High Risk Intrapartum Questions and
Graded Answers.
a 38 week gestation woman is in labor and delivery with a painful, boar like abdomen and
progressively larger serial girth measurements. which of the following assessments is
appropriate.
a. FHR
b. cervical dilation
c. WBC
d. maternal lung sounds - A
(placental abruption)
the labor nurse has just recieved a shfit report on 4 gravid pt. which of the patients should the
nurse assess first
a. G5 p2202 32 weeks, placenta previa, todays hgb 11.6
b. G2 P0101 39 weeks, type 2 diabetic, bg 85 15 minutes ago
c. G1 P0000 32 weeks, placental abruption, FHR 120
d. G2 P1001, 39 weeks, Rh neg, todays hct 31% - C
(emergency)
which of the following signs/symptoms would the nurse expect to see in a woman with abruptio
placentae
a. increasing fundal height
b. pain free vaginal bleeding
c. FH accelerations
d. hyperthermia with leukocytosis - A
, (height increases hour by hour with placental abrutpion rather than 1cm/week normally)
a nurse is caring for a laboring women. which of the women will the nurse carefully monitor for
signs of abruptio placentae
a. G2 P0010 27 weeks gestation
b. G3 P1101 17 years of age
c. G4 P2101 cancer survivor
d. G5 P1211 cocaine abuser - D
(powerful vasoconstrictor)
a labor nurse is caring for a client, 38 weeks gestation, who has been diagnosed with
symptomatic placenta previa. which of the following physician orders should the nurse question
a. begin oxytocin drip rate at 0.5 milliunits/min
b. assess FHR every 10 minutes
c. weigh all vaginal pads
d. assess hct and hgb - a
(delivery is contraindicated)
a 29 week gravid client is admitted to the labor and delivery unit with vaginal bleeding. to
differentiate between placenta previa and abruptio placentae, the nurse should assess which of
the following
a. leopolds maneuver results
b. quantity of vaginal bleeding
c. presence of abdominal pain
d. maternal bp - C
(blood is trapped behind placenta with an abruption so it causes pain whereas placenta previa
blood flows through the vagina and is pain free)
Graded Answers.
a 38 week gestation woman is in labor and delivery with a painful, boar like abdomen and
progressively larger serial girth measurements. which of the following assessments is
appropriate.
a. FHR
b. cervical dilation
c. WBC
d. maternal lung sounds - A
(placental abruption)
the labor nurse has just recieved a shfit report on 4 gravid pt. which of the patients should the
nurse assess first
a. G5 p2202 32 weeks, placenta previa, todays hgb 11.6
b. G2 P0101 39 weeks, type 2 diabetic, bg 85 15 minutes ago
c. G1 P0000 32 weeks, placental abruption, FHR 120
d. G2 P1001, 39 weeks, Rh neg, todays hct 31% - C
(emergency)
which of the following signs/symptoms would the nurse expect to see in a woman with abruptio
placentae
a. increasing fundal height
b. pain free vaginal bleeding
c. FH accelerations
d. hyperthermia with leukocytosis - A
, (height increases hour by hour with placental abrutpion rather than 1cm/week normally)
a nurse is caring for a laboring women. which of the women will the nurse carefully monitor for
signs of abruptio placentae
a. G2 P0010 27 weeks gestation
b. G3 P1101 17 years of age
c. G4 P2101 cancer survivor
d. G5 P1211 cocaine abuser - D
(powerful vasoconstrictor)
a labor nurse is caring for a client, 38 weeks gestation, who has been diagnosed with
symptomatic placenta previa. which of the following physician orders should the nurse question
a. begin oxytocin drip rate at 0.5 milliunits/min
b. assess FHR every 10 minutes
c. weigh all vaginal pads
d. assess hct and hgb - a
(delivery is contraindicated)
a 29 week gravid client is admitted to the labor and delivery unit with vaginal bleeding. to
differentiate between placenta previa and abruptio placentae, the nurse should assess which of
the following
a. leopolds maneuver results
b. quantity of vaginal bleeding
c. presence of abdominal pain
d. maternal bp - C
(blood is trapped behind placenta with an abruption so it causes pain whereas placenta previa
blood flows through the vagina and is pain free)
