Labor & Delivery Practice Exam Questions and Verified Answers| 100% Correct| Grade A (New 2023/2024 Update)

Labor & Delivery Practice Exam Questions and Verified Answers| 100% Correct| Grade A (New 2023/2024 Update) QUESTION A client hospitalized for preterm labor tells the nurse her mother in law blames her for "overdoing it" and causing the preterm labor. Which of the following is the most appropriate response from the nurse? "Your mother in law was wrong. You didn't do anything to cause this." "Let's talk about how preterm labor occurs, so as to help you understand what causes it." "It is natural to blame one another when things become difficult." "Did you think that you did anything you shouldn't have?" Answer: "Let's talk about how preterm labor occurs, so as to help you understand what causes it." Explanation: The nurse needs to explore the client's feelings to assist her in understanding what happened and to disperse the blame she is feeling. The other responses do not explore feelings experienced by the client and may stop the dialogue with the nurse from continuing. QUESTION The nurse who is assessing the position, presentation, and lie of the fetus of a 9-month-pregnant woman performs which of the following actions? Answer: Leopold's maneuvers QUESTION A client in labor is attached to an electronic fetal monitor (EFM). Which finding by an EFM indicates adequate uteroplacental and fetal perfusion? Late decelerations Persistent fetal bradycardia Variable decelerations and sinusoidal pattern Fetal heart rate variability within 5 to 10 beats/minute Answer: Fetal heart rate variability within 5 to 10 beats/minute QUESTION A client in the first stage of labor enters the labor and delivery area. She seems anxious and tells the nurse that she hasn't attended childbirth education classes. Her partner, who accompanies her, is also unprepared for childbirth. Which nursing intervention would be most effective for the couple at this time? Teach the client and her partner about pain transmission. Teach the client progressive muscle relaxation. Instruct the partner on touch, massage, and breathing patterns. Use hypnosis on the client and her partner. Answer: Instruct the partner on touch, massage, and breathing patterns. QUESTION A client with intrauterine growth restriction is admitted to the labor and birth unit and started on an I.V. infusion of oxytocin. Which aspect of the client's care plan should the nurse revise? Monitoring vital signs, including assessment of fetal well-being, every 15 to 30 minutes Allowing the client to ambulate as tolerated Helping the client use breathing exercises to manage her contractions Carefully titrating the oxytocin based on the client's pattern of labor Answer: Allowing the client to ambulate as tolerated QUESTION Initial client assessment information includes: blood pressure 160/110 mm Hg, pulse 88 beats/minute, respiratory rate 22 breaths/minute, reflexes +3/+4 with 2 beat clonus. Urine specimen reveals +3 protein, negative sugar and ketones. Based on these findings, a nurse should expect the client to have which complaints? Headache, blurred vision, and facial and extremity swelling Abdominal pain, urinary frequency, and pedal edema Diaphoresis, nystagmus, and dizziness Lethargy, chest pain, and shortness of breath Answer: Headache, blurred vision, and facial and extremity swelling QUESTION A physician placed a direct fetal scalp electrode on the fetus. What information should a nurse include when documenting direct fetal scalp electrode placement? The maternal and fetal body movements identified by the direct fetal scalp electrode, time of fetal scalp electrode placement, and FHR Time of fetal scalp electrode placement, name of the physician who placed the electrode, and frequency of uterine contractions The name of the physician who applied the electrode, Doppler transducer placement, and FHR Time of fetal scalp electrode placement, name of the physician who applied the electrode, and the fetal heart rate (FHR) Answer: Time of fetal scalp electrode placement, name of the physician who applied the electrode, and