Obstetrical Nursing – Intrapartum – NCLEX Quiz 4

10 Questions | Total Attempts: 2002

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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 client is admitted to the birthing suite in early active labor. The priority nursing intervention on the admission of this client would be:
    • A. 

      Auscultating the fetal heart

    • B. 

      Taking an obstetric history

    • C. 

      Asking the client when she last ate

    • D. 

      Ascertaining whether the membranes were ruptured

  • 2. 
    A client who is gravida 1. para 0 is admitted in labor. Her cervix is 100% effaced. and she is dilated to 3 cm. Her fetus is at +1 station. The nurse is aware that the fetus’ head is:
    • A. 

      Not yet engaged

    • B. 

      Entering the pelvic inlet

    • C. 

      Below the ischial spines

    • D. 

      Visible at the vaginal opening

  • 3. 
    After doing Leopold’s maneuvers. the nurse determines that the fetus is in the ROP position. To best auscultate the fetal heart tones. the Doppler is placed:
    • A. 

      Above the umbilicus at the midline

    • B. 

      Above the umbilicus on the left side

    • C. 

      Below the umbilicus on the right side

    • D. 

      Below the umbilicus near the left groin

  • 4. 
    The physician asks the nurse the frequency of a laboring client’s contractions. The nurse assesses the client’s contractions by timing from the beginning of one contraction:
    • A. 

      Until the time it is completely over

    • B. 

      To the end of a second contraction

    • C. 

      To the beginning of the next contraction

    • D. 

      Until the time that the uterus becomes very firm

  • 5. 
    The nurse observes the client’s amniotic fluid and decides that it appears normal. because it is:
    • A. 

      Clear and dark amber in color

    • B. 

      Milky. greenish yellow. containing shreds of mucus

    • C. 

      Clear. almost colorless. and containing little white specks

    • D. 

      Cloudy. greenish-yellow. and containing little white specks

  • 6. 
    At 38 weeks gestation. a client is having late decelerations. The fetal pulse oximeter shows 75% to 85%. The nurse should:
    • A. 

      Discontinue the catheter. if the reading is not above 80%

    • B. 

      Discontinue the catheter. if the reading does not go below 30%

    • C. 

      Advance the catheter until the reading is above 90% and continue monitoring

    • D. 

      Reposition the catheter. recheck the reading. and if it is 55%. keep monitoring

  • 7. 
    When examining the fetal monitor strip after the rupture of the membranes in a laboring client. the nurse notes variable decelerations in the fetal heart rate. The nurse should:
    • A. 

      Stop the oxytocin infusion

    • B. 

      Change the client’s position

    • C. 

      Prepare for immediate delivery

    • D. 

      Take the client’s blood pressure

  • 8. 
    When monitoring the fetal heart rate of a client in labor. the nurse identifies an elevation of 15 beats above the baseline rate of 135 beats per minute lasting for 15 seconds. This should be documented as:
    • A. 

      An acceleration

    • B. 

      An early elevation

    • C. 

      A sonographic motion

    • D. 

      A tachycardic heart rate

  • 9. 
     A laboring client complains of low back pain. The nurse replies that this pain occurs most when the position of the fetus is:
    • A. 

      Breech

    • B. 

      Transverse

    • C. 

      Occiput anterior

    • D. 

      Occiput posterior

  • 10. 
    The breathing technique that the mother should be instructed to use as the fetus’ head is crowning is:
    • A. 

      Blowing

    • B. 

      Slow chest

    • C. 

      Shallow

    • D. 

      Accelerated-decelerated