Test Bank for Intrapartum- Questions and Correct Answers Latest Update 2025 (Already Passed)
A mother experiencing dystocia looks alarmed and asks, "What's going on? Why are you all poking and
prodding? Is my baby okay?" Based on the client's statement, the nurse understands that the client is
experiencing which of the following problem? - Answers anxiety and fear
A nurse is monitoring the status of a client in active labor. The nurse interprets that which finding is
consistent with dystocia? Select all that apply. - Answers Signs of fetal distress
High level of maternal anxiety
Failure of the fetus to descend
A client arrives at the birthing center in active labor. Her membranes are still intact and the nurse-
midwife performs an amniotomy. The nurse explains to the client that after this procedure, she will
likely have: - Answers increased efficiency of contractions
The nurse is assigned to assist with caring for a client who has been admitted to the labor unit. The
client is 9 cm dilated and is experiencing precipitous labor. A priority nursing action is to: - Answers keep
the client in a side lying position
A client becomes increasingly more anxious and hyperventilates during the transition phase of labor.
The nurse recognizes that the client needs: - Answers To regain her breathing pattern
A prenatal client with severe abdominal pain is admitted to the labor and birthing department. Which
data indicate to the nurse the presence of concealed bleeding? - Answers increase in fundal height
A nurse is caring for a client in labor. The nurse notes the presence of fetal bradycardia on the fetal
monitor and suspects that the umbilical cord is compressed. The nurse immediately places the client in
what position? - Answers with the lips elevated
A nurse is assisting in preparing to care for a client undergoing an induction of labor with an infusion of
oxytocin (Pitocin). The nurse includes which of the following in the plan of care? - Answers Maintain
continuous electronic fetal monitoring.
The advantages of using spinal anesthesia for delivery of a fetus include which of the following? Select
all that apply. - Answers Ease of administration
Absence of fetal hypoxia
Immediate onset of anesthesia
Blockade of sympathetic fibers
A client has just had surgery to deliver a nonviable fetus because of abruptio placentae. She has just
been told that she is developing disseminated intravascular coagulopathy. She begins to cry and
, screams, "God, just let me die now!" Which problem should direct care for this client? - Answers The
client feels hopeless about the situation.
A client delivers a viable male neonate who is given APGAR scores of 8 and 9 at 1 and 5 minutes. The
nurse determines the physical condition of the neonate to be: - Answers good
A nurse is caring for a client who was admitted to the maternity unit at 8:00 AM with contractions
occurring every 2 minutes, lasting 1½ minutes, and is dilated 4 cm with a cervical effacement of 60%. At
10:30 AM, the contractions cease. The client reports chest pain and manifests signs and symptoms of
shock. The nurse quickly plans care, suspecting which of the following? - Answers ruptured uterus
A nurse assists the nurse-midwife to examine the client. The midwife documents the following data:
cervix 80% effaced and 3 cm dilated, vertex presentation minus (−) 2 station, membranes ruptured. The
nurse anticipates that the midwife will prescribe which of the following activity for the client? - Answers
complete bedrest
A nurse is caring for a client following a precipitate delivery. In addition to fundal massage, the nurse
understands that which nursing action will promote the birth of the placenta? - Answers Putting the
baby to the mother's breast and letting the baby suck
A client tells the nurse her contractions are getting stronger and that she is getting tired. She appears
restless, asks the nurse not to leave her alone, and states, "I can't take it anymore." Considering the
client's behavior, the nurse suspects she is dilated: - Answers 8-10cm
A nurse is preparing a client for a cesarean delivery. A urinary catheter is to be inserted into the client's
bladder, and the client asks the nurse why this is necessary. The nurse appropriately replies by telling
the client that its primary purpose is to: - Answers Reduce the risk of injuring the bladder during the
surgery.
A nurse is caring for a client scheduled for a cesarean delivery. The nurse reviews the client's health
record, knowing that which finding needs to be further investigated before delivery? - Answers White
blood cell count of 35,000 mm3
In providing initial care to the newborn following delivery, the priority action of the nurse is to: -
Answers Turn the infant's head to the side.
A nurse in the delivery room is assisting with the delivery of a newborn. Which observation would
indicate that the placenta has separated from the uterine wall and is ready for delivery? - Answers
Changes in the shape of the uterus
At 5:00 AM a client is admitted to the maternity unit after experiencing 3 hours of labor at home. The
assessment determines that the fetal heart rate (FHR) is 140 beats per minute with the fetus at station 0
and strong contractions occurring every 3 minutes. It is now 7:00 AM with little progress, and the FHR is
decreasing. It is most appropriate for the nurse to anticipate the need to: - Answers Prepare the client
for a cesarean delivery.
