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Terms in this set (63)Which pregnant women are at risk for preterm premature rupture of membranes (PPROM)? A woman who is bearing twins A woman who is bearing twins Preterm labor is labor that begins after week ______ 20 Which medication would the nurse anticipate administering to promote fetal lung maturity? Magnesium
sulfate Betamethasone Which assessment can the nurse initiate to determine fetal well-being in utero? Amniotic sac assessment Electronic fetal monitoring Which patient cue would lead the nurse to suspect preterm labor in a patient rather than Braxton Hicks contractions? Contractions that occur during the evening Contractions that are perceived in the back and are intermittent When preterm premature rupture of membranes is confirmed, which
actions would the nurse implement? Educate the patient on the need for a cesarean section delivery. Prepare the patient for admission to labor and
delivery. Which risk factor identified by the nurse places the patient at risk for preterm labor (PTL)? Family history of cervical cancer Homelessness Which drugs would the nurse anticipate administering for tocolysis during preterm labor? Nifedipine Nifedipine The nurse administered magnesium sulfate to a woman experiencing preterm labor, following a health care provider prescription. Which assessment would concern the nurse? Urine output of 50 mL 10 respirations per minute A 36-week gestation patient presents with membranes grossly ruptured and is not contracting. Which diagnosis does the nurse anticipate? Preterm premature rupture of membranes
(PPROM) Preterm premature rupture of membranes (PPROM) Which intervention by the health care team will decrease the risk of infection for a patient with preterm premature rupture of membranes during labor, delivery, and the postpartum period? Avoiding frequent vaginal examinations to check for cervical dilation Avoiding frequent vaginal examinations to check for cervical dilation When administering nifedipine for tocolysis, it is important for the nurse to monitor for which serious side effect? Reflex tachycardia Reflex tachycardia Which initial nursing intervention would a nurse perform for a patient laboring without an epidural and experiencing prolonged labor and suspected maternal soft tissue dystocia? Asking the woman when her last bowel movement was Encouraging the woman to void frequently Which fetal factor can contribute to dysfunctional labor? Cardiac arrhythmia Size Which maternal and fetal risks would the nurse discuss with a patient who is experiencing prolonged labor? Preeclampsia Infection Which statement describes an umbilical cord prolapse? The umbilical cord ruptures, causing fetal hemorrhage. The umbilical cord passes between the fetal presenting part and the pelvis before birth. The nurse suspects cord prolapse after rupture of membranes and palpates a pulse with internal examination. Which nursing action is most appropriate? Manually elevate the presenting part vaginally to relieve pressure on the cord. Manually elevate the presenting part vaginally to relieve pressure on the cord. A laboring patient who ate breakfast 2 hours ago is undergoing an emergency cesarean section for umbilical cord prolapse. The nurse recognizes these cues and forms a hypothesis that the patient is at risk for which serious surgical complication? Anaphylaxis Aspiration pneumonia The nurse is manually elevating the presenting fetal part, after an umbilical cord prolapse, as the patient is transferred to the operating room. Which action would the nurse avoid to minimize patient risk? Assisting the mother into the hands-knees position Removing the hand to allow the fetal head to descend in the maternal pelvis A patient who experienced umbilical cord prolapse asks
the nurse why it happened. Which patient cue and obstetric intervention would the nurse say can contribute to umbilical cord prolapse? Cervical dilation greater than 5 cm Artificial rupture of membranes In which situation is there an increased likelihood for prolonged labor? The woman is a teen mother. The woman is nulliparous. A nurse caring for a patient immediately postpartum after a precipitate labor would monitor the patient for which possible postpartum complication related to her precipitate labor? Retained placenta Retained placenta Which measures should the nurse ensure are available and ready before a multiple gestation twin delivery? An operating room set up for vaginal and cesarean delivery An operating room set up for vaginal and cesarean delivery A G1/P0 gestational diabetic mother is undergoing induction of labor. She is in her 39th week of gestation, and she has been diagnosed with polyhydramnios. The nurse recognizes which patient cue as a risk factor for umbilical cord prolapse? Polyhydramnios Polyhydramnios A G5/P4 laboring patient with suspected fetal intrauterine growth restriction has just experienced spontaneous rupture of membranes. On examination, the nurse notes that the cervix is dilated 3 cm and is 70% effaced and that the fetal station is 0. Fetal heart tracing shows recurrent and severe variable decelerations. Which explanation is the most likely cause for this change in fetal heart rate? High fetal station Umbilical cord prolapse Which conditions are possible causes of dysfunctional labor? Psychological dysfunction and fear Psychological
