Lowdermilk 11th Ed. Chapter 32: Labor and Birth
Complications Review Practice Test.
1. 1. In planning for home care ANS: C
of a woman with preterm la-
bor, which concern should the Prolonged bed rest may cause adverse ettects
such as weight
nurse need to address? loss, loss of appetite, muscle wasting, weakness, bone
deminer- alization, decreased cardiac output, risk for
a. Nursing assessments thrombophlebitis, alteration in bowel functions, sleep
are different from disturbance, and prolonged postpartum recovery.
those per- formed in Nursing assessments ditter somewhat from those
the hospital set- ting. performed in the acute care setting, but this concern does
not need to be addressed. Restricted activity and med-
ications may prevent preterm labor but not in all women.
In
b. Restricted activity and med- addition, the plan of care is individualized to meet
the needs
ications are necessary to of each client. Many women receive home health nurse
pre- vent a recurrence of visits, but care is individualized for each woman.
preterm labor.
DIF: Cognitive Level: Analyze REF: p. 777 TOP: Nursing
c. Prolonged bed rest may Process: Planning
cause negative
physiologic ef- fects. MSC: Client Needs: Health Promotion and Maintenance
d. Home health care
providers are necessary.
2. 2. Which nursing ANS: B
intervention is
paramount when Terbutaline is a beta2-adrenergic agonist that attects the
providing care to a client moth-
with preterm
labor who has received terbu- er's cardiopulmonary and metabolic systems.
Signs of car-
, Lowdermilk 11th Ed. Chapter 32: Labor and Birth
Complications Review Practice Test.
taline? diopulmonary decompensation include adventitious
breath sounds and dyspnea. An assessment for
a. Assess deep tendon dyspnea and crackles is important for the nurse to
reflex- es (DTRs). perform if the woman is taking mag- nesium sulfate.
Assessing DTRs does not address the possible
b. Assess for dyspnea
respiratory side ettects of using terbutaline. Since
and crackles.
terbutaline is a beta2-adrenergic agonist, it can lead to
hyperglycemia, not hypoglycemia. Beta2-adrenergic
agonist drugs cause tachycar-
, Lowdermilk 11th Ed. Chapter 32: Labor and Birth
Complications Review Practice Test.
dia, not bradycardia.
c. Assess for bradycardia.
DIF: Cognitive Level: Analyze REF: pp. 767-768
d. Assess for
hypoglycemia. TOP: Nursing Process: Assessment MSC: Client Needs:
Physio- logic Integrity
ANS: D
3. 3. In evaluating the
effective- ness of The therapeutic range for magnesium sulfate
magnesium sulfate for management is 4 to 7.5 mg/dl. A serum magnesium
the treatment of level of 10 mg/dl could lead to signs and symptoms of
preterm labor, which magnesium toxicity, including oliguria and respiratory
finding alerts the nurse distress. Urine output of 160 ml in 4 hours, DTRs of
to possible side ef- fects? 2+, and a RR of 16 breaths per minute are all normal
findings.
a. Urine output of 160 ml
in 4 hours DIF: Cognitive Level: Apply REF: p. 767 TOP: Nursing
Process: Evaluation
b. DTRs 2+ and no clonus
MSC: Client Needs: Physiologic Integrity
c. Respiratory rate (RR)
of 16 breaths per minute
d. Serum magnesium level
of 10 mg/dl
ANS: A
4. 4. A woman in preterm
labor at 30 weeks of
gestation re-
ceives two 12-mg intramuscu- Antenatal glucocorticoids administered as IM
injections to the
lar (IM) doses of is the purpose of this
betametha- sone. What pharmacologic interven- tion?
, Lowdermilk 11th Ed. Chapter 32: Labor and Birth
Complications Review Practice Test.
mother accelerate fetal lung maturity.
Propranolol (Inderal) is given to reduce
the ettects of ritodrine administration.
Be- tamethasone has no ettect on
uterine contractions. Calcium gluconate
is given to reverse the respiratory
depressive ettects of magnesium sulfate
therapy.
