Chapter 9: Nursing Assessment During Labor

Chapter 9: Nursing Assessment During Labor

 

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 reviews the charts of patients who have expressed an interest in home birth and recommends which patient as a potential candidate?

1)	A woman whose 1-year-old child was born via Cesarean section
2)	A primipara with a history of infertility
3)	A woman desiring an epidural for pain control
4)	A woman whose last child was stillborn

 

 

____     2.   A woman considering options for where to give birth asks the nurse if home birth is safe. Which is the nurse’s best response?

1)	“Home birth is safe if there are no complications for the mother or infant.”
2)	“Home delivery is an option you should talk with the physician about.”
3)	“Delivering at home is safe as long as there’s a hospital within a 5-minute drive.”
4)	“I would never consider delivering my baby at home because of the rate of poor outcomes.”

 

 

____     3.   Which statement by the nurse is most appropriate when a patient is reluctant to sign the consent for admission?

1)	“Signing this form gives us permission to take care of you.”
2)	“If you don’t sign this form, we cannot take care of you.”
3)	“Everyone admitted to the hospital needs to sign this form.”
4)	“It’s your choice whether to sign or not sign this form.”

 

 

____     4.   Upon admitting a laboring patient, the nurse collects maternal assessment for which purpose?

1)	To learn about the patient’s medication usage
2)	To learn about any complications during the pregnancy
3)	To establish a baseline of the patient’s condition
4)	To determine any cultural needs the patient may have

 

Answer Section

 

MULTIPLE CHOICE

 

1. ANS:  2

Chapter number and title: 9: Nursing Assessment During Labor

Chapter learning objective: Compare and contrast the advantages and disadvantages of a hospital birth, birthing center birth, and home birth.

Chapter page reference: 122

Heading: Home

Integrated processes: Clinical Problem-Solving Process

Client need: Safety and Infection Control

Cognitive level: Analysis [Analyzing]

Concept: Pregnancy

Difficulty: Moderate

 

	Feedback
1	A woman who delivered via Cesarean section a year ago is likely to require another Cesarean section and is not a candidate for home birth.
2	Infertility is not seen as high risk, and this woman may be a good candidate for home birth.
3	Medications for pain control are not available to women delivering at home, especially medications delivered via epidural, so this woman is not a candidate for home birth.
4	A woman whose last birth resulted in the complication of a stillborn infant is considered high risk and is not a candidate for home birth.

 

 

PTS:   1                    CON:  Pregnancy

 

2. ANS:  2

Chapter number and title: 9: Nursing Assessment During Labor

Chapter learning objective: Compare and contrast the advantages and disadvantages of a hospital birth, birthing center birth, and home birth.

Chapter page reference: 122

Heading: Home

Integrated processes: Communication and Documentation

Client need: Coordinated Care

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

	Feedback
1	This statement is accurate, but the woman needs guidance in determining if she is a good candidate for home birth and an assessment of risk factors.
2	This is the best response because the patient should discuss the safety of home delivery on the basis of her particular situation and condition.
3	Being within 5 minutes of a hospital does not improve the safety of delivery if complications occur, so this is not a good response.
4	What the nurse would do in this situation has no bearing on the patient’s choices, so this is not a good response.

 

 

PTS:   1                    CON:  Pregnancy

 

3. ANS:  1

Chapter number and title: 9: Nursing Assessment During Labor

Chapter learning objective: Summarize admission procedures in the labor and delivery unit.

Chapter page reference: 123

Heading: Admission to the Hospital or Birthing Center

Integrated processes: Communication and Documentation

Client need: Coordinated Care

Cognitive level: Application [Applying]

Concept: Pregnancy

Difficulty: Moderate

 

	Feedback
1	This is the best statement because it explains the reason why the form needs to be signed.
2	This statement could be interpreted as a threat and is not the best way of responding to the patient’s concern.
3	Telling the patient that everyone admitted needs to sign the form doesn’t explain the purpose of the form or address the patient’s concerns.
4	Although it is true that the patient can choose to sign the form or not, this statement makes it sound like it is optional when, in fact, care cannot be delivered unless the form is signed.

 

 

PTS:   1                    CON:  Pregnancy

 

4. ANS:  3

Chapter number and title: 9: Nursing Assessment During Labor

Chapter learning objective: Review the initial maternal assessment in the labor and delivery unit.

Chapter page reference: 123-124

Heading: Maternal Assessment

Integrated processes: Clinical Problem-Solving Process

Client need: Reduction of Risk Potential

Cognitive level: Comprehension [Understanding]

Concept: Pregnancy

Difficulty: Easy

 

	Feedback
1	Although medication use is one area to be explored, it does not explain the purpose of maternal assessment.
2	The nurse assesses for any complications that may have occurred during the pregnancy, but this is only one area to be assessed and does not explain the purpose of the full maternal assessment.
3	The maternal assessment gathers information to provide a baseline of the patient’s current condition, which helps to plan care.
4	Cultural needs are only one aspect of the maternal assessment, and this is not the entire purpose for collecting information.

 

 

PTS:   1                    CON:  Pregnancy