dysfunction and fear A nurse caring for a patient experiencing maternal exhaustion who desires a natural labor would implement which intervention to promote normal labor progress and decrease fatigue? Limit intravenous fluids (IV) to prevent overhydration. Encourage the patient to take a warm shower or bath. A G4/P3 patient experiencing precipitate labor presents to the labor wing fully dilated and at +1 station stating that she feels a strong, involuntary urge to push. Which immediate intervention would the nurse take? Encourage the patient to push in a
side-lying position. Encourage the patient to push in a side-lying position. During an emergency cesarean section, which interventions can help minimize maternal risk? Eliminating surgical instrument counts to
expedite the procedure Administering antibiotics before skin incision A woman who is
at 36 weeks' gestation thinks she is experiencing labor. Which signs or symptoms would support the woman's suspicion? Headache Menstrual-like cramps Match the medications to their contraindications. 33 weeks' pregnancy 33 weeks' pregnancy - indomethacin When a preterm patient presents with a complaint of "feeling wet," which intervention would the nurse anticipate the obstetric provider
performing? Intermittent fetal monitoring Fern and pH tests A patient is a G2/P0 at 32 weeks pregnant and experiencing regular
contractions. She has a multifetal gestation pregnancy, a history of preterm birth, and has had recurrent bacterial vaginosis throughout the pregnancy. Her BMI is 22, she is 30 years' old, and she is a former smoker who quit two years ago. Of the data provided, which are risk factors for preterm labor? Age Multifetal
gestaation When evaluating a patient with suspected preterm premature rupture of membranes and preterm labor, the nurse recognizes which cues as signs of preterm labor? Dysuria and urinary frequency Pain and discomfort in the upper inner thighs When administering corticosteroids to a patient in preterm labor, which information is relevant to the nurse regarding the patient's history? The patient is 33 weeks' gestation. The patient has type 1 diabetes. A patient with prolonged labor has amniotic fluid with a greenish-yellow color and foul-smelling odor. Which initial nursing intervention is most appropriate? Monitor the patient's temperature. Monitor the patient's temperature. The health care provider announces that the patient is experiencing shoulder dystocia. Which nursing actions are appropriate? Call additional qualified health care providers to the bedside for assistance. Call additional qualified health care providers to the bedside for assistance. The nurse is caring for a patient who has just been prescribed intravenous (IV) oxytocin for the induction of labor. The nurse's subsequent assessments should address the risk for which complication of oxytocin use? Tachysystole Tachysystole Which Bishop score has a positive predictive value of a vaginal delivery? 3 9 Which factors are included in patient evaluation when considering induction of labor using the Bishop score? Fetal station Fetal station Which conditions are contraindications to induction of labor? Posterior placenta Placenta
previa The nurse is caring for a patient whose delivery was assisted by forceps. Which assessment finding would the nurse report to the health care provider immediately? Pain with defecation A hard, turgid area on the labia minora Which patient would the nurse anticipate needing an assisted delivery? A patient with a history of perineal laceration A patient who has been pushing for 3 hours with minimal fetal progress When caring for an infant after vacuum-assisted delivery, which would the nurse monitor for? Chignon Chignon Which order during labor augmentation would cause the nurse to question the health care provider? Administer oxytocin in lactated Ringer solution per protocol. Administer oxytocin in dextrose 10% per protocol. A G1/P0 patient arrives for elective induction of labor at 39 weeks and is 1 to 2 cm dilated and 50% effaced. The fetal station is −3 with a posterior and firm cervix. Which order is most appropriate based on this patient's Bishop score? Discharge to home with follow-up in 1 week at the office. Discharge to home with follow-up in 1 week at the office. While monitoring a patient receiving oxytocin for augmentation of labor, the nurse notes tachysystole with recurrent late decelerations and minimal variability on the electronic fetal monitor. Which actions are appropriate? Discontinue the oxytocin infusion. Discontinue the oxytocin infusion. A woman in labor has been having regular contractions but has remained 5 cm dilated for 5 hours, with a reassuring fetal heart rate. Which intervention may be necessary for this patient? Labor augmentation Labor augmentation The nurse is caring for a patient in the second stage of labor. Which patient condition is most likely to result in the need for an episiotomy? A patient with a history of
