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INTRAPARTUM QUIZ(MCN2) DIESTRO, SAM LOIS D.
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INTRAPARTUM QUIZ(MCN2)DIESTRO, SAM LOIS D.
DIESTRO, SAM LOIS D.
INTRAPARTUM QUIZ (MCN2)
1. A primigravid client at 39 weeks' gestation is admitted to the hospital for induction of labor. The primary health care
provider has prescribed prostaglandin E2 gel (Dinoprostone) for the client. Before administering prostaglandin E2
gel to the client, which of the following should the nurse do first?
a. Assess the frequency of uterine contractions.
b. Place the client in a side-lying position
c. Prepare the client for an amniotomy.
d. Determine whether the membranes have ruptured
2. The nurse is reviewing the health care provider’s (HCP’s) prescriptions for a client admitted for premature rupture
of the membranes. Gestational age of the fetus is determined to be 37 weeks. Which prescription should the nurse
question?
a. Administer ampicillin 1 g as an intravenous piggyback every 6 hours.
b. Monitor maternal vital signs frequently.
c. Monitor fetal heart rate continuously
d. Perform a vaginal examination every shift
3. The nurse has developed a plan of care for a client experiencing dystocia and includes several nursing actions in
the plan of care. What is the priority nursing action?
a. Changing the client’s position frequently
b. Keeping the significant other informed of the progress of the labor
c. Monitoring the fetal heart rate
d. Providing comfort measures
4. The primary health care provider determines that outlet forceps are needed to assist in the birth of a primigravid
client in active labor with a large-for-gestational-size fetus. The nurse reinforces the primary health care provider's
explanation for using forceps based on the understanding about which of the following concerning the location of
the fetal skull?
a. It has reached the level of the ischial spines
b. It is engaged past the inlet.
c. It is at +1 station.
d. It is visible at the perineal floor
5. Fetal distress is occurring with a laboring client. As the nurse prepares the client for a cesarean birth, what is
the most important nursing action?
a. Administer oxygen, 8 to 10 L/minute, via face mask
b. Slow the intravenous flow rate
,INTRAPARTUM QUIZ(MCN2)
DIESTRO, SAM LOIS D.
c. Continue the oxytocin (Pitocin) drip if infusing
d. Place the client in a high Fowler’s position
, INTRAPARTUM QUIZ(MCN2)
DIESTRO, SAM LOIS D.
6. The nurse in a labor room is performing a vaginal assessment on a pregnant client in labor. The nurse notes the
presence of the umbilical cord protruding from the vagina. What is the first nursing action with this finding?
a. Gently push the cord into the vagina
b. Call the delivery room to notify the staff that the client will be transported immediately.
c. Place the client in Trendelenburg’s position.
d. Find the closest telephone and page the health care provider stat.
7. The nurse is planning care for a postpartum client who had a vaginal delivery 2 hours ago. The client had a
midline episiotomy and has several hemorrhoids. What is the priority nursing consideration for this client?
a. Inadequate urinary output
b. Client pain level
c. Client perception of body changes
d. Potential for imbalanced body fluid volume
8. A nurse is preparing to assess the uterine fundus of a client in the immediate postpartum period. After locating the
fundus, the nurse notes that the uterus feels soft and boggy. Which nursing intervention would be most
appropriate?
a. Ask the client to turn on her left side
b. Push on the uterus to assist in expressing clots
c. Elevate the client’s legs
d. Massage the fundus until it is firm
9. The nurse is caring for four 1-day postpartum clients. Which client would require further nursing action?
a. The client with lochia that is red and has a foul-smelling odor
b. The client with a pulse rate of 60 beats/minute
c. The client with mild after pains
d. The client with colostrum discharge from both breasts
10. A pregnant woman at 39 weeks’ gestation arrives in the triage area of the birthing unit, stating she thinks her
“water broke.” What should the nurse do first
a. Perform Leopold’s maneuvers to rule out a breech presentation
b. Auscultate the fetal heart to determine fetal well-being.
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