Exam 2 review questions intrapartum correct answers and rationale

1. A nurse is explaining to a student that the patient she is caring for has the medication Calcium Gluconate at the bedside. The student knows this medication is an antidote for which of the following medications? a. Morphine Sulfate b. Magnesium Sulfate c. Terbutaline d. Betamethasone Calcium Gluconate is the antidote for magnesium sulfate Ward and Hisley, page 408 (Concept Map: Clinical Alert) and Ward and Hisley, page 518, Box 14-4 (Intrapartal Nursing Care for Patients With Preeclampsia) 2. A teenager arrives at the labor and delivery unit in labor. The nurse notices that patient has periorbital edema and swollen hands. The finding are typical in a patient with what condition. a. Gestational Diabetes b. Obesity c. Preeclampsia d. Placenta Previa Along with proteinuria, oliguria, headaches, dyspnea, and blurred vision, the pathophysiological changes of preeclampsia include visible edema of the face, hands, and abdomen. Ward and Hisley, page 353; Figure 11-8 Pathophysiological changes of preeclampsia 3. A patient who is 34 weeks gestation has been admitted with preeclampsia. Which of the following reasons does the provider order Magnesium Sulfate? a. Relaxes skeletal muscle b. Decreases smooth muscle excitability c. Acts as a diuretic d. Acts as a Calcium Channel blocker Magnesium Sulfate is used as an anticonvulsant, it decreases neuro and muscular excitability. This is used to prevent the patient from having a seizure. The positive side effect of is that the patient will have a decrease in blood pressure. Ward and Hisley, page 357; Medication – Magnesium Sulfate These questions are to be used as study materials only. They do not reflect the Exam Blueprint. They should be used as the opportunity to practice answering NCLEX style questions and help you in identifying high missed concepts so you are able to focus your studies. These questions are not questions from the test. 4. Dysfunctional labor patterns are characterized by ineffective changes in which of the following? a. Fetal lie and Attitude b. Cervical dilation and Effacement c. Pelvimetry and Contraction pattern d. Labor stage and Cervical position Dysfunctional labor is a deviation from normal. Dysfunctional labor usually occurs in the first stage of labor and involves cervical dilation and effacement. It can occur in the second stage of labor, having an impact on maternal expulsive efforts. Ward and Hisley, page 505 (Dysfunctional Labor Patterns) 5. The student nurse is explaining to a laboring patient that it is important to note how long the interval between contractions lasts. Which statement allows the primary nurse to know that the student nurse understands why the uterus must completely relax? a. “Relaxation allows maternal cells restore their glucose levels during the interval.” b. “This time interval tells us when to administer analgesia” c. “Relaxation allows blood to be restored to the placenta for fetal oxygenation”