Safe Maternity Pediatric Nursing By Care Palmer Coats
Safe Maternity Pediatric Nursing By Care Palmer Coats
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Chapter 11: Nursing Care of the Woman With Complications During Labor and Birth
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse admits a patient at 32 weeks’ gestation with a history of cervical cerclage to rule out preterm labor. Which finding is inconsistent with the patient’s history?
| 1) | Rupture of membranes |
| 2) | Signs of infection |
| 3) | Cervical dilation to 3 cm |
| 4) | Mild vaginal bleeding |
____ 2. A 28-year-old woman is a primipara who is pregnant with triplets, is at 18 weeks’ gestation, and is receiving regular prenatal care. The nurse identifies a risk for preterm labor related to which factor?
| 1) | The patient’s age |
| 2) | 18 weeks’ gestation |
| 3) | Multiple gestations |
| 4) | Previous obstetric history |
____ 3. The nurse questions an order to administer a tocolytic drug for which patient?
| 1) | The patient under age 18 |
| 2) | The patient with a history of multiple gestations |
| 3) | The patient who is 2 cm dilated |
| 4) | The patient with acute vaginal bleeding |
____ 4. The experienced nurse recognizes that a graduate nurse needs guidance in caring for a woman at 38 weeks’ gestation with premature rupture of membranes when the graduate nurse is seen preparing to do what?
| 1) | Fetal monitoring |
| 2) | Vital signs |
| 3) | Provide support and education |
| 4) | Conduct a cervical examination |
Answer Section
MULTIPLE CHOICE
Chapter number and title: 11: Nursing Care of the Woman With Complications During Labor and Birth
Chapter learning objective: Discuss the medical management and nursing care for the patient with an incompetent cervix.
Chapter page reference: 153
Heading: Care of the Woman With an Incompetent Cervix
Integrated processes: Clinical Problem-Solving Process
Client need: Physiological Adaptation
Cognitive level: Analysis [Analyzing]
Concept: Pregnancy
Difficulty: Easy
| Feedback | |
| 1 | Rupture of membranes is possible following a cervical cerclage. |
| 2 | Infection is not inconsistent with the patient’s history. |
| 3 | Cervical cerclage should not allow for cervical dilation, so the finding that the patient is 3 cm dilated is inconsistent with the patient’s history unless the cervical cerclage has been removed. |
| 4 | Mild vaginal bleeding is not inconsistent with the patient’s history. |
PTS: 1 CON: Pregnancy
Chapter number and title: 11: Nursing Care of the Woman With Complications During Labor and Birth
Chapter learning objective: Identify 10 risk factors associated with preterm labor.
Chapter page reference: 154
Heading: Care of the Woman at Risk of Preterm Labor
Integrated processes: Clinical Problem-Solving Process
Client need: Reduction of Risk Potential
Cognitive level: Analysis [Analyzing]
Concept: Pregnancy
Difficulty: Moderate
| Feedback | |
| 1 | Age younger than 17 and older than 35 is a risk for preterm labor, but this patient is 28 years old, so this is not a factor. |
| 2 | Gestational progress is not a factor in identifying the risk for preterm labor. |
| 3 | A woman carrying multiple gestations is at risk for preterm labor because of overdistention of the uterus. |
| 4 | Because this woman is a primipara, she has no previous obstetrical history, so this is not a factor related to risk for preterm labor. |
PTS: 1 CON: Pregnancy
Chapter number and title: 11: Nursing Care of the Woman With Complications During Labor and Birth
Chapter learning objective: Discuss nursing care and the common tocolytic medications used to manage preterm labor.
Chapter page reference: 156
Heading: Box 11-1 Contraindications for Use of Tocolytic Drugs
Integrated processes: Clinical Problem-Solving Process
Client need: Pharmacological Therapies
Cognitive level: Analysis [Analyzing]
Concept: Pregnancy
Difficulty: Difficult
| Feedback | |
| 1 | There is no contraindication to administering tocolytics to patients under age 18. |
| 2 | Multiple gestations often result in preterm labor, and tocolytics can be administered safely. |
| 3 | The patient who is 2 cm dilated may receive tocolytics safely to prevent further progression of labor. |
| 4 | Acute vaginal bleeding may be a sign of placental abruption, and the order for a tocolytic should be questioned until placental abruption has been ruled out. |
PTS: 1 CON: Pregnancy
Chapter number and title: 11: Nursing Care of the Woman With Complications During Labor and Birth
Chapter learning objective: Identify the major complication of premature rupture of membranes.
Chapter page reference: 157
Heading: Care of the Woman With Premature Rupture of Membranes
Integrated processes: Teaching and Learning
Client need: Reduction of Risk Potential
Cognitive level: Analysis [Analyzing]
Concept: Pregnancy
Difficulty: Difficult
| Feedback | |
| 1 | Performing fetal monitoring is appropriate and does not indicate the graduate nurse needs guidance. |
| 2 | Collecting vital signs at least every 4 hours is appropriate and does not indicate the graduate nurse needs guidance. |
| 3 | Providing support and education to both the patient and her support person is appropriate nursing care and does not indicate the need for guidance. |
| 4 | Conducting a cervical examination is contraindicated in the woman with premature rupture of membranes because of the risk of introducing infection and does indicate the need for guidance. |
PTS: 1 CON: Pregnancy
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