PNU 133 PassPoint PrepU Intrapartum Exam Questions And Answers
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Course
PNU 135
Institution
PNU 135
The nurse-midwife determines that a client is in the second stage of labor and the presenting part is descending rapidly. What action should the nurse take to prevent complications? - ANS Encourage the client to practice breathing exercises to decrease the urge to push.
When caring for a...
PNU 133 PassPoint PrepU Intrapartum
Exam Questions And Answers
The nurse-midwife determines that a client is in the second stage of labor and the presenting
part is descending rapidly. What action should the nurse take to prevent complications? - ANS
Encourage the client to practice breathing exercises to decrease the urge to push.
When caring for a client in the first stage of labor, the nurse documents cervical dilation of 9 cm
and intense contractions lasting 45 to 60 seconds and occurring about every 2 minutes. Based
on these findings, the nurse should take which of the following actions? - ANS Notify the
obstetrician
The nurse places a client in labor in a supine position to obtain a good monitor tracing when
suddenly, the client becomes light-headed and diaphoretic. Which of the following should be the
nurse's first action? - ANS Reposition the client to her left side.
A nurse is caring for a client in labor. The external fetal monitor shows a pattern of variable
decelerations in the fetal heart rate (FHR). After notifying the registered nurse in charge, what
should the nurse do next? - ANS Change the client's position.
A nurse is caring for a primigravida client who is in labor. When does the nurse suspect the
client has progressed to the second stage of labor? - ANS Client has an uncontrollable
urge to bear down.
A pregnant client arrives at the health care facility, stating that her bed linens were wet when
she woke up this morning. She says no fluid is leaking but reports mild abdominal cramps and
lower back discomfort. Vaginal examination reveals cervical dilation of 3 cm, 100% effacement,
and positive ferning. Based on these findings, the nurse concludes that the client is in which
phase of the first stage of labor? - ANS Latent phase
The nurse is preparing to admit a client who came to the delivery area in the company of her
husband. The client states, "I am in labor and I attended the facility clinic for prenatal care."
Which question should the nurse ask her first? - ANS "What is your expected due date?"
Which care intervention is appropriate for the fourth stage of labor? - ANS Assessing lochia
and the location and consistency of the fundus
, The client and her partner are very distressed and state that they feel the nurse has been
negligent in providing care during labor. What is the nurse's best defense against an accusation
of negligence? - ANS The national standards of practice were met when providing care.
The family of a laboring client is distressed to discover that the on-call physician is a male. The
client's husband forbids the physician from providing care for his wife. What is the nurse's
beststrategy in which to provide care in labor and birth when confronted with a cultural conflict?
- ANS "I will make every effort to work with your cultural beliefs."
A nurse is caring for a client during the fourth stage of labor. Which intervention by the nurse
can prevent uterine atony? - ANS Massage the fundus.
Which of the following health conditions makes it necessary for the nurse to check blood
pressure frequently during labor? - ANS Preeclampsia
The nurse is caring for a woman receiving a lumbar epidural anesthetic block to control labor
pain. What should the nurse do to prevent hypotension? - ANS Ensure adequate I.V.
hydration according to the physician's order before the anesthetic is administered.
A nurse is caring for a client in active labor who is crying and asking for something for pain. Her
medical record shows that she does not tolerate prescribed opioid analgesics. Which of the
following nonpharmacologic interventions might be helpful to this client? - ANS Provide
back massage to the client.
A client with active genital herpes is admitted to the labor and birth unit during the first stage of
labor. Which plan of care does the nurse anticipate for this client? - ANS Prepare the client
and partner for a cesarean birth as soon as possible.
A client has progressed through the transition to the second stage of labor. The client says to
the nurse, "I have so much pressure down there, it feels like I have to go the bathroom." What is
the nurse's best response? - ANS Explain to the client that the feeling is normal during this
stage.
A client in the first stage of labor is being monitored with an external fetal monitor. The nurse
notes variable decelerations on the monitoring strip. Which action should the nurse take? - ANS
Reposition the client to left lateral position.
A client in labor is receiving magnesium sulfate as an intravenous infusion. Which medication
should the nurse ensure is at the bedside while the magnesium sulfate is being infused? - ANS
calcium gluconate
A pregnant client has a total hemoglobin level of 9 g/dL. The nurse understands that the client is
at greatest risk for which condition during the intrapartum period? - ANS fetal distress
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