Labor & Delivery Practice Exam Questions and Verified Answers| 100% Correct| Grade A (New 2023/2024 Update)
A client hospitalized for preterm labor tell... [Show More] s the nurse her mother in law blames her for
"overdoing it" and causing the preterm labor. Which of the following is the most appropriate
response from the nurse?
"Your mother in law was wrong. You didn't do anything to cause this." "Let's talk about how
preterm labor occurs, so as to help you understand what causes it." "It is natural to blame one
another when things become difficult." "Did you think that you did anything you shouldn't
have?"
Answer:
"Let's talk about how preterm labor occurs, so as to
help you understand what causes it."
Explanation:
The nurse needs to explore the client's feelings to assist her in understanding what happened and
to disperse the blame she is feeling. The other responses do not explore feelings experienced by
the client and may stop the dialogue with the nurse from continuing.
QUESTION
The nurse who is assessing the position, presentation, and lie of the fetus of a 9-month-pregnant
woman performs which of the following actions?
Answer:
Leopold's maneuvers
QUESTION
A client in labor is attached to an electronic fetal monitor (EFM). Which finding by an EFM
indicates adequate uteroplacental and fetal perfusion?
Late decelerations
Persistent fetal bradycardia
Variable decelerations and sinusoidal pattern
Fetal heart rate variability within 5 to 10 beats/minute
Answer:
Fetal heart rate variability within 5 to 10 beats/minute
QUESTION
A client in the first stage of labor enters the labor and delivery area. She seems anxious and tells
the nurse that she hasn't attended childbirth education classes. Her partner, who accompanies her,
is also unprepared for childbirth. Which nursing intervention would be most effective for the
couple at this time?
Teach the client and her partner about pain transmission.
Teach the client progressive muscle relaxation.
Instruct the partner on touch, massage, and breathing patterns.
Use hypnosis on the client and her partner.
Answer:
Instruct the partner on touch, massage, and breathing patterns.
QUESTION
A client with intrauterine growth restriction is admitted to the labor and birth unit and started on
an I.V. infusion of oxytocin. Which aspect of the client's care plan should the nurse revise?
Monitoring vital signs, including assessment of fetal well-being, every 15 to 30 minutes
Allowing the client to ambulate as tolerated
Helping the client use breathing exercises to manage her contractions
Carefully titrating the oxytocin based on the client's pattern of labor
Answer:
Allowing the client to ambulate as tolerated
QUESTION
Initial client assessment information includes: blood pressure 160/110 mm Hg, pulse 88
beats/minute, respiratory rate 22 breaths/minute, reflexes +3/+4 with 2 beat clonus. Urine
specimen reveals +3 protein, negative sugar and ketones. Based on these findings, a nurse should
expect the client to have which complaints?
Headache, blurred vision, and facial and extremity swelling
Abdominal pain, urinary frequency, and pedal edema
Diaphoresis, nystagmus, and dizziness
Lethargy, chest pain, and shortness of breath
Answer:
Headache, blurred vision, and facial and extremity swelling
QUESTION
A physician placed a direct fetal scalp electrode on the fetus. What information should a nurse [Show Less]
