Deck 39: Intrapartum and Postpartum Care

Question 1

A nurse is teaching a client who is in her third trimester about signs of labor. Which of the following should the nurse mention? (Select all that apply.)

A) Mild, irregular contractions that come and go sporadically
B) Water breaking
C) Bloody show
D) Intense lower back pain
E) Cervical dilation

Answer 1

B, C, D, E

Question 2

By the end of the transition phase of Stage 1 labor, the client's cervix should be dilated how much?

A) 4 cm
B) 6 cm
C) 8 cm
D) 10 cm

Answer 2

D

Question 3

Delivery of the infant occurs in which stage of labor?

A) Stage 1
B) Stage 2
C) Stage 3
D) Stage 4

Answer 3

B

Question 4

A nurse is assisting with the labor and delivery of a client who is in Stage 1 of labor. Which interventions should the nurse expect to make during this stage? (Select all that apply.)

A) Coach the client on pushing
B) Perform an amniotomy
C) Monitor cervical progression
D) Clamp the umbilical cord
E) Assess fetal presentation

Question 5

A client has just entered Stage 3 of labor. What interventions should the nurse expect to make during this stage? (Select all that apply.)

A) Clamp the umbilical cord
B) Assist with delivery the placenta
C) Assist with delivery of the infant
D) Assess for hemorrhage
E) Monitor cervical progression

Question 6

A nurse is assisting a client who is in Stage 2 of labor. What interventions can the nurse take that will help prevent perineal trauma to the client? (Select all that apply.)

A) Place the client in the lithotomy position
B) Deliver the fetal head between contractions
C) Apply warm compresses to the perineum
D) Administer oxytocin
E) Apply counter pressure to slow the birth of the fetal head

Question 7

A nurse is caring for a postpartum client who experienced perineal lacerations during labor. What interventions should the nurse make related to this perineal trauma? (Select all that apply.)

A) Monitor the client's temperature every 4 hours
B) Encourage the client to take a sitz bath
C) Inspect the perineum for signs of hematoma
D) Perform a speculum and bimanual examination of the vagina
E) Apply ice to the perineum

Question 8

What percentage of all births in the United States in 2013 involved delivery by cesarean section?

A) 12.7%
B) 22.7%
C) 32.7%
D) 42.7%

Question 9

Precipitous labor is labor characterized by which of the following?

A) Contractions that provide insufficient pressure
B) Contractions that are frequent but uncoordinated
C) A duration of less than 3 hours
D) Fetal shoulders that are too large relative to the maternal pelvic inlet

Question 10

Which of the following is the optimal fetal presentation for vaginal delivery?

A) Complete breech
B) Frank breech
C) Vertex
D) Transverse lie

Question 11

A client in the final weeks of her third trimester is found to have a persistent breech presentation. She is adamant in her refusal to undergo a cesarean section. What nonsurgical option for turning the fetus to a vertex position should the nurse mention to the client?

A) Administration of oxytocin
B) External cephalic version
C) Application of counter pressure to the fetal head during delivery
D) Use of guided imagery

Question 12

Felicia has just delivered her baby, and the nurse is providing teaching regarding her lochia, which is currently heavy and bright red. The nurse should tell Felicia to expect this type of lochia for how long following the birth?

A) 2 to 3 days
B) 5 to 7 days
C) 10 to 14 days
D) 3 to 6 weeks

Question 13

Gigi, a client who recently gave birth to her first child, has noticed a pronounced gap that is visible between her abdominal muscles and asks her nurse about it. The nurse should explain that this condition is which of the following?

A) Placenta previa
B) Preeclampsia
C) Striae gravidarum
D) Diastasis recti

Question 14

Lana is a client who gave birth 6 weeks ago. She arrives at the office today complaining of persistent feelings of deep sadness, loss of appetite, insomnia, and feelings of worthlessness. While examining Lana, the nurse observes her demonstrating delusional behavior. Which condition should the nurse suspect most in Lana?

A) The baby blues
B) Postpartum depression
C) Postpartum psychosis
D) Postpartum anxiety

Question 15

A nurse is providing instructions to a new mother on how to ensure safe sleeping for her newborn son. Which of the following should the nurse mention to the client? (Select all that apply.)

A) Always put the baby to sleep on his stomach
B) Place a pillow under the baby's head and a blanket roll at his feet
C) Do not smoke in the house where the baby is living
D) Breastfeeding reduces a baby's risk of sudden infant death syndrome
E) Do not give the baby a pacifier when putting him down to sleep, as this increases the risk for sudden infant death syndrome