Obstetrical Nursing – Intrapartum – NCLEX Quiz 3

10 Questions | Total Attempts: 1881

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Obstetrical Nursing Quizzes & Trivia

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 developing a plan of care for a client experiencing dystocia and includes several nursing interventions in the plan of care. The nurse prioritizes the plan of care and selects which of the following nursing interventions as the highest priority?
    • A. 

      Keeping the significant other informed of the progress of the labor

    • B. 

      Providing comfort measures

    • C. 

      Monitoring fetal heart rate

    • D. 

      Changing the client’s position frequently

  • 2. 
    A maternity nurse is preparing to care for a pregnant client in labor who will be delivering twins. The nurse monitors the fetal heart rates by placing the external fetal monitor:
    • A. 

      Over the fetus that is most anterior to the mother’s abdomen

    • B. 

      Over the fetus that is most posterior to the mother’s abdomen

    • C. 

      So that each fetal heart rate is monitored separately

    • D. 

      So that one fetus is monitored for a 15-minute period followed by a 15 minute fetal monitoring period for the second fetus

  • 3. 
    A nurse in the postpartum unit is caring for a client who has just delivered a newborn infant following a pregnancy with placenta previa. The nurse reviews the plan of care and prepares to monitor the client for which of the following risks associated with placenta previa?
    • A. 

      Disseminated intravascular coagulation

    • B. 

      Chronic hypertension

    • C. 

      Infection

    • D. 

      Hemorrhage

  • 4. 
    • A. 

      The umbilical cord shortens in length and changes in color

    • B. 

      A soft and boggy uterus

    • C. 

      Maternal complaints of severe uterine cramping

    • D. 

      Changes in the shape of the uterus

  • 5. 
    • A. 

      Place the client in Trendelenburg’s position

    • B. 

      Call the delivery room to notify the staff that the client will be transported immediately

    • C. 

      Gently push the cord into the vagina

    • D. 

      Find the closest telephone and stat page the physician

  • 6. 
    • A. 

      Swelling of the calf in one leg

    • B. 

      Prolonged clotting times

    • C. 

      Decreased platelet count

    • D. 

      Petechiae. oozing from injection sites. and hematuria

  • 7. 
    A nurse is assessing a pregnant client in the 2nd trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. Which of the following assessment findings would the nurse expect to note if this condition is present?
    • A. 

      Absence of abdominal pain

    • B. 

      A soft abdomen

    • C. 

      Uterine tenderness/pain

    • D. 

      Painless. bright red vaginal bleeding

  • 8. 
    A maternity nurse is preparing for the admission of a client in the 3rd trimester of pregnancy that is experiencing vaginal bleeding and has a suspected diagnosis of placenta previa. The nurse reviews the physician’s orders and would question which order?
    • A. 

      Prepare the client for an ultrasound

    • B. 

      Obtain equipment for external electronic fetal heart monitoring

    • C. 

      Obtain equipment for a manual pelvic examination

    • D. 

      Prepare to draw a Hgb and Hct blood sample

  • 9. 
    An ultrasound is performed on a client at term gestation that is experiencing moderate vaginal bleeding. The results of the ultrasound indicate that an abruptio placenta is present. Based on these findings. the nurse would prepare the client for:
    • A. 

      Complete bed rest for the remainder of the pregnancy

    • B. 

      Delivery of the fetus

    • C. 

      Strict monitoring of intake and output

    • D. 

      The need for weekly monitoring of coagulation studies until the time of delivery

  • 10. 
    A nurse in a labor room is assisting with the vaginal delivery of a newborn infant. The nurse would monitor the client closely for the risk of uterine rupture if which of the following occurred?
    • A. 

      Hypotonic contractions

    • B. 

      Forceps delivery

    • C. 

      Schultz delivery

    • D. 

      Weak bearing down efforts