INTRODUCTION TO MATERNITY AND PE
DIATRIC NURSING 8TH EDITION LEIFER
TEST BANK Test Bank TEST 2 (Chapters
8, 9, 10, 12, 13, 14) maternity 205 A+
Guaranteed Solutions.
INTRODUCTION TO MATERNITY AND PE
DIATRIC NURSING 8TH EDITION LEIFER
TEST BANK Test Bank TEST 2 (Chapters
8, 9, 10, 12, 13, 14) maternity 205 A+
Guaranteed Solutions.
What nursing assessment should be reported immediately after an amniotomy?
a. Fetal heart rate is regular at 154 beats/min.
b. Amniotic fluid is clear with flecks of vernix.
c. Amniotic fluid is watery and pale green.
d. Maternal temperature is 37.8 C - ANSWER-C
Amniotic fluid should be clear. Green fluid indicates the fetus has passed meconium,
which is associated with fetal compromise.
A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to
induce labor and begins to have contractions every 90 seconds. What is the nurses
initial action?
a. Stop the oxytocin infusion.
b. Continue the infusion and report the findings to the physician.
c. Turn her on her left side and reassess the contractions. d. Administer oxygen by
mask. - ANSWER-A
Oxytocin is discontinued if signs of fetal compromise or excessive uterine contractions
occur.
What nursing care should be provided to a woman with a third-degree laceration
immediately after delivery?
a. Warm compresses to the perineum
b. Cold pack to the perineum
c. Warm sitz bath
d. Elevation of hips to prevent edema - ANSWER-B
Ice is applied to the perineum to reduce bruising and edema.
,INTRODUCTION TO MATERNITY AND PE
DIATRIC NURSING 8TH EDITION LEIFER
TEST BANK Test Bank TEST 2 (Chapters
8, 9, 10, 12, 13, 14) maternity 205 A+
Guaranteed Solutions.
After several hours of labor, a nursing assessment reveals that a womans cervix is 5 cm
dilated but contractions are becoming shorter and less frequent. What is this labor
pattern considered?
a. Normal
b. Hypotonic
c. Hypertonic d. False - ANSWER-B
The woman with labor dysfunction related to decreased uterine muscle tone begins
labor normally, but
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INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER
TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 71
contractions diminish after the active phase.
A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is
dilated to 5 cm with membranes intact. What action by the physician will the nurse
anticipate?
a. Perform an amniotomy.
b. Initiate tocolytic drugs.
c. Order a sedative for the patient.
d. Plan to do an emergency cesarean section. - ANSWER-A
Medical treatment for hypotonic labor dysfunction includes an amniotomy as the first
remedy if the membranes are intact.
An infant is delivered with the use of forceps. What should the nurse assess for in the
newborn?
a. Loss of hair from contact with forceps
b. Sacral hematoma
c. Facial asymmetry
d. Shoulder dislocation - ANSWER-C
Pressure from forceps may injure the infants facial nerve, which is evidenced by facial
asymmetry.
A new mother is distressed and tearful about the elevated dome over her infants
posterior fontanelle. The nurse responds, This condition will resolve itself in a few days.
What is the cause?
,INTRODUCTION TO MATERNITY AND PE
DIATRIC NURSING 8TH EDITION LEIFER
TEST BANK Test Bank TEST 2 (Chapters
8, 9, 10, 12, 13, 14) maternity 205 A+
Guaranteed Solutions.
a. Prolonged pressure against the partially dilated cervix
b. Small leak of fluid through the posterior fontanelle
c. Pressure of the forceps during delivery d. The effect of the vacuum extractor -
ANSWER-D
The chignon is due to the effect of the vacuum extractor and will disappear in a few
days.
A frustrated patient in labor has been affected by decreased uterine muscle tone and
reports, My doctor wont induce my labor because of some silly score. He said I was a 4.
What kind of magic number do I need? What is the lowest Bishop score the patient
should have prior to induction?
a. 6
b. 8
c. 10
d. 12 - ANSWER-A
The Bishop score evaluates the suitability of the patient for a vaginal delivery. A
minimum score of 6 is recommended by the American Congress of Obstetricians and
Gynecologists (ACOG).
A woman is having a difficult labor because the fetus is presenting in the right occipital
position (ROP). What position will the nurse promote to encourage fetal rotation and
pain relief?
a. Prone with legs supported and give her a back massage
b. Supine with legs bent at the knee
c. Standing with support
d. Sitting up and leaning forward on the over-bed table - ANSWER-D
A position that favors fetal rotation and descent and that is helpful for the woman with
back labor is to sit or kneel leaning forward on a support.
The initial vaginal examination of a woman admitted to the labor unit reveals that the
cervix is dilated 9 cm. The panicked woman begs the nurse, Please give me something.
