Latest Update Verified Questions and
Answers by Galen Key Download
A 22-year-old gravida 2, para 0 is in the doctor's office for a checkup at 36 weeks gestation. Which
comment by the woman indicates that she needs additional information about pain relief during labor?
a. "I have discussed pain relief options with the doctor and my childbirth educator."
b. "I'm so glad that I won't have any pain because I'm going to have an epidural."
c. "I've been practicing the relaxation exercises I learned in my childbirth class."
d. "I want to have medications through the IV if the pain gets so bad that I can't handle it." - Correct
Answers-b
A 32-year-old woman is dilated 4 cm. The health care provider states that she has a roomy pelvis and the
baby is in a right occiput anterior (ROA) position at a +1 station. Her contractions are occurring every 10
minutes, lasting 30 to 40 seconds, and palpate mild in intensity. She is calm and relaxed. Given these
data, which essential component of labor is unexpected and likely to slow the progress of labor at this
time?
a. Passageway
b. Passenger
c. Powers
d. Psyche - Correct Answers-c
A 34-year-old gravida 3, para 2 is experiencing severe back pain with each contraction. She is extremely
uncomfortable and upset because she never had this type of pain with her other labors. What interventions
are most likely to help in this situation?
,a. Comfort measures, intermittent labor support by the nurse, and reassurance that the pain is temporary
b. Counterpressure with a fist or tennis ball to the lower back and intradermal water injections
c. Effleurage, ambulation, and frequent position changes
d. Hypnosis, imagery, and slow chest breathing - Correct Answers-b
A G1 at 20 weeks' gestation is at the clinic for a prenatal visit. She tells the nurse that she has been
reading about "group B strep disease" on the internet. She asks when she can expect to be checked for the
bacteria. How does the nurse best reply?
a. "I'm glad that you asked. You will be getting the culture done today."
b. "The obstetrician normally cultures for group B strep after 35 weeks and before delivery."
c. "You are only checked for group B strep if you have risk factors for the infection."
d. "You were checked during your first prenatal visit. Let me get those results for you." - Correct
Answers-
A G1 P0 is in the active phase of labor. She is a low-risk client. The nurse evaluates the fetal monitor strip
at 10 AM. Moderate variability is present. The FHR is in the 130s with occasional accelerations, no
decelerations. At what time does the nurse need to reevaluate the FHR?
a. 10:05 AM
b. 10:15 AM
c. 10:30 AM
d. 11:00 AM - Correct Answers-c
A G3 P2 has just delivered a healthy infant 30 minutes ago. Which of the following nursing interventions
will the nurse perform? Select all that apply.
, a. Have her dangle her legs before assisting her to the toilet to void.
b. Palpate the fundus to make sure it is firm and midline.
c. Perform an in-and-out catheterization.
d. Encourage her to send the infant to the nursery so she can rest.
e. Take maternal vital signs every 15 minutes. - Correct Answers-a
A new mother says, "I think something is wrong with my baby. She looks like she is having a menstrual
period!" What is the nurse's best response?
a. "I don't know. Let me have the charge nurse check the baby."
b. "It's nothing to worry about. That's a normal finding."
c. "This is a normal occurrence. You may clean her with a damp washcloth, and it will go away in a few
days."
d. "This means the baby was exposed to an infection during birth. I'll notify the doctor at once!" -
Correct Answers-
A newborn's axillary temperature is 97.4°F. His T-shirt is damp with spit-up milk. His blanket is loosely
applied, and several children are in the room running around his crib. The room is comfortably warm, and
the bassinet is beside the mother's bed away from the window and doors. What are the most likely
mechanisms of heat loss for this newborn?
a. Conduction and evaporation
b. Conduction and radiation
c. Convection and radiation