Test: Labor & Delivery Saunders NCLEX questions | Quizlet
7 Matching questions
1.
The nurse in a maternity unit is reviewing the clients'
records. Which client would the nurse identify as being at the
most risk for developing disseminated intravascular
coagulation?
1.
A primigravida...
1. The nurse in a maternity unit is reviewing the clients' A. 3
records. Which client would the nurse identify as being at the
In a pregnant client, disseminated intravascular coagulation
most risk for developing disseminated intravascular
coagulation? (DIC) is a condition in which the clotting cascade is activated,
resulting in the formation of clots in the microcirculation.
1. Dead fetus syndrome is considered a risk factor for DIC.
Severe preeclampsia is considered a risk factor for DIC; a
A primigravida with mild preeclampsia
mild case is not. Delivering a large newborn is not
2. considered a risk factor for DIC. Hemorrhage is a risk factor
A primigravida who delivered a 10-lb infant 3 hours ago for DIC; however, a loss of 500 mL is not considered
hemorrhage.
3.
A gravida II who has just been diagnosed with dead fetus B. 1
syndrome
Excessive fundal pressure, forceps delivery, violent bearing-
4. down efforts, tumultuous labor, and shoulder dystocia can
A gravida IV who delivered 8 hours ago and has lost 500 mL of place a client at risk for traumatic uterine rupture. Schultz
blood presentation is the expulsion of the placenta with the fetal
side presenting first and is not associated with uterine
rupture. Hypotonic contractions and weak bearing-down
2. The nurse is monitoring a client who is in the active
efforts do not add to the risk of rupture because they do not
stage of labor. The client has been experiencing contractions
add to the stress on the uterine wall.
that are short, irregular, and weak. The nurse documents that
the client is experiencing which type of labor dystocia?
C. 1
1.
Hypertonic uterine contractions are painful, occur frequently,
Hypotonic
and are uncoordinated. Management of hypertonic labor
depends on the cause. Relief of pain is the primary
2.
intervention to promote a normal labor pattern. An
Precipitous
amniotomy and oxytocin infusion are not treatment measures
for hypertonic contractions; however, these treatments may
3.
be used in clients with hypotonic dysfunction. A client with
Hypertonic
hypertonic uterine contractions would not be encouraged to
ambulate every 30 minutes, but would be encouraged to
4.
rest.
Preterm labor
D. 1
3. The nurse is caring for a client who is receiving
oxytocin (Pitocin) for induction of labor and notes a
Oxytocin stimulates uterine contractions and is used to
nonreassuring fetal heart rate (FHR) pattern on the fetal
induce labor. If uterine hypertonicity or a nonreassuring FHR
monitor. On the basis of this finding, the nurse should take
pattern occurs, the nurse needs to intervene to reduce
which action first?
uterine activity and increase fetal oxygenation. The oxytocin
infusion is stopped, the client is placed in a side-lying
1.
position, and oxygen by face mask at 8 to 10 L/min is
Stop the oxytocin infusion.
administered. The health care provider is notified. The nurse
would monitor the client's blood pressure and intake and
2.
output; however, the nurse would first stop the infusion.
Check the client's blood pressure.
3. E. 1
Check the client for bladder distention.
Hypotonic labor contractions are short, irregular, and weak
and usually occur during the active phase of labor.
4.
Hypertonic dystocia usually occurs during the latent phase
Place the client in a side-lying position.
of labor, and contractions are painful, frequent, and usually
uncoordinated. Precipitous labor is labor that lasts in its
4. The nurse is preparing to care for a client in labor. The
entirety for 3 hours or less. Preterm labor is the onset of
health care provider has prescribed an intravenous (IV) infusion
labor after 20 weeks of gestation and before the thirty-
of oxytocin (Pitocin). The nurse ensures that which intervention
seventh week of gestation.
is implemented before initiating the infusion?
F. 3
1.
An IV infusion of antibiotics
Butorphanol tartrate is an opioid analgesic that can
precipitate withdrawal symptoms in an opioid-dependent
2.
client. Therefore, it is contraindicated if the client has a
Placing the client on complete bed rest
history of opioid dependency. Fentanyl, morphine sulfate,
and meperidine are opioid analgesics but do not tend to
3.
precipitate withdrawal symptoms in opioid-dependent
Continuous electronic fetal monitoring
clients.
4.
Placing a code cart at the client's bedside G. 3
Oxytocin is a uterine stimulant used to induce labor.
5. The nurse in a labor room is assisting with the vaginal
Continuous electronic fetal monitoring should be
delivery of a newborn infant. The nurse should monitor the
implemented during an IV infusion of oxytocin. No data in
client closely for the risk of uterine rupture if which occurred?
the question indicate the need for complete bed rest or the
need for antibiotics. Placing a code cart at the bedside of a
1.
client receiving an oxytocin infusion is not necessary.
Forceps delivery
6. The nurse in a labor room is preparing to care for a
client with hypertonic uterine contractions. The nurse is told that
the client is experiencing uncoordinated contractions that are
erratic in their frequency, duration, and intensity. What is the
priority nursing action?
1.
Provide pain relief measures.
2.
Prepare the client for an amniotomy.
3.
Promote ambulation every 30 minutes.
4.
Monitor the oxytocin (Pitocin) infusion closely.
7. The nurse is preparing to administer an analgesic to a
client in labor. Which analgesic is contraindicated for a client
who has a history of opioid dependency?
1.
Fentanyl
2.
Morphine sulfate
3.
Butorphanol tartrate
4.
Meperidine hydrochloride (Demerol)
7 Multiple choice questions
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