Deck 19: The Family in Childbirth: Needs and Care

Question 1

Upon delivery of the newborn, the nursing intervention that most promotes parental attachment is:

A)Placing the newborn under the radiant warmer.
B)Placing the newborn on the maternal abdomen.
C)Allowing the mother a chance to rest immediately after delivery.
D)Taking the newborn to the nursery for the initial assessment.

Answer 1

Placing the newborn on the maternal abdomen.

Question 2

The laboring patient and her partner have arrived at the birthing unit. Which step of the admission process should be undertaken first?

A)The sterile vaginal exam
B)Welcoming the couple
C)Auscultation of the fetal heart rate
D)Checking for ruptured membranes

Answer 2

Welcoming the couple

Question 3

Five minutes after delivery, the neonate's body is pink with blue extremities. The heart rate is 150. The infant demonstrates a vigorous cry and good respiratory effort, and is actively moving. His elbows and hips are flexed, with his knees positioned up toward his abdomen. When the nurse flicks the soles of his feet, the neonate withdraws his leg. Which nursing interventions are appropriate?

A)Stimulation and resuscitative efforts
B)Oxygen via face mask and endotracheal suctioning
C)Rescue breathing and stimulation
D)Nasopharyngeal suctioning and blow-by oxygen

Answer 3

Nasopharyngeal suctioning and blow-by oxygen

Question 4

Breathing techniques used in labor provide which of the following?

A)A form of anesthesia
B)A source of relaxation
C)An increased ability to cope with contractions
D)A source of distraction

Question 5

The nurse encounters a woman giving birth at the local mall. What should the nurse do first?

A)Apply counterpressure to the perineum.
B)Ask a bystander for a dry piece of clothing.
C)Visualize the perineum.
D)Determine if the membranes have ruptured.

Question 6

An expectant father has been at the bedside of his laboring partner for more than 12 hours. An appropriate nursing intervention would be to:

A)Insist that he leave the room for at least the next hour.
B)Tell him he is not being as effective as he was and that he needs to let someone else take over.
C)Offer to remain with his partner while he takes a break.
D)Suggest that the patient's mother might be of more help.

Question 7

As compared with admission considerations for an adult woman in labor, the nurse's priority for an adolescent in labor would be:

A)Cultural background.
B)Plans for keeping the infant.
C)Support persons.
D)Developmental level.

Question 8

The patient presents to labor and delivery stating that her water broke two hours ago. Indicators of normal labor include:

A)Fetal heart rate of 130 with average variability.
B)Blood pressure of 130/80.
C)Maternal pulse of 160.
D)Protein of +1 in urine.
E)Odorless, clear fluid on underwear.

Question 9

One minute after delivery, the neonate's heart rate is 120 beats per minute. She demonstrates a vigorous cry and is actively moving. The infant resists the nurse's attempts to straighten her arm. When the nurse flicks the soles of her feet, the infant grimaces. Her body is pink and her extremities are blue. What APGAR score should the nurse assign to this infant?

A)9
B)8
C)7
D)6

Question 10

A young adolescent is transferred to the labor and delivery unit from the emergency department. The patient is in active labor but did not know that she was pregnant. The most important nursing action is to:

A)Determine who might be the father of the baby for paternity testing.
B)Ask the patient what kind of birthing experience she would like to have.
C)Assess blood pressure and check for proteinuria.
D)Obtain a Social Services referral to discuss adoption.

Question 11

The nurse is orienting a new graduate nurse to the labor and birth unit. Which statement indicates that teaching has been effective? "When a patient arrives in labor:

A)"A urine specimen is obtained by catheter to check for protein and ketones."
B)"She will be positioned supine to facilitate a normal blood pressure."
C)"Her prenatal record is reviewed for indications of domestic abuse."
D)"A vaginal exam is performed if delivery appears to be imminent."

Question 12

The neonatal nurse specialist is presenting a class to nursing students. When describing a proper method for preventing heat loss in the neonate, which statement should the neonatal nurse specialist include in his presentation?

A)"If the newborn is under a radiant-heated unit, he or she is dried, placed on a dry blanket, and left uncovered under the radiant heat."
B)"After delivery, the newborn is immediately placed in skin-to-skin contact with the mother."
C)"If a radiant-heated unit is used to keep the neonate warm, he or she is dried, wrapped in a dry blanket, and placed under the radiant heat."
D)"Immediately after delivery, the newborn is wrapped in a blanket and placed on the mother's chest."

Question 13

A healthy woman who is scheduled for elective cesarean birth is being admitted to the hospital. Her surgery is scheduled to begin in 4 hours. The woman asks for a sip of coffee with creamer. How should the nurse respond?

A)"Since you're having surgery today, you're not allowed to have anything to eat or drink."
B)"You can drink black coffee."
C)"You may have coffee with creamer."
D)"You're only allowed to drink water right now."