RICCI CHAPTER 21 - TEST BANK - 4TH
EDITION
1. After spontaneous rupture of membranes, the nurse
notices a prolapsed cord. The nurse
immediately places the woman in which position?
A. supine
B. side-lying
C. sitting
D. knee-chest - Answer: D
Rationale: Pressure on the cord needs to be relieved.
Therefore, the nurse would position the
woman in a modified Sims, Trendelenburg, or knee-chest
position. Supine, side-lying, or sitting
would not provide relief of cord compression.
2. A primigravida whose labor was initially progressing
normally is now experiencing a decrease
in the frequency and intensity of her contractions. The nurse
would assess the woman for which
condition?
A. a low-lying placenta
B. fetopelvic disproportion
,C. contraction ring
D. uterine bleeding - Answer: B
Rationale: The woman is experiencing dystocia most likely
due to hypotonic uterine dysfunction
and fetopelvic disproportion associated with a large fetus. A
low-lying placenta, contraction ring,
or uterine bleeding would not be associated with a change in
labor pattern.
3. Which assessment finding will alert the nurse to be on the
lookout for possible placental
abruption during labor?
A. macrosomia
B. gestational hypertension
C. gestational diabetes
D. low parity - Answer: B
Rationale: Risk factors for placental abruption include
preeclampsia, gestational hypertension,
seizure activity, uterine rupture, trauma, smoking, cocaine
use, coagulation defects, previous
history of abruption, intimate partner violence, and placental
pathology. Macrosomia, gestational
diabetes, and low parity are not considered risk factors.
, 4. A woman in labor is experiencing hypotonic uterine
dysfunction. Assessment reveals no
fetopelvic disproportion. Which group of medications would
the nurse expect to administer?
A. sedatives
B. tocolytics
C. uterine stimulants
D. corticosteroids - Answer: C
Rationale: For hypotonic labor, a uterine stimulant such as
oxytocin may be prescribed once
fetopelvic disproportion is ruled out. Sedatives might be
helpful for the woman with hypertonic
uterine contractions to promote rest and relaxation.
Tocolytics would be ordered to control
preterm labor. Corticosteroids may be given to enhance fetal
lung maturity for women
experiencing preterm labor.
5. A woman gave birth to a newborn via vaginal birth with the
use of a vacuum extractor. The
nurse would be alert for which possible effect in the
newborn?
A. asphyxia
B. clavicular fracture
EDITION
1. After spontaneous rupture of membranes, the nurse
notices a prolapsed cord. The nurse
immediately places the woman in which position?
A. supine
B. side-lying
C. sitting
D. knee-chest - Answer: D
Rationale: Pressure on the cord needs to be relieved.
Therefore, the nurse would position the
woman in a modified Sims, Trendelenburg, or knee-chest
position. Supine, side-lying, or sitting
would not provide relief of cord compression.
2. A primigravida whose labor was initially progressing
normally is now experiencing a decrease
in the frequency and intensity of her contractions. The nurse
would assess the woman for which
condition?
A. a low-lying placenta
B. fetopelvic disproportion
,C. contraction ring
D. uterine bleeding - Answer: B
Rationale: The woman is experiencing dystocia most likely
due to hypotonic uterine dysfunction
and fetopelvic disproportion associated with a large fetus. A
low-lying placenta, contraction ring,
or uterine bleeding would not be associated with a change in
labor pattern.
3. Which assessment finding will alert the nurse to be on the
lookout for possible placental
abruption during labor?
A. macrosomia
B. gestational hypertension
C. gestational diabetes
D. low parity - Answer: B
Rationale: Risk factors for placental abruption include
preeclampsia, gestational hypertension,
seizure activity, uterine rupture, trauma, smoking, cocaine
use, coagulation defects, previous
history of abruption, intimate partner violence, and placental
pathology. Macrosomia, gestational
diabetes, and low parity are not considered risk factors.
, 4. A woman in labor is experiencing hypotonic uterine
dysfunction. Assessment reveals no
fetopelvic disproportion. Which group of medications would
the nurse expect to administer?
A. sedatives
B. tocolytics
C. uterine stimulants
D. corticosteroids - Answer: C
Rationale: For hypotonic labor, a uterine stimulant such as
oxytocin may be prescribed once
fetopelvic disproportion is ruled out. Sedatives might be
helpful for the woman with hypertonic
uterine contractions to promote rest and relaxation.
Tocolytics would be ordered to control
preterm labor. Corticosteroids may be given to enhance fetal
lung maturity for women
experiencing preterm labor.
5. A woman gave birth to a newborn via vaginal birth with the
use of a vacuum extractor. The
nurse would be alert for which possible effect in the
newborn?
A. asphyxia
B. clavicular fracture
