A 32-year-old woman is dilated 4 cm. The health care provider states that she has
a roomy pelvis and the baby is in a right occipital anterior (ROA) position at +1
station. Her contractions are occurring every 10 minutes, lasting 30-40 seconds,
and palpate mild in intensity. Given these data, which essential component of
labor is unexpected and likely to slow the progress of labor at this time? correct
answer Powers
A 35-year-old woman is having severe symptoms of PMS. She asks the nurse what
she can do to obtain relief from these symptoms. What reply by the nurse is most
likely to be helpful? correct answer In addition to taking medications, stress
reduction and regular exercise are benficial
A G1 at 20 weeks' gestation is at the clinic for a prenatal visit. She tells the nurse
that she has been reading about "group B strep disease" on the internet. She asks
when she can expect to be checked for the bacteria. How does the nurse best
reply? correct answer The obstetrician normally cultures for group B strep after
35 weeks and before delivery
A G1P0 is in the active phase of labor. She is a low-risk client. The nurse evaluates
the fetal monitor strip at 10 A.M. moderate variability is present. The FHR is in the
130s with occasional accelerations, no decelerations. At what time does the nurse
need to reevaluate the FHR? correct answer 10:30 A.M.
a G3P2 has just delivered a healthy newborn 30 min ago. Which of the following
nursing interventions will the nurse perform? correct answer Have her dangle her
legs before assisting her to the toilet to void, palpate the fungus to make sure it is
firm and midline, take maternal vital signs every 15 min.
, A new mother is not sure if she wants her newborn to be circumcised. Which
response by the nurse is best? correct answer "There are pros and cons to
circumcision. Let me ask the health care provider to come and talk to you about
the procedure"
A new mother says, "i think something is wrong with my baby. She looks like she
is having a menstrual period!" What is the nurse's best response correct answer
"This is a normal occurrence. You may clean her with a damp washcloth, and it
will go away in a few days."
A newborn's axillary temperature is 97.4 F (36.3 C). High T-shirt is damp with spit-
up milk. His blanket is loosely applied, and several children are in the room
running around his crib. The room is comfortably warm, and the bassinet is beside
the mother's bed away from the window and doors. What are the most likely
mechanisms of heat loss for this newborn? correct answer Convection and
evaporation
A pimipara is dilated 8 cm and is completely effaced at +1 station. She tells the
nurse "I can't keep myself from pushing when i have a contraction" what
intervention is most appropriate in this situation? correct answer Assist the
woman to blow at the peak of contractions.
A win a who has chosen to bottle-feed says that her breasts are painful ad
engorged. Which nursing intervention is appropriate? correct answer Assist the
woman to place ice packs on her breasts
A woman dressed in hospital scrub attire without a name badge presents to the
nursery and says that Mrs. Smith is ready for her newborn. She then offers to take
the newborn back to Mrs. Smith. What response by the nurse is best in this
situation? correct answer "May i see your identification, please?"