(WK 4 NR 327) Chapter 16:
Intrapartum Complications
Foundations of Maternal-Newborn
& Women's Health Nursing, 7th
Edition
Which pelvic shape is most conducive to vaginal labor and birth?
a.
Android
b.
Gynecoid
c.
Platypelloid
d.
Anthropoid
b
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Which action by the nurse prevents infection in the labor and birth
area?
a.
Using clean techniques for all procedures
b.
Keeping underpads and linens as dry as possible
c.
Cleaning secretions from the vaginal area by using a back to front
motion
d.
Performing vaginal examinations every hour while the patient is in
active labor
b
,A pregnant patient with premature rupture of membranes is at
higher risk for postpartum infection. Which assessment data
indicates a potential infection?
a.
Fetal heart rate, 150 beats/minute
b.
Maternal temperature, 37.2°C (99°F)
c.
Cloudy amniotic fluid, with strong odor
d.
Lowered maternal pulse and decreased respiratory rates
c.
A patient with polyhydramnios is admitted to a labor-birth-recovery-
postpartum (LDRP) suite. Her membranes rupture and the fluid is
clear and odorless; however, the fetal heart monitor indicates
bradycardia and variable decelerations. Which action should be
taken next?
a.
Perform Leopold maneuvers.
b.
Perform a vaginal examination.
c.
Apply warm saline soaks to the vagina.
d.
Place the patient in a high Fowler position.
b.
Which technique is least effective for the patient with persistent
occiput posterior position?
a.
Squatting
b.
Lying supine and relaxing
c.
Sitting or kneeling, leaning forward with support
d.
Rocking the pelvis back and forth while on hands and knees
, b.
Birth for the nulliparous patient with a fetus in a breech
presentation is usually
a.
cesarean birth.
b.
vaginal birth.
c.
vacuumed extraction.
d.
forceps-assisted birth.
a.
Which patient situation presents the greatest risk for the
occurrence of hypotonic dysfunction during labor?
a.
A primigravida who is 17 years old
b.
A 22-year-old multiparous patient with ruptured membranes
c.
A primigravida who has requested no analgesia during her labor
d.
A multiparous patient at 39 weeks of gestation who is expecting
twins
d.
( hypotonic dysfunction: the contractions are too frequent and there
is a high resting tone in the uterus and the contractions are
excessively painful)
Which factor is most likely to result in fetal hypoxia during a
dysfunctional labor?
a.
Incomplete uterine relaxation
b.
Maternal fatigue and exhaustion
c.
Maternal sedation with narcotics
d.
Administration of tocolytic drugs
a
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