Maternity exam 3
Comprehensive
Questions
(Frequently Tested)
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1. The nursing instructor is teaching a session on the birth process.
During which stage does the woman's cardiac output increase 80%
above the pre-labor level? Answer: immediately after birth
2. A 33-year-old client has been progressing slowly through an
unusually long labor. The nurse assesses the fetal scalp pH and
determines it is 7.26. How should the nurse explain this result to the
client when asked what it means? Answer: - Reassuring; it is associated with
normal acid-base balance.
3. A 24-year-old primigravida client at 39 weeks' gestation presents
to the OB unit concerned she is in labor. Which assessment findings
will lead the nurse to determine the client is in true labor? Answer: The client
reports back pain, and the cervix is ettacing and dilating.
4. The nurse is monitoring a client who is in active labor. The nurse
will carefully monitor which phase of the involuntary uterine
contraction to ensure the fetus is progressing adequately? Answer:
Relaxation
5. A primigravida client at 39 weeks' gestation calls the OB unit
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questioning the nurse about being in labor. Which response should the
nurse prioritize? Answer: Ask the woman to describe why she believes that she is in
labor.
6. A pregnant client arrives to the clinic for a prenatal visit appearing
uncomfort- able. During the assessment, the nurse determines the
client is experiencing fairly strong contractions at 12 Answer:05 p.m.,
12 Answer:10 p.m., 12 Answer:15 p.m., and 12 Answer:20 p.m. What
can the nurse conclude from these findings? Answer: The frequency of the
contractions is every 5 minutes.
7. The nurse is teaching a prenatal class on the difference between
true and false labor contractions. The nurse determines the session is
successful when the class correctly chooses which factor as an
indication of true labor contrac- tion? Answer: increase even if relaxing and taking a
shower
8. The client in active labor overhears the nurse state the fetus is
ROA. The nurse should explain this refers to which component when
the client becomes concerned? Answer: Fetal position
9. The new parents are spending time with their newborn.
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