NU 317 EXAM 2 REVIEW QUESTIONS
WITH CORRECT ANSWERS
A |nurse |on |the |labor |and |delivery |unit |is |caring |for |a |client |following |a |vaginal |examination |by |
the |provider |which |is |documented |as: |-1. |Which |of |the |following |interpretations |of |this |finding
|should |the |nurse |make?
A. |The |presenting |part |is |1 |cm |above |the |ischial |spines.
B. |The |presenting |part |is |1 |cm |below |the |ischial |spines.
C. |The |cervix |is |1 |cm |dilated.
D. |The |cervix |is |effaced |1 |cm. |- |CORRECT |ANSWER✔✔-A. |The |presenting |part |is |1 |cm |above |
the |ischial |spines
A |woman |is |in |the |second |stage |of |labor |and |has |a |spinal |block |in |place |for |pain |management.
|The |nurse |obtains |the |woman's |blood |pressure |and |notes |that |it |is |20% |lower |than |the |
baseline |level. |Which |action |should |the |nurse |take?
A. |Encourage |her |to |empty |her |bladder.
B. |Decrease |her |intravenous |(IV) |rate |to |a |keep |vein-open |rate.
C. |Turn |the |woman |to |the |left |lateral |position |or |place |a |pillow |under |her |hip
D. |No |action |is |necessary |since |a |decrease |in |the |woman's |blood |pressure |is |expected. |- |
CORRECT |ANSWER✔✔-C. |Turn |the |woman |to |the |left |lateral |position |or |place |a |pillow |under |
her |hip
When |monitoring |a |woman |in |labor |who |has |just |received |spinal |analgesia, |the |nurse |should |
report |which |assessment |findings |to |the |health |care |provider |or |charge |nurse? |(Select |all |that |
apply.)
A. |Maternal |blood |pressure |of |108/79
B. |Maternal |heart |rate |of |98
C. |Respiratory |rate |of |14 |breaths/min
D. |Fetal |heart |rate |of |100 |beats/min
, E. |Minimal |variability |on |a |fetal |heart |monitor |- |CORRECT |ANSWER✔✔-D. |Fetal |heart |rate |of |
100 |beats/min
E. |Minimal |variability |on |a |fetal |heart |monitor
The |nurse |would |expect |which |maternal |cardiovascular |finding |during |labor?
A. |Increased |cardiac |output
B. |Decreased |pulse |rate
C. |Decreased |white |blood |cell |count
D. |Decreased |blood |pressure |- |CORRECT |ANSWER✔✔-A. |Increased |cardiac |output
After |delivering |a |healthy |baby |boy |with |epidural |anesthesia, |a |woman |on |the |postpartum |
unit |complains |of |a |severe |headache. |The |nurse |should |anticipate |which |actions |in |the |
patient's |plan |of |care? |(Select |all |that |apply.)
A. |Keeping |the |head |of |bed |elevated |at |all |times
B. |Administration |of |oral |analgesics
C. |Avoid |caffeine
D. |Assisting |with |a |blood |patch |procedure
E. |Frequent |monitoring |of |vital |signs |- |CORRECT |ANSWER✔✔-B. |Administration |of |oral |
analgesics
D. |Assisting |with |a |blood |patch |procedure
E. |Frequent |monitoring |of |vital |signs
Which |test |is |performed |to |determine |if |membranes |are |ruptured?
A. |Urine |analysis
B. |Fern |test
C. |Leopold |maneuvers
D. |Artificial |rupture |of |membranes |(AROM) |- |CORRECT |ANSWER✔✔-B. |Fern |test
WITH CORRECT ANSWERS
A |nurse |on |the |labor |and |delivery |unit |is |caring |for |a |client |following |a |vaginal |examination |by |
the |provider |which |is |documented |as: |-1. |Which |of |the |following |interpretations |of |this |finding
|should |the |nurse |make?
A. |The |presenting |part |is |1 |cm |above |the |ischial |spines.
B. |The |presenting |part |is |1 |cm |below |the |ischial |spines.
C. |The |cervix |is |1 |cm |dilated.
D. |The |cervix |is |effaced |1 |cm. |- |CORRECT |ANSWER✔✔-A. |The |presenting |part |is |1 |cm |above |
the |ischial |spines
A |woman |is |in |the |second |stage |of |labor |and |has |a |spinal |block |in |place |for |pain |management.
|The |nurse |obtains |the |woman's |blood |pressure |and |notes |that |it |is |20% |lower |than |the |
baseline |level. |Which |action |should |the |nurse |take?
A. |Encourage |her |to |empty |her |bladder.
B. |Decrease |her |intravenous |(IV) |rate |to |a |keep |vein-open |rate.
C. |Turn |the |woman |to |the |left |lateral |position |or |place |a |pillow |under |her |hip
D. |No |action |is |necessary |since |a |decrease |in |the |woman's |blood |pressure |is |expected. |- |
CORRECT |ANSWER✔✔-C. |Turn |the |woman |to |the |left |lateral |position |or |place |a |pillow |under |
her |hip
When |monitoring |a |woman |in |labor |who |has |just |received |spinal |analgesia, |the |nurse |should |
report |which |assessment |findings |to |the |health |care |provider |or |charge |nurse? |(Select |all |that |
apply.)
A. |Maternal |blood |pressure |of |108/79
B. |Maternal |heart |rate |of |98
C. |Respiratory |rate |of |14 |breaths/min
D. |Fetal |heart |rate |of |100 |beats/min
, E. |Minimal |variability |on |a |fetal |heart |monitor |- |CORRECT |ANSWER✔✔-D. |Fetal |heart |rate |of |
100 |beats/min
E. |Minimal |variability |on |a |fetal |heart |monitor
The |nurse |would |expect |which |maternal |cardiovascular |finding |during |labor?
A. |Increased |cardiac |output
B. |Decreased |pulse |rate
C. |Decreased |white |blood |cell |count
D. |Decreased |blood |pressure |- |CORRECT |ANSWER✔✔-A. |Increased |cardiac |output
After |delivering |a |healthy |baby |boy |with |epidural |anesthesia, |a |woman |on |the |postpartum |
unit |complains |of |a |severe |headache. |The |nurse |should |anticipate |which |actions |in |the |
patient's |plan |of |care? |(Select |all |that |apply.)
A. |Keeping |the |head |of |bed |elevated |at |all |times
B. |Administration |of |oral |analgesics
C. |Avoid |caffeine
D. |Assisting |with |a |blood |patch |procedure
E. |Frequent |monitoring |of |vital |signs |- |CORRECT |ANSWER✔✔-B. |Administration |of |oral |
analgesics
D. |Assisting |with |a |blood |patch |procedure
E. |Frequent |monitoring |of |vital |signs
Which |test |is |performed |to |determine |if |membranes |are |ruptured?
A. |Urine |analysis
B. |Fern |test
C. |Leopold |maneuvers
D. |Artificial |rupture |of |membranes |(AROM) |- |CORRECT |ANSWER✔✔-B. |Fern |test
