1
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OB atiii study guide Questions and
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A nurse is caring for a client who is to receive oxytocin to augment
her labor. Which of the following findings contraindicates the
initiation of the oxytocin infusion and should be reported to the
provider?
Late decelerations
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Moderate variability of the FHR
Cessation of uterine dilation
Prolonged active phase of labor [ ANS: ] ANS: Late decelerations
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- indicative of uteroplacental insufficiency. Therefore, this is a
contraindication for the administration of oxytocin and should be
reported to the provider.
Moderate variability of the FHR
- an expected assessment finding associated with normal fetal
acid-base balance. It is not a contraindication to the
administration of oxytocin.
Cessation of uterine dilation
- an indication for the initiation of an oxytocin infusion to augment
the client's labor progression.
Prolonged active phase of labor
- an indication for the initiation of an oxytocin infusion to augment
the client's labor progression.
, 2
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A nurse is caring for a patient that's 32 weeks gestation and has
gonorrhea. The nurse should identify that the client is at an
increased risk for which of the following complications?
Excessive bleeding
Oligohydramnios
Premature ROM
Proteinuria [ ANS: ] ANS: Premature rupture of membranes
- The nurse should identify that a client who is pregnant and has
gonorrhea is at an increased risk for premature rupture of
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membranes, chorioamnionitis, preterm birth, neonatal sepsis, and
intrauterine growth restriction.
Excessive bleeding
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- A client who is pregnant and has gonorrhea is not at an
increased risk for excessive bleeding.
Oligohydramnios
- A client who is pregnant and has gonorrhea is not at an
increased risk for oligohydramnios. Oligohydramnios is a decrease
in amniotic fluid and is associated with congenital anomalies such
as renal agenesis and intrauterine growth restriction.
Proteinuria
- A client who is pregnant and has gonorrhea is not at an
increased risk for proteinuria. Proteinuria is associated with
preeclampsia.
Nurse is performing a vag exam on a patient who is in labor and
observes the umbilical cord protruding from the vagina. After
calling for assistance, which actions should the nurse take?
, 3
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-Insert two gloved fingers into the vagina and apply upward
pressure to the presenting part.
-Wrap the visible cord tightly with sterile, dry gauze.
-Apply oxygen to the client at 2 L/min via nasal cannula.
-Place the client in the lithotomy position and apply fundal
pressure. [ ANS: ] ANS: Insert two gloved fingers into the vagina
and apply upward pressure to the presenting part.
- The nurse should quickly apply gloves and insert two fingers into
the vagina toward the cervix, exerting upward pressure onto the
presenting part to relieve umbilical cord compression and
increase oxygenation to the fetus.
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Wrap the visible cord tightly with sterile, dry gauze.
- The nurse should wrap the visible cord with a loose sterile towel
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saturated with warm 0.9% sodium chloride solution, rather than
with sterile, dry gauze.
Apply oxygen to the client at 2 L/min via nasal cannula.
- The nurse should apply oxygen to the client at 8 to 10 L/min via
nonbreather mask.
Place the client in the lithotomy position and apply fundal
pressure.
- The nurse should place the client into a modified Sims position,
knee-chest position, or extreme Trendelenburg to attempt to
relieve the compression of the umbilical cord.
Nurse is teaching patient of 37 weeks gestation and has a
prescription for a nonstress test. Which instructions should the nurse
include?
-Test should take 10-15 min to complete
, 4
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-You will lay in supine position throughout the test
-You should not eat or drink for 2 hours before the test
-You should press the handheld button when you feel your baby
move [ ANS: ] ANS: "You should press the handheld button when
you feel your baby move."
- The nurse should instruct the client to press the handheld button
when the fetus moves. This action will mark the fetal monitor
tracing with the client's reports of fetal movement. This will assist in
the interpretation of the nonstress test to determine if it is reactive
or nonreactive.
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The test should take 10 to 15 minutes to complete."
- The nurse should instruct the client that the nonstress will take
approximately 20 to 30 min, but more time might be required if the
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fetus is in a sleep state when the testing begins.
"You will lay in a supine position throughout the test."
- The nurse should instruct the client to be positioned in a reclining
chair or semi-Fowler's position with a slight lateral tilt to ensure
optimal uterine perfusion.
"You should not eat or drink for 2 hours before the test."
- The client is not required to be NPO before or during the
procedure. The nurse can suggest the client drink orange juice to
increase her blood glucose level which will stimulate fetal
movements.
A charge nurse on a labor and delivery unit is teaching a newly
licensed nurse how to perform leopold maneuvers. Which images
indicates the first step of leopold maneuvers? [ ANS: ] ANS: 1st -
During this step, the nurse palpates the client's abdomen with the
palms to determine which fetal part is in the uterine fundus. This
For Expert help and assignment solutions, +254707240657
OB atiii study guide Questions and
Answers (100% Correct Answers) Already
Graded A+
A nurse is caring for a client who is to receive oxytocin to augment
her labor. Which of the following findings contraindicates the
initiation of the oxytocin infusion and should be reported to the
provider?
