ANTEPARTUM, INTRAPARTUM,
POSTPARTUM QUESTIONS WITH 100%
CORRECT ANSWERS { GRADED A+}
The nurse is caring for a client in labor. The nurse notes variable
decelerations on the fetal monitor strip. What is the nurse's priority
intervention?
repositioning the client to the other side
administering oxygen at 10L per non-rebreather mask
administering a fluid bolus
notifying the healthcare provider - ✔✔Correct response:
repositioning the client to the other side
Explanation:
,Variable decelerations are caused by umbilical cord compression. These
can occur with or without a contraction. Positioning the client on her
side would provide optimal oxygenation to the fetus. Calling the
healthcare provider without repositioning the client first would be
inappropriate. Giving oxygen and fluid may be the next steps if the
fetus is showing more signs of stress.
The public health nurse is teaching a prenatal class about tobacco
smoke during pregnancy. Which comment made by one of the class
members demonstrates that the teaching was effective?
"My newborn is more at risk for heart problems if I smoke during
pregnancy."
"My newborn will be more relaxed if I smoke during pregnancy."
"Smoking during pregnancy increases the risk of having a cesarean
section."
"If I continue to smoke during pregnancy, my baby could be born
small." - ✔✔Correct response:
,"If I continue to smoke during pregnancy, my baby could be born
small."
Explanation:
Smoking exposure during pregnancy increases the risk of intrauterine
growth restriction or a small baby. Smoking exposure during pregnancy
also increases the risk of the newborn being more irritable but does not
increase the risk for congenital heart problems or the risk of a cesarean
section.
Two hours ago, examination of a multigravid client in labor without
anesthesia revealed the following: cervical dilation at 5 cm with
complete effacement, presenting part at 0 station, and membranes
intact. The nurse caring for the client now observes that the client feels
a strong need to have a bowel movement. What is the client most likely
experiencing?
fear and anxiety related to the labor outcome
spontaneous rupture of the membranes
, a precipitous labor pattern
the second stage of labor - ✔✔Correct response:
the second stage of labor
Explanation:
The urge to have a bowel movement, bear down, and push are all signs
that the client is beginning the second stage of labor that occurs when
the client is 10-cm dilated. A multigravid client generally progresses
more rapidly than a primigravid client does. Therefore, it would not be
unusual for a client's cervix to dilate from 5 to 10 cm or more within a
2-hour period.No evidence is presented that the client is experiencing a
precipitous labor pattern, which would be evidenced by rapid cervical
dilation.No evidence is presented that the client is experiencing fear
and anxiety related to the labor outcome.Spontaneous rupture of the
membranes, evidenced by a sudden gush of fluid, may occur at any
time in the labor process.
POSTPARTUM QUESTIONS WITH 100%
CORRECT ANSWERS { GRADED A+}
The nurse is caring for a client in labor. The nurse notes variable
decelerations on the fetal monitor strip. What is the nurse's priority
intervention?
repositioning the client to the other side
administering oxygen at 10L per non-rebreather mask
administering a fluid bolus
notifying the healthcare provider - ✔✔Correct response:
repositioning the client to the other side
Explanation:
,Variable decelerations are caused by umbilical cord compression. These
can occur with or without a contraction. Positioning the client on her
side would provide optimal oxygenation to the fetus. Calling the
healthcare provider without repositioning the client first would be
inappropriate. Giving oxygen and fluid may be the next steps if the
fetus is showing more signs of stress.
The public health nurse is teaching a prenatal class about tobacco
smoke during pregnancy. Which comment made by one of the class
members demonstrates that the teaching was effective?
"My newborn is more at risk for heart problems if I smoke during
pregnancy."
"My newborn will be more relaxed if I smoke during pregnancy."
"Smoking during pregnancy increases the risk of having a cesarean
section."
"If I continue to smoke during pregnancy, my baby could be born
small." - ✔✔Correct response:
,"If I continue to smoke during pregnancy, my baby could be born
small."
Explanation:
Smoking exposure during pregnancy increases the risk of intrauterine
growth restriction or a small baby. Smoking exposure during pregnancy
also increases the risk of the newborn being more irritable but does not
increase the risk for congenital heart problems or the risk of a cesarean
section.
Two hours ago, examination of a multigravid client in labor without
anesthesia revealed the following: cervical dilation at 5 cm with
complete effacement, presenting part at 0 station, and membranes
intact. The nurse caring for the client now observes that the client feels
a strong need to have a bowel movement. What is the client most likely
experiencing?
fear and anxiety related to the labor outcome
spontaneous rupture of the membranes
, a precipitous labor pattern
the second stage of labor - ✔✔Correct response:
the second stage of labor
Explanation:
The urge to have a bowel movement, bear down, and push are all signs
that the client is beginning the second stage of labor that occurs when
the client is 10-cm dilated. A multigravid client generally progresses
more rapidly than a primigravid client does. Therefore, it would not be
unusual for a client's cervix to dilate from 5 to 10 cm or more within a
2-hour period.No evidence is presented that the client is experiencing a
precipitous labor pattern, which would be evidenced by rapid cervical
dilation.No evidence is presented that the client is experiencing fear
and anxiety related to the labor outcome.Spontaneous rupture of the
membranes, evidenced by a sudden gush of fluid, may occur at any
time in the labor process.