What is the most appropriate pain relief intervention for a woman in precipitate labor?
a. Get an order for an intravenous narcotic.
b. Notify the anesthesiologist for an epidural block. c. Stay and breathe with her during
contractions.
d. Tell her to bear with it because she is close to delivery - ANSWER-C
The nurse would stay with the woman experiencing precipitate labor and breathe with
her during contractions to help the woman focus and cope with each contraction.
, INTRODUCTION TO MATERNITY AND PE
DIATRIC NURSING 8TH EDITION LEIFER
TEST BANK Test Bank TEST 2 (Chapters
8, 9, 10, 12, 13, 14) maternity 205 A+
Guaranteed Solutions.
A woman who is 33 weeks pregnant is admitted to the obstetric unit because her
membranes ruptured spontaneously. What complication should the nurse closely
assess for with this patient?
a. Chorioamnionitis
b. Hemorrhage
c. Hypotension
d. Amniotic fluid embolism - ANSWER-A
Infection of the amniotic sac, called chorioamnionitis, may cause prematurely ruptured
membranes, or it may be a consequence of rupture because the barrier to the uterine
cavity is broken.
The nurse is administering terbutaline (Brethine) to a pregnant woman to prevent
preterm labor. The nurse would assess for which adverse effect?
a. Maternal tachycardia
b. Maternal hypertension
c. Fetal bradycardia
d. Fetal hypokalemia - ANSWER-A
Maternal tachycardia is the common negative side effect of terbutaline, which should be
corrected with a dose of propranolol.
Which statement indicates a woman understands activity limitations for the
management of preterm labor?
a. After my shower in the morning, I do the laundry and straighten up the house; then I
rest.
b. I pack a picnic basket and put it next to the sofa so I do not have to get up for food
during the day.
c. I have a 2-year-old to care for, but I try to rest as much as I can.
d. I get really bored at home, so I go to the shopping mall for just a little while. -
ANSWER-B
Lengthy activity restrictions are often needed to prevent preterm birth. The nurse can
help the woman identify ways to organize necessary activities and maximize rest.
A student nurse questions the instructor regarding what alteration should be made for
the assessment of the fundus of a new postoperative cesarean section patient. What is
the best response?
a. The fundus is not assessed until the second postoperative day.
b. The fundus is assessed by walking fingers from the side of the uterus to the midline.
DIATRIC NURSING 8TH EDITION LEIFER
TEST BANK Test Bank TEST 2 (Chapters
8, 9, 10, 12, 13, 14) maternity 205 A+
Guaranteed Solutions.
INTRODUCTION TO MATERNITY AND PE
DIATRIC NURSING 8TH EDITION LEIFER
TEST BANK Test Bank TEST 2 (Chapters
8, 9, 10, 12, 13, 14) maternity 205 A+
Guaranteed Solutions.
What nursing assessment should be reported immediately after an amniotomy?
a. Fetal heart rate is regular at 154 beats/min.
b. Amniotic fluid is clear with flecks of vernix.
c. Amniotic fluid is watery and pale green.
d. Maternal temperature is 37.8 C - ANSWER-C
Amniotic fluid should be clear. Green fluid indicates the fetus has passed meconium,
which is associated with fetal compromise.
A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to
induce labor and begins to have contractions every 90 seconds. What is the nurses
initial action?
a. Stop the oxytocin infusion.
b. Continue the infusion and report the findings to the physician.
c. Turn her on her left side and reassess the contractions. d. Administer oxygen by
mask. - ANSWER-A
Oxytocin is discontinued if signs of fetal compromise or excessive uterine contractions
occur.
What nursing care should be provided to a woman with a third-degree laceration
immediately after delivery?
a. Warm compresses to the perineum
b. Cold pack to the perineum
c. Warm sitz bath
d. Elevation of hips to prevent edema - ANSWER-B
Ice is applied to the perineum to reduce bruising and edema.
,INTRODUCTION TO MATERNITY AND PE
DIATRIC NURSING 8TH EDITION LEIFER
TEST BANK Test Bank TEST 2 (Chapters
8, 9, 10, 12, 13, 14) maternity 205 A+
Guaranteed Solutions.
After several hours of labor, a nursing assessment reveals that a womans cervix is 5 cm
dilated but contractions are becoming shorter and less frequent. What is this labor
pattern considered?
a. Normal
b. Hypotonic
c. Hypertonic d. False - ANSWER-B
The woman with labor dysfunction related to decreased uterine muscle tone begins
labor normally, but
NURSINGTB.COM
NURSINGTB.COM
INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER
TEST BANK
Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 71
contractions diminish after the active phase.