Late decelerations
© 2025 Assignment Expert
Moderate variability of the FHR
Cessation of uterine dilation
Prolonged active phase of labor [ ANS: ] ANS: Late decelerations
Guru01 - Stuvia
- indicative of uteroplacental insufficiency. Therefore, this is a
contraindication for the administration of oxytocin and should be
reported to the provider.
Moderate variability of the FHR
- an expected assessment finding associated with normal fetal
acid-base balance. It is not a contraindication to the
administration of oxytocin.
Cessation of uterine dilation
- an indication for the initiation of an oxytocin infusion to augment
the client's labor progression.
Prolonged active phase of labor
- an indication for the initiation of an oxytocin infusion to augment
the client's labor progression.
, 2
For Expert help and assignment solutions, +254707240657
A nurse is caring for a patient that's 32 weeks gestation and has
gonorrhea. The nurse should identify that the client is at an
increased risk for which of the following complications?
Excessive bleeding
Oligohydramnios
Premature ROM
Proteinuria [ ANS: ] ANS: Premature rupture of membranes
- The nurse should identify that a client who is pregnant and has
gonorrhea is at an increased risk for premature rupture of
© 2025 Assignment Expert
membranes, chorioamnionitis, preterm birth, neonatal sepsis, and
intrauterine growth restriction.
Excessive bleeding
Guru01 - Stuvia
- A client who is pregnant and has gonorrhea is not at an
increased risk for excessive bleeding.
Oligohydramnios
- A client who is pregnant and has gonorrhea is not at an
increased risk for oligohydramnios. Oligohydramnios is a decrease
in amniotic fluid and is associated with congenital anomalies such
as renal agenesis and intrauterine growth restriction.
Proteinuria
- A client who is pregnant and has gonorrhea is not at an
increased risk for proteinuria. Proteinuria is associated with
preeclampsia.
Nurse is performing a vag exam on a patient who is in labor and
observes the umbilical cord protruding from the vagina. After
calling for assistance, which actions should the nurse take?
, 3
For Expert help and assignment solutions, +254707240657
-Insert two gloved fingers into the vagina and apply upward
pressure to the presenting part.
-Wrap the visible cord tightly with sterile, dry gauze.
-Apply oxygen to the client at 2 L/min via nasal cannula.
-Place the client in the lithotomy position and apply fundal
pressure. [ ANS: ] ANS: Insert two gloved fingers into the vagina
and apply upward pressure to the presenting part.
- The nurse should quickly apply gloves and insert two fingers into
the vagina toward the cervix, exerting upward pressure onto the
presenting part to relieve umbilical cord compression and
increase oxygenation to the fetus.
© 2025 Assignment Expert
Wrap the visible cord tightly with sterile, dry gauze.
- The nurse should wrap the visible cord with a loose sterile towel
Guru01 - Stuvia
saturated with warm 0.9% sodium chloride solution, rather than
with sterile, dry gauze.
Apply oxygen to the client at 2 L/min via nasal cannula.
- The nurse should apply oxygen to the client at 8 to 10 L/min via
nonbreather mask.
Place the client in the lithotomy position and apply fundal
pressure.
- The nurse should place the client into a modified Sims position,
knee-chest position, or extreme Trendelenburg to attempt to
relieve the compression of the umbilical cord.
Nurse is teaching patient of 37 weeks gestation and has a
prescription for a nonstress test. Which instructions should the nurse
include?
-Test should take 10-15 min to complete
, 4
For Expert help and assignment solutions, +254707240657
-You will lay in supine position throughout the test
-You should not eat or drink for 2 hours before the test
-You should press the handheld button when you feel your baby
move [ ANS: ] ANS: "You should press the handheld button when
you feel your baby move."
- The nurse should instruct the client to press the handheld button
when the fetus moves. This action will mark the fetal monitor
tracing with the client's reports of fetal movement. This will assist in
the interpretation of the nonstress test to determine if it is reactive
or nonreactive.
© 2025 Assignment Expert
The test should take 10 to 15 minutes to complete."
- The nurse should instruct the client that the nonstress will take
approximately 20 to 30 min, but more time might be required if the
Guru01 - Stuvia
fetus is in a sleep state when the testing begins.
"You will lay in a supine position throughout the test."
- The nurse should instruct the client to be positioned in a reclining
chair or semi-Fowler's position with a slight lateral tilt to ensure
optimal uterine perfusion.
"You should not eat or drink for 2 hours before the test."
- The client is not required to be NPO before or during the
procedure. The nurse can suggest the client drink orange juice to
increase her blood glucose level which will stimulate fetal
movements.
A charge nurse on a labor and delivery unit is teaching a newly
licensed nurse how to perform leopold maneuvers. Which images
indicates the first step of leopold maneuvers? [ ANS: ] ANS: 1st -
During this step, the nurse palpates the client's abdomen with the
palms to determine which fetal part is in the uterine fundus. This
