Reference no: EM133241464

1. The nurse records the labor patients last vaginal examination as 4 centimeters, 60%, and -1 with membranes intact. What should the nurse do next?

A) artificial rupture of the membranes

B) Have the patient bear down with each contraction

C) Assist with guided imagery to minimize pain

D) encourage the patient to ambulate

2. The cervix of a patient in labor is dilated 8 centimeters. She tells the nurse that she has a desire to push nd is becoming increasingly uncomfortable. She requests pain medication. How should the nurse respond?

A) Assist her out of bed to the bathroom

B) Administer the prescribed butorphanol

C) Help her to take deep breaths

D) Prepare the birthing bed for the delivery

3. A patient at term is ordered an amnioinfusion for a diagnosis of oligohydramnios. What should the nurse include in the teaching plan about the purpose of this procedure?

A) To lessen the chance of cord prolapse

B) To minimize the possibility of fetal metabolic alkalosis

C) To increase the fetal heart rate accelerations during a contraction

D) To decrease the frequency and severity of variable decelerations

4. A full term patient reports to the triage nurse that she is a G1, P0 and thinks that she is in labor. Her contractions are 8 minutes apart and started four hours ago. What should the nurse recommend?

A) Increase oral fluid intake

B) Come into the hospital

C) Have her take an enema

D) Encourage ambulation

5. The nurse is caring for a labor patient notes accelerations on the fetal monitor with fetal movement. Which nursing intervention would be most important?

A)Document this finding and continue to monitor the patient

B) Reposition the patient in anticipation of an umbilical cord compression

C) Prepare the patient for an amnioinfusion

D) Apply oxygen at 10 liters per face mask

6. The nurse is teaching a patient who is four days post vaginal delivery about self care at home. Which statement by the patient indicates the need for further teaching?

A) I cant wait to get home and start eating salads again!

B) I will keep this peri bottle right by the toilet so that I dont forget to use it

C) I will be sure to call my health care provider if I have any bright red vaginal bleeding.

D) I can strengthen my abdominal muscles by holding my urine for as long as I can hold it

7. During a physical in the prenatal clinic, the patients vaginal mucosa is observed to have a bluish discoloration. What is the most appropriate nursing action based on this assessment data?

A) Document it as a sexually transmitted infection

B) Prepare the patient for impending labor

C) Document it as a normal characteristic of pregnancy

D) Prepare the patient for an impending abortion

8. The nurse is planning a prenatal class about the changes that occur during pregnancy. Which change should the nurse include?

A) Decreased heart rate

B) Decreased risk of UTI

C) Decreased BP

D) Decreased glomerular filtration rate

7. A patient at seven weeks gestation tells a nurse in the prenatal clinic that she is sick every morning with nausea and vomiting and adds that she does not think she can tolerate it throughout her pregnancy. What recommendations should the nurse make to help alleviate the symptoms?

A) Drink cold fruit juices throughout the day

B) Eat high calorie, high fat foods throughout the day

C) Eat small, frequent meals throughout the day

D) Drink large amounts of fluids throughout the day

8. A pregnant patient presents to the labor and delivery unit at 5 centimeters dilated, with painful contractions, and has a tender, rigid uterus. What is the priority nursing intervention?

A) Insert an internal fetal scalp electrode

B)Prepare for an emergency C-section

C) Check the patient's cervix

D) Set up for an emergency vaginal delivery

9. Following confirmation on pregnancy, the patient has come into the clinic for her first prenatal visit. She reports having a 5 year old child who was born at 40 weeks gestation, a set of 3 year old triplets who were born at 34 weeks gestation, and a first trimester abortion when she was in college. On her medical record, the nurse would make which entry?

A) G4 P1114

B) G3 P1314

C) G3 P3112

D) G4 P4014

10. A patient at 37 weeks gestation is having an antenatal test that requires nipple stimulation. The monitor strip reveals a fetal heart rate baseline of 150 with three contractions in 10 minutes, no decelerations, and two accelerations. How does the nurse interpret these findings?

A) Positive non stress test

B) Negative non stress test

C) Positive contraction stress test

D) Negative contraction stress test