Page 1 of 114
UWORLD MATERNITY PRACTICE
FREQUENTLY TESTED QUESTIONS
AND VERIFIED ANSWERS
Terms in this set (349)
>> Which actions should the labor and delivery nurse perform when caring for a client who
has decided to relinquish her newborn to an adoptive parent? SATA
--avoid discussing the adoption details until after birth
--encourage the birth mother to hold the newborn
--notify other staff who may interact with the client of the adoption plan
--offer the birth mother a chance to say goodbye to the newborn
--use phrases that illustrate adoption as a decision of love, not abandonment
--notify other staff who may interact with the client of the adoption plan
--offer the birth mother a chance to say goodbye to the newborn
--use phrases that illustrate adoption as a decision of love, not abandonment
- correct answer- --encourage the birth mother to hold the newborn
>> The nurse is monitoring a client who is in active labor with a cervical dilation of 6 cm.
Which uterine assessment finding requires an intervention by the nurse?
--contraction duration of 95 seconds
--contraction frequency of every 3 minutes
, Page 2 of 114
--contraction intensity of 45 mm Hg
--uterine resting tone of 10 mm Hg - correct answer-contraction duration of 95 seconds
---normal contraction duration is 45-80 seconds and should not exceed 90 seconds. Uterine
Frequency is 2-5 contractions Q 10 min and should not occur more than every two minutes.
>> What is a normal uterine contraction duration during the first stage of labor?
- correct answer- 45-80 seconds not exceeding 90 seconds
>> What is a normal uterine contraction frequency during the first stage of labor?
- correct answer- 2-5 contractions every 10 minutes, not to occur more frequently than every 2
minutes
>> What is a normal uterine contraction intensity during the first stage of labor?
- correct answer- 25-50 mm Hg and should not exceed 80 mm Hg
>> Define intensity (used to describe labor contractions)
- correct answer- strength of the contraction at its peak
>> Define resting tone (used to describe labor contractions)
- correct answer- tension in the uterine muscle between contractions
>> Function of the resting tone during labor
- correct answer- allow fetal oxygenation between contractions
, Page 3 of 114
>> What is a normal resting tone during the first stage of labor?
- correct answer- average is 10 mm Hg and should not exceed 20 mm Hg
>> What does a duration of uterine contractions greater than 90 seconds during the first stage
of labor result in?
- correct answer- reduction of blood flow to the placenta due to uterine hypertonicity
>> What can occur if uterine contractions occurs less than 2 minutes apart?
- correct answer- fetal distress due to uteroplacental insufficiency
>> What is a sign of hypertonicity of the uterus?
- correct answer- an intrauterine pressure more than 80 mm Hg
>> A client gives birth within an hour of arriving at labor and delivery unit and delivers the
placenta 5 minutes later. During assessment, the nurse notes that the uterus is midline and
boggy. Which action should the nurse take FIRST?
--check for pooled blood under buttocks
--increase IV oxytocin infusion rate
--monitor blood pressure and pulse
--perform firm fundal massage
- correct answer- perform firm fundal massage
>> What are the clinical features of postpartum uterine atony?
- correct answer- enlarged, soft, boggy, poorly contracted uterus
, Page 4 of 114
>> What are the risk factors for postpartum uterine atony?
- correct answer- --uterine fatigue from prolonged, induced, or precipitous labor
--intramniotic infection
--uterine overdistention (multiple gestation, macrosomia, polyhydramnios)
--retained placenta
--grand multiparity (>5 prior deliveries)
>> What are the interventions for postpartum uterine atony?
- correct answer- --bimanual uterine massage (INITIAL NURSING ACTION)
--correction of bladder distension
--high-dose oxytocin, misoprostol
--tranexamic acid
--carboprost, methylergonovine (uterotonics)
--intrauterine balloon tamponade
--possible surgical interventions (if unresolved)
>> What is the function of uterotonics?
- correct answer- stimulate the uterus to contract. Administration is indicated if the uterus fails to
contract despite massage
>> A client in labor has reached 8 cm dilation, is fully effaced, and feels an urge to push. The
nurse observed thick, blood-tinged mucus during the vaginal examination. What is the nurse's
BEST action?
--administer prescribed IV meperidine for pain relief
--encourage client to bear down with spontaneous urges to push
--place client in the lithotomy position in preparation for birth
UWORLD MATERNITY PRACTICE
FREQUENTLY TESTED QUESTIONS
AND VERIFIED ANSWERS
Terms in this set (349)
>> Which actions should the labor and delivery nurse perform when caring for a client who
has decided to relinquish her newborn to an adoptive parent? SATA
--avoid discussing the adoption details until after birth
--encourage the birth mother to hold the newborn
--notify other staff who may interact with the client of the adoption plan
--offer the birth mother a chance to say goodbye to the newborn
--use phrases that illustrate adoption as a decision of love, not abandonment
--notify other staff who may interact with the client of the adoption plan
--offer the birth mother a chance to say goodbye to the newborn
--use phrases that illustrate adoption as a decision of love, not abandonment
- correct answer- --encourage the birth mother to hold the newborn
>> The nurse is monitoring a client who is in active labor with a cervical dilation of 6 cm.
Which uterine assessment finding requires an intervention by the nurse?
--contraction duration of 95 seconds
--contraction frequency of every 3 minutes
, Page 2 of 114
--contraction intensity of 45 mm Hg
--uterine resting tone of 10 mm Hg - correct answer-contraction duration of 95 seconds
---normal contraction duration is 45-80 seconds and should not exceed 90 seconds. Uterine
Frequency is 2-5 contractions Q 10 min and should not occur more than every two minutes.
>> What is a normal uterine contraction duration during the first stage of labor?
- correct answer- 45-80 seconds not exceeding 90 seconds
>> What is a normal uterine contraction frequency during the first stage of labor?
- correct answer- 2-5 contractions every 10 minutes, not to occur more frequently than every 2
minutes
>> What is a normal uterine contraction intensity during the first stage of labor?
- correct answer- 25-50 mm Hg and should not exceed 80 mm Hg
>> Define intensity (used to describe labor contractions)
- correct answer- strength of the contraction at its peak
>> Define resting tone (used to describe labor contractions)
- correct answer- tension in the uterine muscle between contractions
>> Function of the resting tone during labor
- correct answer- allow fetal oxygenation between contractions
, Page 3 of 114
>> What is a normal resting tone during the first stage of labor?
- correct answer- average is 10 mm Hg and should not exceed 20 mm Hg
>> What does a duration of uterine contractions greater than 90 seconds during the first stage
of labor result in?
- correct answer- reduction of blood flow to the placenta due to uterine hypertonicity
>> What can occur if uterine contractions occurs less than 2 minutes apart?
- correct answer- fetal distress due to uteroplacental insufficiency
>> What is a sign of hypertonicity of the uterus?
- correct answer- an intrauterine pressure more than 80 mm Hg
>> A client gives birth within an hour of arriving at labor and delivery unit and delivers the
placenta 5 minutes later. During assessment, the nurse notes that the uterus is midline and
boggy. Which action should the nurse take FIRST?
--check for pooled blood under buttocks
--increase IV oxytocin infusion rate
--monitor blood pressure and pulse
--perform firm fundal massage
- correct answer- perform firm fundal massage
>> What are the clinical features of postpartum uterine atony?
- correct answer- enlarged, soft, boggy, poorly contracted uterus
, Page 4 of 114
>> What are the risk factors for postpartum uterine atony?
- correct answer- --uterine fatigue from prolonged, induced, or precipitous labor
--intramniotic infection
--uterine overdistention (multiple gestation, macrosomia, polyhydramnios)
--retained placenta
--grand multiparity (>5 prior deliveries)
>> What are the interventions for postpartum uterine atony?
- correct answer- --bimanual uterine massage (INITIAL NURSING ACTION)
--correction of bladder distension
--high-dose oxytocin, misoprostol
--tranexamic acid
--carboprost, methylergonovine (uterotonics)
--intrauterine balloon tamponade
--possible surgical interventions (if unresolved)
>> What is the function of uterotonics?
- correct answer- stimulate the uterus to contract. Administration is indicated if the uterus fails to
contract despite massage
>> A client in labor has reached 8 cm dilation, is fully effaced, and feels an urge to push. The
nurse observed thick, blood-tinged mucus during the vaginal examination. What is the nurse's
BEST action?
--administer prescribed IV meperidine for pain relief
--encourage client to bear down with spontaneous urges to push
--place client in the lithotomy position in preparation for birth
