Chapter 08: Nursing Care of Women with Complications During Labor and Birth

Chapter 08: Nursing Care of Women with Complications During Labor and Birth

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. What nursing assessment should be reported immediately after an amniotomy?

a.	Fetal heart rate is regular at 154 beats/min.
b.	Amniotic fluid is clear with flecks of vernix.
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 is associated with fetal compromise.

 

DIF:    Cognitive Level: Application           REF:   Page 176        OBJ:   3

TOP:   Obstetric Procedures—Amniotomy

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

2. A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to induce labor and begins to have contractions every 90 seconds. What is the  nurse’s initial action?

a.	Stop the oxytocin infusion.
b.	Continue the infusion and report the findings to the physician.
c.	Turn her on her left side and reassess the contractions.
d.	Administer oxygen by mask.

 

 

ANS:  A

Oxytocin is discontinued if signs of fetal compromise or excessive uterine contractions occur.

 

DIF:    Cognitive Level: Application           REF:   Page 177        OBJ:   3

TOP:   Obstetric Procedures—Induction of Labor

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity

 

3. What nursing care should be provided to a woman with a third-degree laceration immediately after delivery?

a.	Warm compresses to the perineum
b.	Cold pack to the perineum
c.	Warm sitz bath
d.	Elevation of hips to prevent edema

 

 

ANS:  B

Ice is applied to the perineum to reduce bruising and edema.

 

DIF:    Cognitive Level: Application           REF:   Page 180        OBJ:   3

TOP:   Obstetric Procedures—Lacerations

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Basic Care and Comfort

 

4. After several hours of labor, a nursing assessment reveals that a woman’s cervix is 5 cm dilated but contractions are becoming shorter and less frequent. What is this labor pattern considered?

a.	Normal
b.	Hypotonic
c.	Hypertonic
d.	False

 

 

ANS:  B

The woman with labor dysfunction related to decreased uterine muscle tone begins labor normally, but contractions diminish after the active phase.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 187, Box 8-2

OBJ:   5                    TOP:   Abnormal Labor

KEY:  Nursing Process Step: Data Collection

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

5. A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to 5 cm with membranes intact. What action by the physician will the nurse anticipate?

a.	Perform an amniotomy.
b.	Initiate tocolytic drugs.
c.	Order a sedative for the patient.
d.	Plan to do an emergency cesarean section.

 

 

ANS:  A

Medical treatment for hypotonic labor dysfunction includes an amniotomy as the first remedy if the membranes are intact.

 

DIF:    Cognitive Level: Comprehension     REF:   Page 176, 187

OBJ:   2 | 5                TOP:   Abnormal Labor

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity