Question 1

What are the priority nursing assessments for a woman receiving tocolytic therapy with terbutaline? (Select all that apply.)

Accepted Answer

All assessments are important,but those most relevant to the medication include the fetal heart rate and maternal pulse,which tend to increase,and the maternal blood pressure,which tends to exhibit a wide pulse pressure.The other assessments are important but not related to this medication.

Question 2

A woman who is 32 weeks pregnant telephones the nurse at her obstetrician's office and complains of constant backache.She asks what pain reliever is safe for her to take.The best nursing response is

Accepted Answer

A prolonged backache is one of the subtle symptoms of preterm labor.Early intervention may prevent preterm birth.The woman should be assessed before trying any home care measures.

Question 3

A student nurse is preparing to administer a dose of betamethasone.What action by the student warrants intervention by the registered nurse?

Accepted Answer

Betamethasone is given in two IM injections with the appropriate needle.When the student begins to insert a dedicated line for administering it,the nurse intervenes to stop this incorrect action.Since this drug is a steroid,blood glucose readings can rise,so diabetic patients will have more frequent blood sugars.Pulmonary edema is uncommon,but the astute nurse (or student)will listen to lung sounds prior to administration for a baseline.

Question 4

The nurse should suspect uterine rupture if

Accepted Answer

A large rupture of the uterus will disrupt its ability to contract.Fetal tachycardia is a sign of hypoxia.Dyspnea and unusually quick labor are not signs of rupture.

Question 5

The nursing faculty explains to students on the labor and delivery unit that late preterm and term births are very different.What distinguishes the late preterm birth from a term birth? (Select all that apply.)

Accepted Answer

Late preterm and term deliveries are very different,with late preterm occurring between 34 and 36 completed weeks of gestation.Mortality for late preterm babies is three times higher than for term babies.Because infant appearance can be deceiving,very careful assessment are needed; the late preterm baby can appear as if he or she is full term.

Question 6

The nursing student observes a laboring woman doing lunges to the left side and asks for an explanation of this activity.What response by the nurse is best?

Accepted Answer

This action encourages rotation of the fetal head to the anterior position.It does relieve back labor,but this response does not explain why.It does not relieve cramping or open the pelvic inlet.

Question 7

A woman reports a sudden gush of fluid from her vagina and is worried about premature rupture of her membranes.What other causes of this does the nurse assess for? (Select all that apply.)

Accepted Answer

Urinary incontinence,loss of the mucous plug (leading to bloody show),and increased vaginal discharge can all be mistaken for PROM.Leaking amniotic fluid is an indication of PROM.

Question 8

The causes of preterm labor are not fully understood although many factors have been associated with early labor.These include (Select all that apply.)

Accepted Answer

A history of cone biopsies,smoking,and a short cervical length are all associated with early labor.Singleton pregnancy and higher level of education are not.

Question 9

The provider orders an infusion of magnesium sulfate to run at 4 g/hour.The pharmacy delivers a bag of 4 g magnesium sulfate in 250 mL.At what rate does the nurse set the pump? ___________________

Accepted Answer

The answer of The provider orders an infusion of magnesium...

Question 10

An hour after her membranes ruptured,a laboring woman has a temperature of 38.2° C (100.7° F).What action does the nurse perform first?

Accepted Answer

Fetal tachycardia is associated with maternal fever.While all options are reasonable,the nurse needs to assess fetal well-being first.

Quiz 27: The Woman with an Intrapartum Complication