High Risk Ob Test Questions and Answers Rated A
A nurse is counseling a preeclamptic client about b) oxytocin infusion solution
her diet. Which should the nurse encourage the c) disposable tongue blades
woman to do? d) padding for the side rails - ANSWER -d)
padding for the side rails
a. Restrict sodium intake
b. Increase intake of fluids
c. Eat a well-balanced diet The nurse is preparing a laboring client for
d. Avoid simple sugars - ANSWER -c. Eat a internal electronic fetal monitoring (EFM). Which
well-balanced diet finding requires nursing intervention?
a) The cervix is fully dilated.
A client in labor received an epidural for pain b) The client has not received anesthesia.
management. Before receiving the epidural, the c) The fetus is at 0 station.
client's blood pressure was 124/76 mm Hg. Ten d) The membranes are intact. - ANSWER -
minutes after receiving the epidural, the client's d) The membranes are intact.
blood pressure is 98/56 mm Hg, and the mother
is vomiting. Before calling the health care
provider (HCP), the nurse should: Internal EFM can be used only after the client's
membranes rupture, when the cervix is dilated at
a) decrease the IV fluid rate. least 2 cm and when the presenting part is at
b) perform a vaginal examination. least at -1 station
c) turn the client to her side.
d) catheterize the client. - ANSWER -c)
turn the client to her side. Following an epidural and placement of internal
monitors, a client's labor is augmented.
Contractions are lasting greater than 90 seconds
A multipara is admitted to the birthing room after and occurring every 1½ minutes. The uterine
her initial examination reveals her cervix to be at resting tone is greater than 20 mm Hg with an
8 cm, completely effaced (100%), and at 0 atypical fetal heart rate and pattern. Which action
station. Based on these findings, the nurse should the nurse take first?
should recognize that the client is in which phase
of labor? a) Notify the health care provider (HCP).
b) Turn the client to her left side.
a) Expulsive phase c) Turn off the oxytocin infusion.
b) Latent phase d) Increase the maintenance IV fluids. -
c) Active phase ANSWER -c) Turn off the oxytocin infusion.
d) Transitional phase - ANSWER -d)
Transitional phase
The client is experiencing uterine
hyperstimulation from the oxytocin. The first
When preparing the room for admission of a intervention should be to stop the oxytocin
multigravid client at 36 weeks' gestation infusion, which may be the cause of the long,
diagnosed with severe preeclampsia, which item frequent contractions, elevated resting tone, and
is most important for the nurse to obtain? abnormal fetal heart patterns. Only after turning
off the oxytocin should the nurse turn the client to
a) portable ultrasound machine her left side to better perfuse the mother and
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A nurse is counseling a preeclamptic client about b) oxytocin infusion solution
her diet. Which should the nurse encourage the c) disposable tongue blades
woman to do? d) padding for the side rails - ANSWER -d)
padding for the side rails
a. Restrict sodium intake
b. Increase intake of fluids
c. Eat a well-balanced diet The nurse is preparing a laboring client for
d. Avoid simple sugars - ANSWER -c. Eat a internal electronic fetal monitoring (EFM). Which
well-balanced diet finding requires nursing intervention?
a) The cervix is fully dilated.
A client in labor received an epidural for pain b) The client has not received anesthesia.
management. Before receiving the epidural, the c) The fetus is at 0 station.
client's blood pressure was 124/76 mm Hg. Ten d) The membranes are intact. - ANSWER -
minutes after receiving the epidural, the client's d) The membranes are intact.
blood pressure is 98/56 mm Hg, and the mother
is vomiting. Before calling the health care
provider (HCP), the nurse should: Internal EFM can be used only after the client's
membranes rupture, when the cervix is dilated at
a) decrease the IV fluid rate. least 2 cm and when the presenting part is at
b) perform a vaginal examination. least at -1 station
c) turn the client to her side.
d) catheterize the client. - ANSWER -c)
turn the client to her side. Following an epidural and placement of internal
monitors, a client's labor is augmented.
Contractions are lasting greater than 90 seconds
A multipara is admitted to the birthing room after and occurring every 1½ minutes. The uterine
her initial examination reveals her cervix to be at resting tone is greater than 20 mm Hg with an
8 cm, completely effaced (100%), and at 0 atypical fetal heart rate and pattern. Which action
station. Based on these findings, the nurse should the nurse take first?
should recognize that the client is in which phase
of labor? a) Notify the health care provider (HCP).
b) Turn the client to her left side.
a) Expulsive phase c) Turn off the oxytocin infusion.
b) Latent phase d) Increase the maintenance IV fluids. -
c) Active phase ANSWER -c) Turn off the oxytocin infusion.
d) Transitional phase - ANSWER -d)
Transitional phase
The client is experiencing uterine
hyperstimulation from the oxytocin. The first
When preparing the room for admission of a intervention should be to stop the oxytocin
multigravid client at 36 weeks' gestation infusion, which may be the cause of the long,
diagnosed with severe preeclampsia, which item frequent contractions, elevated resting tone, and
is most important for the nurse to obtain? abnormal fetal heart patterns. Only after turning
off the oxytocin should the nurse turn the client to
a) portable ultrasound machine her left side to better perfuse the mother and
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