Complications Review Practice Test.
1. 1. In planning for home care ANS: C
of a woman with preterm la-
bor, which concern should the Prolonged bed rest may cause adverse ettects
such as weight
nurse need to address? loss, loss of appetite, muscle wasting, weakness, bone
deminer- alization, decreased cardiac output, risk for
a. Nursing assessments thrombophlebitis, alteration in bowel functions, sleep
are different from disturbance, and prolonged postpartum recovery.
those per- formed in Nursing assessments ditter somewhat from those
the hospital set- ting. performed in the acute care setting, but this concern does
not need to be addressed. Restricted activity and med-
ications may prevent preterm labor but not in all women.
In
b. Restricted activity and med- addition, the plan of care is individualized to meet
the needs
ications are necessary to of each client. Many women receive home health nurse
pre- vent a recurrence of visits, but care is individualized for each woman.
preterm labor.
DIF: Cognitive Level: Analyze REF: p. 777 TOP: Nursing
c. Prolonged bed rest may Process: Planning
cause negative
physiologic ef- fects. MSC: Client Needs: Health Promotion and Maintenance
d. Home health care
providers are necessary.
2. 2. Which nursing ANS: B
intervention is
paramount when Terbutaline is a beta2-adrenergic agonist that attects the
providing care to a client moth-
with preterm
labor who has received terbu- er's cardiopulmonary and metabolic systems.
Signs of car-
, Lowdermilk 11th Ed. Chapter 32: Labor and Birth
Complications Review Practice Test.
taline? diopulmonary decompensation include adventitious
breath sounds and dyspnea. An assessment for
a. Assess deep tendon dyspnea and crackles is important for the nurse to
reflex- es (DTRs). perform if the woman is taking mag- nesium sulfate.
Assessing DTRs does not address the possible
b. Assess for dyspnea
respiratory side ettects of using terbutaline. Since
and crackles.
terbutaline is a beta2-adrenergic agonist, it can lead to
hyperglycemia, not hypoglycemia. Beta2-adrenergic
agonist drugs cause tachycar-
, Lowdermilk 11th Ed. Chapter 32: Labor and Birth
Complications Review Practice Test.
dia, not bradycardia.
c. Assess for bradycardia.
DIF: Cognitive Level: Analyze REF: pp. 767-768
d. Assess for
hypoglycemia. TOP: Nursing Process: Assessment MSC: Client Needs:
Physio- logic Integrity
ANS: D
3. 3. In evaluating the
effective- ness of The therapeutic range for magnesium sulfate
magnesium sulfate for management is 4 to 7.5 mg/dl. A serum magnesium
the treatment of level of 10 mg/dl could lead to signs and symptoms of
preterm labor, which magnesium toxicity, including oliguria and respiratory
finding alerts the nurse distress. Urine output of 160 ml in 4 hours, DTRs of
to possible side ef- fects? 2+, and a RR of 16 breaths per minute are all normal
findings.
a. Urine output of 160 ml
in 4 hours DIF: Cognitive Level: Apply REF: p. 767 TOP: Nursing
Process: Evaluation
b. DTRs 2+ and no clonus
MSC: Client Needs: Physiologic Integrity
c. Respiratory rate (RR)
of 16 breaths per minute
d. Serum magnesium level
of 10 mg/dl
ANS: A
4. 4. A woman in preterm
labor at 30 weeks of
gestation re-
ceives two 12-mg intramuscu- Antenatal glucocorticoids administered as IM
injections to the
lar (IM) doses of is the purpose of this
betametha- sone. What pharmacologic interven- tion?
, Lowdermilk 11th Ed. Chapter 32: Labor and Birth
Complications Review Practice Test.
mother accelerate fetal lung maturity.
Propranolol (Inderal) is given to reduce
the ettects of ritodrine administration.
Be- tamethasone has no ettect on
uterine contractions. Calcium gluconate
is given to reverse the respiratory
depressive ettects of magnesium sulfate
therapy.
