Ob Chapter 33

Front 1

A woman at 26 weeks of gestation is being assessed to determine whether she is experiencing preterm labor. What finding indicates the preterm labor is occurring?
a) Estriol is not found in maternal saliva
b) Irregular, mild uterine contractions are occurring every 12 to 15 minutes
c) Fetal fibronectin is present in vaginal secretions
d) The cervix is effacing and dilated to 2 cm

Back 1

The cervix is effacing and dilated to 2 cm

Front 2

In planning for an expected cesarean birth for a woman who has given birth by cesarean previously and who has a fetus in the transverse presentation, the nurse includes which information?
a) Because this is a repeat procedure, you are at the lowest risk for complications
b) Even though this is your second cesarean birth, you may wish to review the preoperative and postoperative procedures
c) Because this is your second cesarean birth, you will recover faster
d) You will not need preoperative teaching because this is your second cesarean birth

Back 2

Even though this is your second cesarean birth, you may wish to review the preoperative and postoperative procedures

Front 3

For a woman at 42 weeks of gestation, which finding requires more assessment by the nruse?
a) Fetal heart rate of 116 beats/min
b) Cervix dilated 2cm and 50% effaced
c) Score of 8 on the biophysical profile
d) One fetal movement noted in 1 hour of assessment by the mother

Back 3

One fetal movement noted in 1 hour of assessment by the mother

Front 4

A pregnant woman's amniotic membranes rupture. Prolapsed cord is suspected. Which intervention is the nurse's top priority?
a) Place the woman in the knee-chest position
b) Cover the cord in a sterile towel saturated with warm normal saline
c) Prepare the woman for a cesarean birth
d) Start oxygen by face mask

Back 4

Place the woman in the knee-chest position

Front 5

A nurse is caring for a client whose labor is being augmented with oxytocin. The nurse recognizes that the oxytocin should be discontinued immediately if there is evidence of:
a) Uterine contractions occuring every 8 to 10 minutes
b) A fetal heart rate (FHR) of 180 with absence of variability
c) The client needing to void
d) Rupture of the clients amniotic membranes

Back 5

A fetal heart rate (FHR) of 180 with absence of variability

Front 6

With regard to the use of tocolytic therapy to suppress uterine actvity, nurses should be aware that:
a) The drugs can be given efficaciously up to the designated beginning of term at 37 weeks
b) There are no important maternal (as opposed to fetal) contraindications
c) Its most important function is to afford the opportunity to administer antenatal glucocorticoids
d) If the client develops pulmonary edem whil on tocolytics, IV fluids should be given

Back 6

Its most important function is to afford the opportunity to administer antenatal glucocorticoids

Front 7

With regards to dysfunctional labor, nurses should be aware that:
a) Women who are underweight are more at risk
b) Women experiencing precipitous labor are about the only dysfunctionals not to be exhausted
c) Hypertonic uterine dysfunction is more common than hypotonic dysfunction
d) Abnormal labor patterns are most common in older women

Back 7

Women experiencing precipitous labor are about the only dysfunctionals not to be exhausted

Front 8

A nurse providing care to a woman in labor should be aware that cesarean birth:
a) Is declining in frequency in the United States
b) Is more likely to be done for the poor in public hospitals who do not get the nurse counseling that wealthier clients do
c) Is performed primarily for the benefit of the fetus
d) Can be either elected or refused by women as their absolute legal right

Back 8

Is performed primarily for the benefit of the fetus

Front 9

Which statement is most likely to be associated with a breech presentation?
a) Least common malpresentation
b) Descent is rapid
c) Diagnosis by ultrasound only
d) High rate of neuromuscular disorders

Back 9

High rate of neuromuscular disorders