Chapter 10: High-Risk Labor and Birth

Chapter 10: High-Risk Labor and Birth

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

Multiple Choice

1. During labor induction with oxytocin, the fetal heart rate baseline is in the 140s with moderate variability. Contraction frequency is assessed to be every 2 minutes with duration of 60 seconds, of moderate strength to palpation. Based on this assessment, the nurse should take which action?
2. Increase oxytocin infusion rate per physician’s protocol.
3. Stop oxytocin infusion immediately.
4. Maintain present oxytocin infusion rate and continue to assess.
5. Decrease oxytocin infusion rate by 2 mU/min and report to physician.

ANS: c

KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Analysis | Content Area: Maternity | Client Need: Pharmacological/Parenteral Therapies | Difficulty Level: Moderate

2. If the umbilical cord prolapses during labor, the nurse should immediately:
3. Type and cross-match blood for an emergency transfusion.
4. Await MD order for preparation for an emergency cesarean section.
5. Attempt to reposition the cord above the presenting part.
6. Apply manual pressure to the presenting part to relieve pressure on the cord.

ANS: d

KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Application | Content Area: Maternity | Client Need: Safe and Effective Care Environment | Difficulty Level: Moderate

3. Augmentation of labor:
4. Is part of the active management of labor instituted when the labor process is unsatisfactory and uterine contractions are inadequate
5. Relies on more invasive methods when oxytocin and amniotomy have failed
6. Is elective induction of labor
7. Is an operative vaginal delivery that uses vacuum cups

ANS: a

KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Knowledge | Content Area: Maternity | Client Need: Safe and Effective Care Environment | Difficulty Level: Easy

4. Your patient is a 28-year-old gravida 2 para 1 in active labor. She has been in labor for 12 hours. Upon further assessment, the nurse determines that she is experiencing a hypotonic labor pattern. Possible maternal and fetal implications from hypotonic labor patterns are:
5. Intrauterine infection and maternal exhaustion with fetal distress usually occurring early in labor.
6. Intrauterine infection and maternal exhaustion with fetal distress usually occurring late in labor.
7. Intrauterine infection and postpartum hemorrhage with fetal distress early in labor.
8. Intrauterine infection and ruptured uterus and fetal death.

ANS: b

KEY: Integrated Process: Clinical Problem Solving | Cognitive Level: Application | Content Area: Maternity | Client Need: Reduction of Risk Potential | Difficulty Level: Moderate