High Risk Intrapartum Comprehensive Questions and
answers 100% Correct
A gravid patient in labor suddenly has dyspnea, hypotension, frothy sputum, and loss of consciousness.
The nurse knows these are signs and symptoms of which obstetrical emergency?
1. Placental abruption
2. Uterine rupture
3. Uterine inversion
4. Amniotic fluid embolism - CORRECT ANSWER ✔️✔️ -4
A gravid patient is receiving oxytocin for augmentation of labor. The oxytocin infusion has been running
at 6 mU/min for 30 minutes. Uterine contractions are every 2 to 3 minutes, lasting 60 seconds, intensity of
60 mm/Hg with IUPC. There has been some cervical change since the last exam, and the FHR is normal.
Which nursing action is most appropriate at this time?
1. Increase the oxytocin dose to 12 mU/min.
2. Increase the oxytocin dose to 8 mU/min.
3. Leave the oxytocin at the current dose.
4. Decrease the oxytocin to 4 mU/min. - CORRECT ANSWER ✔️✔️ -3
, A gravid patient is undergoing induction of labor with oxytocin. The nurse assesses the uterine
contractions and notes that there are six contractions in 10 minutes, and the FHR is abnormal. Which is
the priority nursing action?
1. Administer oxygen via face mask.
2. Notify the provider.
3. Decrease the oxytocin dose.
4. Discontinue oxytocin. - CORRECT ANSWER ✔️✔️ -4
A laboring patient is experiencing labor dystocia. Which statement correctly describes labor dystocia?
1. Difficult labor characterized by abnormally slow labor progress
2. Fetal shoulder impacted under the maternal symphysis pubis
3. Fetal head larger than maternal pelvis
4. Uterine contractions >25 mm Hg with intrauterine pressure catheter - CORRECT ANSWER ✔️✔️ -1
A nurse is caring for a full-term pregnant client undergoing an induction with oxytocin. Upon assessment,
the nurse determines that the fetus is in distress and identifies a Category III fetal heart rate pattern. The
nurse will complete interventions in which order?
1. Discontinue oxytocin.
2. Notify the provider.
answers 100% Correct
A gravid patient in labor suddenly has dyspnea, hypotension, frothy sputum, and loss of consciousness.
The nurse knows these are signs and symptoms of which obstetrical emergency?
1. Placental abruption
2. Uterine rupture
3. Uterine inversion
4. Amniotic fluid embolism - CORRECT ANSWER ✔️✔️ -4
A gravid patient is receiving oxytocin for augmentation of labor. The oxytocin infusion has been running
at 6 mU/min for 30 minutes. Uterine contractions are every 2 to 3 minutes, lasting 60 seconds, intensity of
60 mm/Hg with IUPC. There has been some cervical change since the last exam, and the FHR is normal.
Which nursing action is most appropriate at this time?
1. Increase the oxytocin dose to 12 mU/min.
2. Increase the oxytocin dose to 8 mU/min.
3. Leave the oxytocin at the current dose.
4. Decrease the oxytocin to 4 mU/min. - CORRECT ANSWER ✔️✔️ -3
, A gravid patient is undergoing induction of labor with oxytocin. The nurse assesses the uterine
contractions and notes that there are six contractions in 10 minutes, and the FHR is abnormal. Which is
the priority nursing action?
1. Administer oxygen via face mask.
2. Notify the provider.
3. Decrease the oxytocin dose.
4. Discontinue oxytocin. - CORRECT ANSWER ✔️✔️ -4
A laboring patient is experiencing labor dystocia. Which statement correctly describes labor dystocia?
1. Difficult labor characterized by abnormally slow labor progress
2. Fetal shoulder impacted under the maternal symphysis pubis
3. Fetal head larger than maternal pelvis
4. Uterine contractions >25 mm Hg with intrauterine pressure catheter - CORRECT ANSWER ✔️✔️ -1
A nurse is caring for a full-term pregnant client undergoing an induction with oxytocin. Upon assessment,
the nurse determines that the fetus is in distress and identifies a Category III fetal heart rate pattern. The
nurse will complete interventions in which order?
1. Discontinue oxytocin.
2. Notify the provider.
