Test Bank for Maternity Newborn and Women’s Health Nursing: A Case-Based Approach 2nd Edition
O’Meara
Transcutaneous electrical nerve stimulation (TENS) reduces pain by which of the following mechanisms -
ANSWER-Electrical impulses are created that interfere with nerve transmission.
Which intervention would be least effective in caring for a woman who is in the transition phase of labor
- ANSWER-encouraging the woman to ambulate
The nurse assesses a client in labor and finds that the fetal long axis is longitudinal to the maternal long
axis. How should the nurse document this finding - ANSWER-lie
A client arrives at a health care facility in the latent phase of the first stage of labor. Which intervention
should the nurse implement - ANSWER-Provide emotional and physical support.
A labor and delivery nurse knows that when assessing a woman's contraction pattern, it is important to
include which of the following? Select all that apply - ANSWER-• duration• intensity• frequency
The nurse is caring for a patient in labor whose fetus is in an occiput posterior position. Which
intervention should the nurse use to reduce this patient's discomfort - ANSWER-Massage the lower back.
A nurse is caring for a client who is in labor. For which fetal response should the nurse monitor -
ANSWER-decrease in circulation and perfusion to the fetus
A client has presented in the early phase of labor, experiencing abdominal pain and signs of growing
anxiety about the pain. Which pain management technique should the nurse prioritizeat this stage -
ANSWER-Practicing effleurage on the abdomen
The nurse is caring for a client whose fetus is noted to be in the position shown. For which fetal lie would
the nurse provide client teaching - ANSWER-Longitudinal
When teaching possible differences in labor between the first labor experience and all other labors,
which statement is most beneficial to assist a woman's psyche - ANSWER-"You had a successful labor and
vaginal delivery with your first pregnancy."
A nurse is conducting an in-service program for staff nurses working in the labor and birth unit. The
nurse is discussing ways to promote a positive birth outcome for the woman in labor. The nurse
determines that additional teaching is necessary when the group identifies which measure - ANSWER-
allowing the woman time to be alone
A woman is admitted to the labor and birthing suite. Vaginal examination reveals that the presenting
part is approximately 2 cm above the ischial spines. The nurse documents this finding as - ANSWER--2
station.
, A nursing instructor is teaching students about the labor and delivery process and recognizes a need for
further teaching when overhearing a student make which statement - ANSWER-"Anxiety can speed up
the labor process."
A laboring client is restless and moving frequently in the bed. She appears to be more uncomfortable
with the contractions but refuses pain medication when offered. The client's partner has left the room to
stretch his legs. Which response by the nurse is most helpful - ANSWER-Stand next to the client at the
side of the bed.
The nurse explains Leopold's maneuvers to a pregnant client. For which purposes are these maneuvers
performed? Select all that apply - ANSWER-determining the position of the fetus
determining the lie of the fetus
determining the presentation of the fetus
A pregnant client is admitted to a maternity clinic for birth. Which assessment finding indicates that the
client's fetus is in the transverse lie position - ANSWER-Long axis of fetus is perpendicular to that of
client.
Assessment of a pregnant woman reveals that the presenting part of the fetus is at the level of the
maternal ischial spines. The nurse documents this as which station - ANSWER-0
The nurse is monitoring a client in the first stage of labor. The nurse determines the client's uterine
contractions are effective and progressing well based on which finding - ANSWER-Dilation (dilatation) of
cervix
A gravida 1 client is admitted in the active phase of stage 1 labor with the fetus in the LOA position. The
nurse anticipates noting which finding when the membranes rupture - ANSWER-Clear to straw-colored
fluid
The nurse identifies from a client's prenatal record that she has a documented gynecoid pelvis. Upon the
client entering the labor and delivery department, which nursing action is best - ANSWER-Take no extra
measures; prepare for a standard labor.
The student nurse is preparing to assess the fetal heart rate (FHR). She has determined that the fetal
back is located toward the client's left side, the small parts toward the right side, and there is a vertex
(occiput) presentation. The nurse should initially begin auscultation of the fetal heart rate in the
mother's - ANSWER-left lower quadrant.
A woman's husband expresses concern about risk of paralysis from an epidural block being given to his
wife. Which would be the most appropriate response by the nurse - ANSWER-"The injection is given in
the space outside the spinal cord."