A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is
dilated to 5 cm with membranes intact. What action by the physician will the nurse
anticipate?
a. Perform an amniotomy.
b. Initiate tocolytic drugs.
c. Order a sedative for the patient.
d. Plan to do an emergency cesarean section. - ANSWER-A
Medical treatment for hypotonic labor dysfunction includes an amniotomy as the first
remedy if the membranes are intact.
An infant is delivered with the use of forceps. What should the nurse assess for in the
newborn?
a. Loss of hair from contact with forceps
b. Sacral hematoma
c. Facial asymmetry
d. Shoulder dislocation - ANSWER-C
Pressure from forceps may injure the infants facial nerve, which is evidenced by facial
asymmetry.
A new mother is distressed and tearful about the elevated dome over her infants
posterior fontanelle. The nurse responds, This condition will resolve itself in a few days.
What is the cause?
,INTRODUCTION TO MATERNITY AND PE
DIATRIC NURSING 8TH EDITION LEIFER
TEST BANK Test Bank TEST 2 (Chapters
8, 9, 10, 12, 13, 14) maternity 205 A+
Guaranteed Solutions.
a. Prolonged pressure against the partially dilated cervix
b. Small leak of fluid through the posterior fontanelle
c. Pressure of the forceps during delivery d. The effect of the vacuum extractor -
ANSWER-D
The chignon is due to the effect of the vacuum extractor and will disappear in a few
days.
A frustrated patient in labor has been affected by decreased uterine muscle tone and
reports, My doctor wont induce my labor because of some silly score. He said I was a 4.
What kind of magic number do I need? What is the lowest Bishop score the patient
should have prior to induction?
a. 6
b. 8
c. 10
d. 12 - ANSWER-A
The Bishop score evaluates the suitability of the patient for a vaginal delivery. A
minimum score of 6 is recommended by the American Congress of Obstetricians and
Gynecologists (ACOG).
A woman is having a difficult labor because the fetus is presenting in the right occipital
position (ROP). What position will the nurse promote to encourage fetal rotation and
pain relief?
a. Prone with legs supported and give her a back massage
b. Supine with legs bent at the knee
c. Standing with support
d. Sitting up and leaning forward on the over-bed table - ANSWER-D
A position that favors fetal rotation and descent and that is helpful for the woman with
back labor is to sit or kneel leaning forward on a support.
The initial vaginal examination of a woman admitted to the labor unit reveals that the
cervix is dilated 9 cm. The panicked woman begs the nurse, Please give me something.
What is the most appropriate pain relief intervention for a woman in precipitate labor?
a. Get an order for an intravenous narcotic.
b. Notify the anesthesiologist for an epidural block. c. Stay and breathe with her during
contractions.
d. Tell her to bear with it because she is close to delivery - ANSWER-C
The nurse would stay with the woman experiencing precipitate labor and breathe with
her during contractions to help the woman focus and cope with each contraction.
, INTRODUCTION TO MATERNITY AND PE
DIATRIC NURSING 8TH EDITION LEIFER
TEST BANK Test Bank TEST 2 (Chapters
8, 9, 10, 12, 13, 14) maternity 205 A+
Guaranteed Solutions.
A woman who is 33 weeks pregnant is admitted to the obstetric unit because her
membranes ruptured spontaneously. What complication should the nurse closely
assess for with this patient?
a. Chorioamnionitis
b. Hemorrhage
c. Hypotension
d. Amniotic fluid embolism - ANSWER-A
Infection of the amniotic sac, called chorioamnionitis, may cause prematurely ruptured
membranes, or it may be a consequence of rupture because the barrier to the uterine
cavity is broken.
The nurse is administering terbutaline (Brethine) to a pregnant woman to prevent
preterm labor. The nurse would assess for which adverse effect?
a. Maternal tachycardia
b. Maternal hypertension
c. Fetal bradycardia
d. Fetal hypokalemia - ANSWER-A
Maternal tachycardia is the common negative side effect of terbutaline, which should be
corrected with a dose of propranolol.
Which statement indicates a woman understands activity limitations for the
management of preterm labor?
a. After my shower in the morning, I do the laundry and straighten up the house; then I
rest.
b. I pack a picnic basket and put it next to the sofa so I do not have to get up for food
during the day.
c. I have a 2-year-old to care for, but I try to rest as much as I can.
d. I get really bored at home, so I go to the shopping mall for just a little while. -
ANSWER-B
Lengthy activity restrictions are often needed to prevent preterm birth. The nurse can
help the woman identify ways to organize necessary activities and maximize rest.
A student nurse questions the instructor regarding what alteration should be made for
the assessment of the fundus of a new postoperative cesarean section patient. What is
the best response?
a. The fundus is not assessed until the second postoperative day.
b. The fundus is assessed by walking fingers from the side of the uterus to the midline.
