Chapter 08: Nursing Care of Women with Complications During Labour and Birth
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Course
Introduction to Maternity and Pediatric Nursing
Institution
Introduction To Maternity And Pediatric Nursing
MULTIPLE CHOICE
1. A nurse is teaching a prenatal class about the indications for a caesarean birth. Which of the following would be an absolute indication for a caesarean birth?
a. Post-term labour
b. Preterm labour
c. Transverse lie
d. Gestational diabetes
ANS: C
A transverse li...
Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. A nurse is teaching a prenatal class about the indications for a caesarean birth. Which of
the following would be an absolute indication for a caesarean birth?
a. Post-term labour
b. Preterm labour
c. Transverse lie
d. Gestational diabetes
ANS: C
A transverse lie would be a reason for a caesarean birth. All the other options do not
require a caesarean unless there are complications during labour.
DIF: Cognitive Level: Comprehension REF: 197 OBJ: 2
TOP: Indications for Caesarean Birth KEY: Nursing Process Step: Data
Collection
2. The initial vaginal examination of a woman admitted to the labour unit reveals that the
cervix is dilated 9 cm. The panicked woman begs the nurse, “Please give me something.”
What is the most appropriate pain-relief intervention for a woman in precipitate labour?
a. Get an order for an intravenous opioid.
b. Notify the anesthesiologist for an epidural block.
c. Stay and breathe with her during contractions.
d. Tell her to bear with it because she is close to giving birth.
ANS: C
The nurse would stay with the woman experiencing precipitate labour and breathe
with her during contractions to help the woman focus and cope with each contraction.
DIF: Cognitive Level: Application REF: 207 OBJ: 3 | 5
, TOP: Abnormal Labour KEY: Nursing Process Step:
Implementation
3. A woman who is 33 weeks pregnant is admitted to the obstetric unit because her
membranes ruptured spontaneously. What complication should the nurse closely assess
for with this patient?
a. Chorioamnionitis
b. Hemorrhage
c. Hypotension
d. Amniotic fluid embolism
ANS: A
Infection of the amniotic sac, called chorioamnionitis, may cause prematurely
ruptured membranes, or it may be a consequence of rupture, because the barrier to the
uterine cavity is broken.
DIF: Cognitive Level: Application REF: 207 OBJ: 3 | 6 TOP:
Premature Rupture of Membranes KEY: Nursing Process Step: Data
Collection
4. What nursing assessment should be reported immediately after an amniotomy?
a. Fetal heart rate is 154 beats/minute.
b. Amniotic fluid is clear with flecks of pink.
c. Amniotic fluid is watery and pale green.
d. Maternal temperature is 37.8° C.
ANS: C
Amniotic fluid should be clear. Green fluid indicates the fetus has passed meconium,
which can be associated with fetal compromise.
DIF: Cognitive Level: Application REF: 193 OBJ: 3 TOP:
Obstetric Procedures—Amniotomy KEY: Nursing Process Step:
Implementation
5. The nurse is administering a prostaglandin synthesis inhibitor (indomethacin) to a
pregnant woman as tocolysis for preterm labour. The nurse would assess for which
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