PNR 165 TEST 2 CRITICAL THINKING QUESTIONS
WITH CORRECT ANSWERS
1. You are assigned to a woman in early labor. Appropriate interventions at this
time would be: (select all that apply). - ANSWER 1 Allow her to walk
2 Provide her with ice chips
3 Have her sit in a rocking chair
4 Provide a lower back massage
1. A nurse is assessing the newborn to assign a 5 minute Apgar score. The nurse
notes that the infant's heart rate is 140 bpm, the respiratory rate is 32 breaths
per minute, the baby has good muscle tone with flexion and a good cry, and the
baby's feet and hands are slightly blue. What would the Apgar score be for this
newborn? - ANSWER 9
1. During the first hour after delivery, the patient states, "I am having some
uterine cramping." The best responses by the nurse are as follows: (select all
that apply) - ANSWER 1 do you need medication for pain
2 the cramping is caused by oxytocin in your IV
1. Nursing interventions appropriate for the fourth stage of labor are: (select all
that apply) - ANSWER 1 Apply an ice pack to the perineum
2 Allow the patient to take a shower
3 Assess the fundus
4 Assess the amount of vaginal bleeding
5 Promote bonding with the newborn
6 Administer IM or IV pain medication
A thorough pain assessment in labor should include: (select all that apply) -
ANSWER 1 Location of the pain
2 Radiation of the pain
3 Pattern of the pain
4 Description of the pain
5 Use of the 0-10 pain scale
1. A patient with an epidural anesthesia is 10 cm dilated. Her support person
asks why the patient is being allowed to rest and is not pushing. What is the best
response by the nurse? - ANSWER "We are letting the epidural wear off a little
so that she can push more effectively."
WITH CORRECT ANSWERS
1. You are assigned to a woman in early labor. Appropriate interventions at this
time would be: (select all that apply). - ANSWER 1 Allow her to walk
2 Provide her with ice chips
3 Have her sit in a rocking chair
4 Provide a lower back massage
1. A nurse is assessing the newborn to assign a 5 minute Apgar score. The nurse
notes that the infant's heart rate is 140 bpm, the respiratory rate is 32 breaths
per minute, the baby has good muscle tone with flexion and a good cry, and the
baby's feet and hands are slightly blue. What would the Apgar score be for this
newborn? - ANSWER 9
1. During the first hour after delivery, the patient states, "I am having some
uterine cramping." The best responses by the nurse are as follows: (select all
that apply) - ANSWER 1 do you need medication for pain
2 the cramping is caused by oxytocin in your IV
1. Nursing interventions appropriate for the fourth stage of labor are: (select all
that apply) - ANSWER 1 Apply an ice pack to the perineum
2 Allow the patient to take a shower
3 Assess the fundus
4 Assess the amount of vaginal bleeding
5 Promote bonding with the newborn
6 Administer IM or IV pain medication
A thorough pain assessment in labor should include: (select all that apply) -
ANSWER 1 Location of the pain
2 Radiation of the pain
3 Pattern of the pain
4 Description of the pain
5 Use of the 0-10 pain scale
1. A patient with an epidural anesthesia is 10 cm dilated. Her support person
asks why the patient is being allowed to rest and is not pushing. What is the best
response by the nurse? - ANSWER "We are letting the epidural wear off a little
so that she can push more effectively."
