Obstetrical Nursing – Intrapartum – NCLEX Quiz 2

10 Questions | Total Attempts: 2428

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Obstetrical Nursing  Intrapartum  NCLEX Quiz 2

All questions are shown, but the results will only be given after you’ve finished the quiz. You are given 1 minute per question, a total of 10 minutes in this quiz.


Questions and Answers
  • 1. 
     A nurse is reviewing the record of a client in the labor room and notes that the nurse midwife has documented that the fetus is at (-1) station. The nurse determines that the fetal presenting part is:
    • A. 

      1 cm above the ischial spine

    • B. 

      1 fingerbreadth below the symphysis pubis

    • C. 

      1 inch below the coccyx

    • D. 

      1 inch below the iliac crest

  • 2. 
     A pregnant client is admitted to the labor room. An assessment is performed. and the nurse notes that the client’s hemoglobin and hematocrit levels are low. indicating anemia. The nurse determines that the client is at risk for which of the following?
    • A. 

      A loud mouth

    • B. 

      Low self-esteem

    • C. 

      Hemorrhage

    • D. 

      Postpartum infections

  • 3. 
     A nurse assists in the vaginal delivery of a newborn infant. After the delivery. the nurse observes the umbilical cord lengthen and a spurt of blood from the vagina. The nurse documents these observations as signs of:
    • A. 

      Hematoma

    • B. 

      Placenta previa

    • C. 

      Uterine atony

    • D. 

      Placental separation

  • 4. 
     A client arrives at a birthing center in active labor. Her membranes are still intact. and the nurse-midwife prepares to perform an amniotomy. A nurse who is assisting the nurse-midwife explains to the client that after this procedure. she will most likely have:
    • A. 

      Less pressure on her cervix

    • B. 

      Increased efficiency of contractions

    • C. 

      Decreased number of contractions

    • D. 

      The need for increased maternal blood pressure monitoring

  • 5. 
     A nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if which of the following is noted on the external monitor tracing during a contraction?
    • A. 

      Early decelerations

    • B. 

      Variable decelerations

    • C. 

      Late decelerations

    • D. 

      Short-term variability

  • 6. 
     A nurse explains the purpose of effleurage to a client in early labor. The nurse tells the client that effleurage is:
    • A. 

      A form of biofeedback to enhance bearing down efforts during delivery

    • B. 

      Light stroking of the abdomen to facilitate relaxation during labor and provide tactile stimulation to the fetus

    • C. 

      The application of pressure to the sacrum to relieve a backache

    • D. 

      Performed to stimulate uterine activity by contracting a specific muscle group while other parts of the body rest

  • 7. 
     A nurse is caring for a client in the second stage of labor. The client is experiencing uterine contractions every 2 minutes and cries out in pain with each contraction. The nurse recognizes this behavior as:
    • A. 

      Exhaustion

    • B. 

      Fear of losing control

    • C. 

      Involuntary grunting

    • D. 

      Valsalva’s maneuver

  • 8. 
     A nurse is monitoring a client in labor who is receiving Pitocin and notes that the client is experiencing hypertonic uterine contractions. List in order of priority the actions that the nurse takes.
    • A. 

      Stop of Pitocin infusion

    • B. 

      Perform a vaginal examination

    • C. 

      Reposition the client

    • D. 

      Check the client’s blood pressure and heart rate

    • E. 

      Administer oxygen by face mask at 8 to 10 L/min

  • 9. 
    A nurse is assigned to care for a client with hypotonic uterine dysfunction and signs of a slowing labor. The nurse is reviewing the physician’s orders and would expect to note which of the following prescribed treatments for this condition?
    • A. 

      Medication that will provide sedation

    • B. 

      Increased hydration

    • C. 

      Oxytocin (Pitocin) infusion

    • D. 

      Administration of a tocolytic medication

  • 10. 
     A nurse in the labor room is preparing to care for a client with hypertonic uterine dysfunction. The nurse is told that the client is experiencing uncoordinated contractions that are erratic in their frequency. duration. and intensity. The priority nursing intervention would be to:
    • A. 

      Monitor the Pitocin infusion closely

    • B. 

      Provide pain relief measures

    • C. 

      Prepare the client for an amniotomy

    • D. 

      Promote ambulation every 30 minutes

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