Obstetrics Questions
Explore questions in the Obstetrics category that you can ask Spark.E!
A multigravida client in labor is receiving oxytocin 4mu/minute to help promote an effective contraction pattern. The available solution is Lactacted Ringer's 1,000 mL with oxytocin 20 units. The nurse should program the infusion pump to deliver how many mL/hr?
The nurse is caring for a client whose fetus died in utero at 32 weeks gestation. After the fetus is delivered vaginally, the nurse implements routine fetal demise protocol and identification procedures. Which action is important for the nurse to take? A. Explain reasons consent for an infant autopsy is needed. B. Encourage the mother to hold and spend time with her baby. C. Determine if the mother desires a visit from her clergy. D. Create a memory box of baby's footprints and photographs.
A primigravida arrives at the observation unit of the maternity unit because she thinks she is in labor. The nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140 beats/minute and contractions are occurring irregularly every 10-15 minutes. Which assessment finding confirms to the nurse that the client is not in labor at this time? A. Contractions decrease with walking. B. 2+ pitting edema in lower extremities. C. Cervical dilations is 1cm. D. Membranes are intact.
At 0600 while admitting a woman for a scheduled repeat cesarean section, the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache. What action would the nurse take first? A. Ensure preoperative lab results are available. B. Inform the anesthesia care provider. C. Start prescribed IV with Lactated Ringer's. D. Contact the client's obstetrician.
24. Which of the following types of breech positions is correctly matched with its description? (Select all that apply.) 1) Complete breech: the hips are flexed and the knees are flexed. 2) Frank breech: the hips are flexed and the knees are extended. 3) Footling breech: one or both hips are extended and the foot presents. 4) Incomplete breech: one or both hips are extended and the foot presents. 5) Complete breech: the hips are extended and the knees are extended
10. A laboring patient's water breaks, and the umbilical cord protrudes from the vagina. The nurse immediately places the patient in the Trendelenburg position. Which of the seven Ps is most impacted? 1) Passage 2) Pain 1) Psyche 4) Position
9. A laboring patient woman with a history of sexual abuse is experiencing anxiety and flashbacks of previous abuse. Which of the seven Ps is impacting her labor? 1) Psyche 2) Pain 3) Powers 4) Position
A client who had her first baby 3 months ago & is breastfeeding her infant tells the nurse that she is currently using the same diaphragm that she used before becoming pregnant. Which information should the nurse provide this client? A. After ceasing breastfeeding, the diaphragm should be resized. B. Avoid intercourse during ovulation until the size of the diaphragm has been evaluated. C. If no more than 20 pounds was gained during pregnancy, the diaphragm is safe to use. D. Use an alternate form of contraceptive until a new diaphragm is obtained.
7. A patient is approaching 42 weeks' gestation and has been admitted for induction of labor. The patient tells the nurse that she does not want an induction and prefers to wait for labor to begin naturally. Which is the nurse's best response? 1) "Waiting for labor to begin naturally could result in the death of your baby." 2) "The longer you wait, the bigger the baby gets and the harder delivery will be." 3) "Complications for you and your baby increase after 42 weeks of gestation
5. The nurse is caring for a patient at 37 weeks' gestation who experienced premature rupture of membranes (PROM). Which assessment finding would indicate possible chorioamnionitis? 1) Temperature of 37°C 2) Presence of amniotic fluid 3) Elevated heart rate 4) Hypertension
4. A pregnant patient reports leakage of fluid, vaginal discharge, and pelvic pressure but no contractions. What action should the nurse perform to verify the presence of amniotic fluid? 1) Amniocentesis 2) Nitrazine paper test 3) Cervical examination 4) Ultrasound
11. The fetus of a laboring patient is found to be in a breech position prepares the patient for a cesarean section. The patient asks, "Can't I try to deliver vaginally?" Which is the nurse's best response? 1) "If the fetus has CPD, it could result in serious complications for " 2) "A fetus in the breech position causes labor to progress more slowly." 3) "We'll have to ta" 4) "When the fetus is breech, a cesarean section is the safest choice for you and the baby."
12. Which of the following is a factor associated with macrosomia? 1) Female fetus 2) Maternal weight loss 3) Gestational diabetes 4) Caucasian ethnicity of the mother
6. Which of the following is a fetal risk associated with post-term labor? 1) Perineal injury 2) Sudden infant death syndrome (SIDS) 3) Patent ductus arteriosus (PDA) 4) Meconium aspiration
3. Which of the following is a sign of magnesium sulfate toxicity? 1) Blood pressure of 140/80 2) GI upset 3) Respiratory rate of 12 4) Hyperactive deep tendon reflexes
How many weeks provides a better chance of viability
When are transvaginal Ultrasounds conducted
A NST is performed on G1, 30 week gestational patient with cervical dilation. The results are as follows: 2 accelerations peaking at least 10 beats per minute above base line and lasting 10 seconds. The nurse would interpret the NST as ?
Too little amniotic fluid (less than 500 mL or 50% reduction of the normal amount)
Correction of vestibule or vulva soft tissue abnormalities