Complications In Labor And Delivery: Question Preview (ID: 32809)

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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) Discontinue the IV fluid containing Pitocin (oxytocin)
b) Document the finding in the client’s medical record
c) Contact the doctor at once and reposition the client
d) Insert an internal fetal scalp electrode monitor

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 inserts a Foley catheter.
b) The nurse checks the urinary output every hour.
c) The nurse obtains an intravenous infusion pump from central supply.
d) The nurse administers an antiemetic prior to beginning the infusion.

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) Apply oxygen via mask
c) Insert a Foley catheter
d) Begin an IV of normal saline

Which action is contraindicated in the client with placenta previa?
a) Ambulating the client to the bathroom
b) Applying a fetal monitor
c) Performing a vaginal exam for dilation
d) Performing a urinary catheterization

The nurse is assessing the client two hours after delivery of a 9-pound infant. Which problem should receive priority?
a) Uterus displacement to the left side of the abdomen
b) Extreme thirst and complaints of pain in the perineum
c) Breast tenderness and dripping of colostrum from the nipples
d) Redness and edema of the perineum

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) Throbbing pain in the upper quadrant
c) Sudden, stabbing pain in the lower quadrant
d) Abdominal cramping

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) sudden rupture of membranes
b) emesis
c) Fever
d) vaginal bleeding

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) high in SES
b) Primigravida
c) prior molar gestation
d) age in 20s or 30s

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) Abruptio placentae
b) Placenta previa
c) A molar pregnancy
d) An ecoptic pregnanacy

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) bowel perforation
b) Pregnancy inducsed hypertension
c) Electrolyte imbalance
d) Miscarriage

Which of the following complications can be potentially life threatening and can occur in a client receiving a tocolytic agent?
a) diabetic ketoacidosis
b) hyperemesis gravidarum
c) sickle cell anemia
d) pulmonary edema

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