O’Meara
Transcutaneous electrical nerve stimulation (TENS) reduces pain by which of the following mechanisms -
ANSWER-Electrical impulses are created that interfere with nerve transmission.
Which intervention would be least effective in caring for a woman who is in the transition phase of labor
- ANSWER-encouraging the woman to ambulate
The nurse assesses a client in labor and finds that the fetal long axis is longitudinal to the maternal long
axis. How should the nurse document this finding - ANSWER-lie
A client arrives at a health care facility in the latent phase of the first stage of labor. Which intervention
should the nurse implement - ANSWER-Provide emotional and physical support.
A labor and delivery nurse knows that when assessing a woman's contraction pattern, it is important to
include which of the following? Select all that apply - ANSWER-• duration• intensity• frequency
The nurse is caring for a patient in labor whose fetus is in an occiput posterior position. Which
intervention should the nurse use to reduce this patient's discomfort - ANSWER-Massage the lower back.
A nurse is caring for a client who is in labor. For which fetal response should the nurse monitor -
ANSWER-decrease in circulation and perfusion to the fetus
A client has presented in the early phase of labor, experiencing abdominal pain and signs of growing
anxiety about the pain. Which pain management technique should the nurse prioritizeat this stage -
ANSWER-Practicing effleurage on the abdomen
The nurse is caring for a client whose fetus is noted to be in the position shown. For which fetal lie would
the nurse provide client teaching - ANSWER-Longitudinal
When teaching possible differences in labor between the first labor experience and all other labors,
which statement is most beneficial to assist a woman's psyche - ANSWER-"You had a successful labor and
vaginal delivery with your first pregnancy."
A nurse is conducting an in-service program for staff nurses working in the labor and birth unit. The
nurse is discussing ways to promote a positive birth outcome for the woman in labor. The nurse
determines that additional teaching is necessary when the group identifies which measure - ANSWER-
allowing the woman time to be alone
A woman is admitted to the labor and birthing suite. Vaginal examination reveals that the presenting
part is approximately 2 cm above the ischial spines. The nurse documents this finding as - ANSWER--2
station.
, A nursing instructor is teaching students about the labor and delivery process and recognizes a need for
further teaching when overhearing a student make which statement - ANSWER-"Anxiety can speed up
the labor process."
A laboring client is restless and moving frequently in the bed. She appears to be more uncomfortable
with the contractions but refuses pain medication when offered. The client's partner has left the room to
stretch his legs. Which response by the nurse is most helpful - ANSWER-Stand next to the client at the
side of the bed.
The nurse explains Leopold's maneuvers to a pregnant client. For which purposes are these maneuvers
performed? Select all that apply - ANSWER-determining the position of the fetus
determining the lie of the fetus
determining the presentation of the fetus
A pregnant client is admitted to a maternity clinic for birth. Which assessment finding indicates that the
client's fetus is in the transverse lie position - ANSWER-Long axis of fetus is perpendicular to that of
client.
Assessment of a pregnant woman reveals that the presenting part of the fetus is at the level of the
maternal ischial spines. The nurse documents this as which station - ANSWER-0
The nurse is monitoring a client in the first stage of labor. The nurse determines the client's uterine
contractions are effective and progressing well based on which finding - ANSWER-Dilation (dilatation) of
cervix
A gravida 1 client is admitted in the active phase of stage 1 labor with the fetus in the LOA position. The
nurse anticipates noting which finding when the membranes rupture - ANSWER-Clear to straw-colored
fluid
The nurse identifies from a client's prenatal record that she has a documented gynecoid pelvis. Upon the
client entering the labor and delivery department, which nursing action is best - ANSWER-Take no extra
measures; prepare for a standard labor.
The student nurse is preparing to assess the fetal heart rate (FHR). She has determined that the fetal
back is located toward the client's left side, the small parts toward the right side, and there is a vertex
(occiput) presentation. The nurse should initially begin auscultation of the fetal heart rate in the
mother's - ANSWER-left lower quadrant.
A woman's husband expresses concern about risk of paralysis from an epidural block being given to his
wife. Which would be the most appropriate response by the nurse - ANSWER-"The injection is given in
the space outside the spinal cord."