A mother experiencing dystocia looks alarmed and asks, "What's going on? Why are you all poking and
prodding? Is my baby okay?" Based on the client's statement, the nurse understands that the client is
experiencing which of the following problem? - Answers anxiety and fear
A nurse is monitoring the status of a client in active labor. The nurse interprets that which finding is
consistent with dystocia? Select all that apply. - Answers Signs of fetal distress
High level of maternal anxiety
Failure of the fetus to descend
A client arrives at the birthing center in active labor. Her membranes are still intact and the nurse-
midwife performs an amniotomy. The nurse explains to the client that after this procedure, she will
likely have: - Answers increased efficiency of contractions
The nurse is assigned to assist with caring for a client who has been admitted to the labor unit. The
client is 9 cm dilated and is experiencing precipitous labor. A priority nursing action is to: - Answers keep
the client in a side lying position
A client becomes increasingly more anxious and hyperventilates during the transition phase of labor.
The nurse recognizes that the client needs: - Answers To regain her breathing pattern
A prenatal client with severe abdominal pain is admitted to the labor and birthing department. Which
data indicate to the nurse the presence of concealed bleeding? - Answers increase in fundal height
A nurse is caring for a client in labor. The nurse notes the presence of fetal bradycardia on the fetal
monitor and suspects that the umbilical cord is compressed. The nurse immediately places the client in
what position? - Answers with the lips elevated
A nurse is assisting in preparing to care for a client undergoing an induction of labor with an infusion of
oxytocin (Pitocin). The nurse includes which of the following in the plan of care? - Answers Maintain
continuous electronic fetal monitoring.
The advantages of using spinal anesthesia for delivery of a fetus include which of the following? Select
all that apply. - Answers Ease of administration
Absence of fetal hypoxia
Immediate onset of anesthesia
Blockade of sympathetic fibers
A client has just had surgery to deliver a nonviable fetus because of abruptio placentae. She has just
been told that she is developing disseminated intravascular coagulopathy. She begins to cry and
, screams, "God, just let me die now!" Which problem should direct care for this client? - Answers The
client feels hopeless about the situation.
A client delivers a viable male neonate who is given APGAR scores of 8 and 9 at 1 and 5 minutes. The
nurse determines the physical condition of the neonate to be: - Answers good
A nurse is caring for a client who was admitted to the maternity unit at 8:00 AM with contractions
occurring every 2 minutes, lasting 1½ minutes, and is dilated 4 cm with a cervical effacement of 60%. At
10:30 AM, the contractions cease. The client reports chest pain and manifests signs and symptoms of
shock. The nurse quickly plans care, suspecting which of the following? - Answers ruptured uterus
A nurse assists the nurse-midwife to examine the client. The midwife documents the following data:
cervix 80% effaced and 3 cm dilated, vertex presentation minus (−) 2 station, membranes ruptured. The
nurse anticipates that the midwife will prescribe which of the following activity for the client? - Answers
complete bedrest
A nurse is caring for a client following a precipitate delivery. In addition to fundal massage, the nurse
understands that which nursing action will promote the birth of the placenta? - Answers Putting the
baby to the mother's breast and letting the baby suck
A client tells the nurse her contractions are getting stronger and that she is getting tired. She appears
restless, asks the nurse not to leave her alone, and states, "I can't take it anymore." Considering the
client's behavior, the nurse suspects she is dilated: - Answers 8-10cm
A nurse is preparing a client for a cesarean delivery. A urinary catheter is to be inserted into the client's
bladder, and the client asks the nurse why this is necessary. The nurse appropriately replies by telling
the client that its primary purpose is to: - Answers Reduce the risk of injuring the bladder during the
surgery.
A nurse is caring for a client scheduled for a cesarean delivery. The nurse reviews the client's health
record, knowing that which finding needs to be further investigated before delivery? - Answers White
blood cell count of 35,000 mm3
In providing initial care to the newborn following delivery, the priority action of the nurse is to: -
Answers Turn the infant's head to the side.
A nurse in the delivery room is assisting with the delivery of a newborn. Which observation would
indicate that the placenta has separated from the uterine wall and is ready for delivery? - Answers
Changes in the shape of the uterus
At 5:00 AM a client is admitted to the maternity unit after experiencing 3 hours of labor at home. The
assessment determines that the fetal heart rate (FHR) is 140 beats per minute with the fetus at station 0
and strong contractions occurring every 3 minutes. It is now 7:00 AM with little progress, and the FHR is
decreasing. It is most appropriate for the nurse to anticipate the need to: - Answers Prepare the client
for a cesarean delivery.
