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Complications In Labor And Delivery
Test Description: Complications
Instructions: Answer all questions to get your test result.
1) The laboring client is experiencing contractions every 2–3 minutes lasting 90 seconds. The client’s fetal heart rate is ranging from 130–140 beats per minute (BPM) with variability of 6p–10 beats per minute. Which action by the nurse is most appropri
A
Document the finding in the client’s medical record
B
Contact the doctor at once and reposition the client
C
Insert an internal fetal scalp electrode monitor
D
Discontinue the IV fluid containing Pitocin (oxytocin)
2) The client is scheduled for an oxytocin challenge exam using 10 units of oxytocin (Pitocin) in 1,000 mL of intravenous fluid. Which action by the nurse would ensure safe administration of oxytocin (Pitocin)?
A
The nurse obtains an intravenous infusion pump from central supply.
B
The nurse checks the urinary output every hour.
C
The nurse inserts a Foley catheter.
D
The nurse administers an antiemetic prior to beginning the infusion.
3) The client is admitted to the labor unit following spontaneous rupture of membranes. Upon assessment of the client’s condition, the nurse notes the fetal heart tones are 160–170 beats per minute. There is a dark green vaginal discharge, and the clien
A
Document the finding
B
Begin an IV of normal saline
C
Insert a Foley catheter
D
Apply oxygen via mask
4) Which action is contraindicated in the client with placenta previa?
A
Performing a urinary catheterization
B
Applying a fetal monitor
C
Ambulating the client to the bathroom
D
Performing a vaginal exam for dilation
5) The nurse is assessing the client two hours after delivery of a 9-pound infant. Which problem should receive priority?
A
Breast tenderness and dripping of colostrum from the nipples
B
Uterus displacement to the left side of the abdomen
C
Extreme thirst and complaints of pain in the perineum
D
Redness and edema of the perineum
6) The doctor suspects that the client has an ectopic pregnancy. Which symptom is consistent with a diagnosis of ectopic pregnancy?
A
Painless vaginal bleeding
B
Abdominal cramping
C
Sudden, stabbing pain in the lower quadrant
D
Throbbing pain in the upper quadrant
7) A woman who's 36 weeks pregnant comes into the labor delivery unit with mild contracts. Which of the following complications should the nurse watch out for when the client informs her that she has placenta prevue
A
emesis
B
vaginal bleeding
C
sudden rupture of membranes
D
Fever
8) A 21y.o. client has been diagnosed with hydatidiform mole. Which of the following factors is considered a risk factor for developing hydatidiform mole
A
Primigravida
B
prior molar gestation
C
age in 20s or 30s
D
high in SES
9) A client, 34 weeks pregnant, arrives at the ER with SEVERE abdominal pain, uterine tenderness and an increased uterine tone. The client denies vaginal bleeding. The external fetal monitor shows fetal distress with severe, variable decels. The client
A
An ecoptic pregnanacy
B
Placenta previa
C
A molar pregnancy
D
Abruptio placentae
10) a 21 y.o. client, 6 weeks pregnant, is diagnosed with hyperemesis gravidum. This excessive vomiting during pregnancy will often result in which of the following?
A
Pregnancy inducsed hypertension
B
Miscarriage
C
Electrolyte imbalance
D
bowel perforation
11) Which of the following complications can be potentially life threatening and can occur in a client receiving a tocolytic agent?
A
sickle cell anemia
B
diabetic ketoacidosis
C
hyperemesis gravidarum
D
pulmonary edema
*select an answer for all questions
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