perineal laceration A patient whose fetus is experiencing shoulder dystocia The nurse is caring for a patient who had a forceps delivery that caused a perineal hematoma. Which nursing intervention is most appropriate? Administer
topical analgesic ointment as prescribed. Provide the patient with an ice pack and educate her about its use. The nurse is providing care for a patient
in labor, and the health care provider has just stated the patient's need for a forceps-assisted delivery. Which actions would the nurse's preparation include? Obtaining a urinary catheter Obtaining
a urinary catheter The nurse understands that the definition of preeclampsia includes diagnostic criteria of a blood pressure of ______ 140/90 Match the hypertensive disorder of pregnancy to the correct statement. Traditionally characterized by hypertension and proteinuria Traditionally characterized by hypertension and proteinuria - Preeclampsia Which change is associated with preeclampsia? Decreased renal perfusion Decreased renal perfusion The nurse understands there are both maternal and fetal consequences of
hypertensive disorders that affect pregnancy. Which consequences of hypertensive disorders can affect the fetus? Death Death A protein-to-creatinine ratio of _____ 0.3 Match the maternal body part to the preeclampsia sign or symptoms experienced. Scotoma Scotoma - Head Worsening preeclampsia may lead to HELLP syndrome. Which symptom of HELLP syndrome would the nurse recognize as the most common? Epigastric pain Epigastric pain Which common cause of inaccurate blood pressure readings would the nurse recognize when taking a patient's blood pressure? Placing the cuff below the level of the right atrium Placing the cuff below the level of the right atrium A patient on a magnesium sulfate infusion for seizure prophylaxis reports sudden shortness of breath and lethargy, and she is minimally responsive. Which intervention by the nurse is the most immediate? Increase
the rate of the magnesium sulfate infusion. Administer the emergency dose of calcium gluconate. Which sign indicates that a preeclamptic patient in the third trimester of pregnancy is experiencing a decline in her condition? The patient
reports epigastric pain. The patient reports epigastric pain. When caring for an unstable pregnant patient with preeclampsia with severe features, which data are relevant to the health care team? Absence of clonus
bilaterally Blood pressure 178/114 For which patient does the nurse know that cesarean delivery is relatively contraindicated? A patient with preeclampsia A patient with a confirmed absence of fetal heartbeat Sets with similar termsChapter 17 OB55 terms brooke_fries Maternal Child Nursing Care Chapter 16 Nursing Car…30 terms andreakayef Maternity Ch. 1718 terms KAMLucyFran chapter 19 nursing of the family during postpartum…48 terms Lorrin_K Sets found in the same folderSherpath questions - wk 598 terms Megan_Heagerty exam 4 ch 32 (2/2)95 terms aomartinezjoe2PLUS Sherpath wk 769 terms Megan_Heagerty Bleeding in Early and Late Pregnancy Sherpath18 terms agladu Other sets by this creatorMed-Surg 2: GI/GU54 terms Megan_Heagerty Med-Surg 2: liver chemistries and function tests8 terms Megan_Heagerty Med-Surg 2: ABG14 terms Megan_Heagerty Med-Surg 2: Respiratory38 terms Megan_Heagerty Other Quizlet setsIntroduction to the body chapter 165 terms waleska2004 Business Communication- Final Review47 terms emileehoward Dermatome, Meninges & Blood Supply20 terms jhnguy25 Chapter 8 Evolutionary Perspectives on Personality82 terms Bgarzona Which of the following are common reasons a cesarean delivery might be performed quizlet?The four main reasons for cesarean birth include history of previous cesarean birth, labor dystocia, non-reassuring fetal status, and fetal malpresentation.
Which conditions are indications for cesarean delivery?The most common indications for primary cesarean delivery include, in order of frequency, labor dystocia, abnormal or indeterminate (formerly, nonreassuring) fetal heart rate tracing, fetal malpresentation, multiple gestation, and suspected fetal macrosomia.
Which of the following is a contraindication to a trial of labor after cesarean delivery?Absolute contraindications for TOLAC include a classical, “T” or “J” hysterotomy, extensive transfundal surgery or any incision that extends through the active portion of the myometrium.
Which of the following are indications for cesarean section select all that apply?The most common indications for primary cesarean delivery include labor dystocia, abnormal or indeterminate fetal heart rate tracing, fetal malpresentation, multiple gestation, and suspected fetal macrosomia.
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For which patient does the nurse know that cesarean delivery is relatively contraindicated quizlet
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