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Maternal and Child Nursing Care Study Set 1

Nursing

Quiz 22 :

Childbirth at Risk: Labor-Related Complications

Quiz 22 :

Childbirth at Risk: Labor-Related Complications

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After delivery it is determined that there is a placenta accreta.Which intervention should the nurse anticipate?
Free
Multiple Choice
Answer:

Answer:

D

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A fetal weight is estimated at 4490 grams in a gravida 1 at 38 weeks' gestation.Counseling should occur before labor regarding the:
Free
Multiple Choice
Answer:

Answer:

B

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A primigravida is admitted to the birth setting in early labor.She is 3 cm dilated,−2 station,with intact membranes and FHR of 150 bpm.Her membranes rupture spontaneously,and the FHR drops to 90 bpm with variable decelerations.The initial response from the nurse would be to:
Free
Multiple Choice
Answer:

Answer:

A

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A nurse is comparing advantages of using active management of labor (AMOL)with a less interventional approach.The nurse knows that the goal of AMOL is:
Multiple Choice
Answer:
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During labor,the patient at 4 cm suddenly becomes dyspneic,cyanotic,and hypotensive.The nurse must prepare immediately for: (Select all that apply):
Multiple Choice
Answer:
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On assessment,a labor patient is noted to have frothy sputum,a heart rate of 110,and a large amount of continuos vaginal bleeding.The nurse should suspect:
Multiple Choice
Answer:
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A multipara is having intense uterine contractions with little uterine relaxation between contractions.Vaginal examination reveals rapid cervical dilation and fetal descent.The nurse should:
Multiple Choice
Answer:
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A woman has been in labor for 16 hours.Her cervix is dilated to 3 cm and is 80% effaced.The fetal presenting part is not engaged.The nurse would suspect:
Multiple Choice
Answer:
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When the physician indicates a shoulder dystocia during the delivery of a macrosomic fetus,the nurse would assist by:
Multiple Choice
Answer:
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The maternal risks associated with postterm pregnancy include: (Select all that apply. )
Multiple Choice
Answer:
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During labor,the fetus was in a brow presentation,but after a prolonged labor,the fetus converted to face presentation,and was delivered vaginally with forceps assist.The nurse should explain to the parents that:
Multiple Choice
Answer:
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A couple requests to see their stillborn infant.The nurse should prepare the infant by: (Select all that apply. )
Multiple Choice
Answer:
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A pregnant client was in an automobile accident,and presents to the labor suite from the Emergency Department after she presented at the ED with a deep gash on her forearm from the crash.The client was not wearing a seat belt,and was speeding.She now seems highly agitated,is pacing continuously,and is talking very rapidly.The nurse should suspect that this client has what type of psychological disorder?
Multiple Choice
Answer:
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A woman has been having contractions since 4 a.m.At 8 a.m. ,her cervix is dilated to 5 cm.Contractions are frequent,and mild to moderate in intensity.Cephalopelvic disproportion (CPD)has been ruled out.After giving the mother some sedation so she can rest,the nurse would anticipate preparing for:
Multiple Choice
Answer:
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A client is in active labor.The nurse determines that the fetus's position is occiput posterior.Which nursing diagnosis will apply to this woman's care if the occiput posterior position becomes persistent?
Multiple Choice
Answer: