse is reviewing the documented results of a lecithin/sphingomyelin (L/S) ratio. Which
finding is indicative of fetal lung maturity?
1:1
1.4:1
1.8:1
2:1 2:1
A client at 32 weeks' gestation is admitted to the birthing unit because she is having regular
labor contractions. A prescription for 6 mg of intramuscular dexamethasone, twice a day for 2
days, is issued. The client asks why she needs this medicine. The nurse explains that this
corticosteroid is prescribed because it does what?
Promotes sleep
, May stop contractions
Relaxes uterine muscles
Accelerates fetal lung maturity Accelerates fetal lung maturity
The husband of a client who is in the transition phase of the first stage of labor becomes very
tense and anxious and asks a nurse, "Would it be best for me to leave, since I don't seem to be
doing my wife much good?" What is the appropriate response by the nurse?
"This is the time when your wife needs you. Don't run out on her now."
"I know that this is hard for you. Let me try to help you coach her during this difficult phase."
"I know that this is hard for you. Why don't you go have a cup of coffee to help you relax and
then come back in a little while?"
"If you feel that way, you'd best go out and sit in the fathers' waiting room for a while. You'll
just end up transmitting your anxiety to your wife." "I know that this is hard for you. Let me
try to help you coach her during this difficult phase."
How should a nurse direct care for a client in the transition phase of the first stage of labor?
Decreasing intravenous fluid intake
Helping the client maintain control
Which of the following variables are scored on a biophysical profile? Select all that apply.
Fetal tone
Fetal position
Fetal movement
Amniotic fluid index
Fetal breathing movements
Contraction stress test results Fetal tone
Fetal movement
Amniotic fluid index
Fetal breathing movements
A fetal monitor is applied to a client in labor. The nurse should take immediate action in
response to which fetal heart rate?
Remains at 140 beats/min during contractions
,Uniformly drops to 120 beats/min with each contraction
Fluctuates from 130 to 140 beats/min unrelated to contractions
Repeatedly drops abruptly to 90 beats/min unrelated to contractions Repeatedly drops
abruptly to 90 beats/min unrelated to contractions
The nurse is caring for a client during active labor. The recording on the electronic fetal monitor
indicates fetal tachycardia. What should the nurse consider as a potential cause of this pattern?
Fetal head compression
Umbilical cord compression
Increased maternal metabolism
Pudendal anesthesia administration Increased maternal metabolism
A rapid fetal heart rate occurs when the maternal metabolism is accelerated; this can be a
result of maternal fever. Fetal head compression causes early decelerations of the fetal heart
rate, not fetal tachycardia. Umbilical cord compression is most commonly associated with
variable decelerations. Pudendal anesthesia does not affect the fetal heart rate.
A client at 35 weeks' gestation calls the prenatal clinic, concerned that she has "not felt the
baby move as much as usual." The most appropriate recommendation by the nurse is to have
the client call the clinic with the results after she has done what?
,Drunk a glass of orange juice and timed 10 fetal movements
Sat in a tub filled with warm water and then timed 30 fetal movements
Taken a nap and counted the number of fetal movements for 20 minutes
Walked for 15 minutes and checked to see whether the fetus has moved more frequently
Drunk a glass of orange juice and timed 10 fetal movements
The nurse is reviewing the documented results of a lecithin/sphingomyelin (L/S) ratio. Which
finding is indicative of fetal lung maturity?
1:1
1.4:1
1.8:1
2:1 2:1
A client at 32 weeks' gestation is admitted to the birthing unit because she is having regular
labor contractions. A prescription for 6 mg of intramuscular dexamethasone, twice a day for 2
days, is issued. The client asks why she needs this medicine. The nurse explains that this
corticosteroid is prescribed because it does what?
Promotes sleep
, May stop contractions
Relaxes uterine muscles
Accelerates fetal lung maturity Accelerates fetal lung maturity
The husband of a client who is in the transition phase of the first stage of labor becomes very
tense and anxious and asks a nurse, "Would it be best for me to leave, since I don't seem to be
doing my wife much good?" What is the appropriate response by the nurse?
"This is the time when your wife needs you. Don't run out on her now."
"I know that this is hard for you. Let me try to help you coach her during this difficult phase."
"I know that this is hard for you. Why don't you go have a cup of coffee to help you relax and
then come back in a little while?"
"If you feel that way, you'd best go out and sit in the fathers' waiting room for a while. You'll
just end up transmitting your anxiety to your wife." "I know that this is hard for you. Let me
try to help you coach her during this difficult phase."
How should a nurse direct care for a client in the transition phase of the first stage of labor?
Decreasing intravenous fluid intake
Helping the client maintain control
