Obstetrical Nursing – Intrapartum – NCLEX Quiz 6
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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.
- 1.A client is admitted to the L & D suite at 36 weeks’ gestation. She has a history of C-section and complains of severe abdominal pain that started less than 1 hour earlier. When the nurse palpates tetanic contractions. the client again complains of severe pain. After the client vomits. she states that the pain is better and then passes out. Which is the probable cause of her signs and symptoms?
- A.
Hysteria compounded by the flu
- B.
Placental abruption
- C.
Uterine rupture
- D.
Dysfunctional labor
- 2.Upon completion of a vaginal examination on a laboring woman. the nurse records 50%. 6 cm. -1. Which of the following is a correct interpretation of the data?
- A.
Fetal presenting part is 1 cm above the ischial spines
- B.
Effacement is 4 cm from completion
- C.
Dilation is 50% completed
- D.
Fetus has achieved passage through the ischial spines
- 3.Which of the following findings meets the criteria of a reassuring FHR pattern?
- A.
FHR does not change as a result of fetal activity
- B.
Average baseline rate ranges between 100 – 140 BPM
- C.
Mild late deceleration patterns occur with some contractions
- D.
Variability averages between 6 – 10 BPM
- 4.Late deceleration patterns are noted when assessing the monitor tracing of a woman whose labor is being induced with an infusion of Pitocin. The woman is in a side-lying position. and her vital signs are stable and fall within a normal range. Contractions are intense. last 90 seconds. and occur every 1 1/2 to 2 minutes. The nurse’s immediate action would be to:
- A.
Change the woman’s position
- B.
Stop the Pitocin
- C.
Elevate the woman’s legs
- D.
Administer oxygen via a tight mask at 8 to 10 liters/minute
- 5.The nurse should realize that the most common and potentially harmful maternal complication of epidural anesthesia would be:
- A.
Severe postpartum headache
- B.
Limited perception of bladder fullness
- C.
Increase in respiratory rate
- D.
Hypotension
- 6.Perineal care is an important infection control measure. When evaluating a postpartum woman’s perineal care technique. the nurse would recognize the need for further instruction if the woman:
- A.
Uses soap and warm water to wash the vulva and perineum
- B.
Washes from symphysis pubis back to episiotomy
- C.
Changes her perineal pad every 2 – 3 hours
- D.
Uses the peri bottle to rinse upward into her vagina
- 7.Which measure would be least effective in preventing postpartum hemorrhage?
- A.
Administer Methergine 0.2 mg every 6 hours for 4 doses as ordered
- B.
Encourage the woman to void every 2 hours
- C.
Massage the fundus every hour for the first 24 hours following birth
- D.
Teach the woman the importance of rest and nutrition to enhance healing
- 8.When making a visit to the home of a postpartum woman one week after birth. the nurse should recognize that the woman would characteristically:
- A.
Express a strong need to review events and her behavior during the process of labor and birth
- B.
Exhibit a reduced attention span. limiting readiness to learn
- C.
Vacillate between the desire to have her own nurturing needs met and the need to take charge of her own care and that of her newborn
- D.
Have reestablished her role as a spouse/partner
- 9.
- A.
Tell the woman she can rest after she feeds her baby
- B.
Recognize this as a behavior of the taking-hold stage
- C.
Record the behavior as ineffective maternal-newborn attachment
- D.
Take the baby back to the nursery. reassuring the woman that her rest is a priority at this time
- 10.Parents can facilitate the adjustment of their other children to a new baby by:
- A.
Having the children choose or make a gift to give to the new baby upon its arrival home
- B.
Emphasizing activities that keep the new baby and other children together
- C.
Having the mother carry the new baby into the home so she can show the other children the new baby
- D.
Reducing stress on other the by limiting their involvement in the care of the new baby
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