high risk labor and delivery NCLEX questions

high risk labor and delivery NCLEX questions 5.0 (1 review) Students also studied Terms in this set (14) Save STAT 330 - Chapter 9 33 terms dylmann15Preview NCLEX 127 terms ssutherland11Preview Vocab Quiz 1 15 terms kaylabayazitoglu Preview u.s stat 50 terms niki you are performing a contraction stress test on your postdates patient. you report the findings as positive to

the ordering practitioner when there are:

• no decelerations with 3 contractions in 10 minutes
• accelerations of the fetal heart rate with fetal

movement

• contractions lasting longer than 90 seconds
• late decelerations with more than 50% of contractions

d your postdates patient had a biophysical profile to assess fetal well being. which of the following values would indicate a healthy fetus?

• over 10
• 8-10
• 4-7
• 0-3

b you are consulting with the practitioner who is admitting a patient for labor induction for gestational diabetes. the practitioner states the patient's bishops score is favorable for labor induction. what score would you expect to be documented in the patient record?

• 0
• 3
• 5
• 9

d

after inserting misoprostol vaginally for cervical ripening, you perform which of the following interventions?

• position the patient supine with a wedge under her

right hip

• apply an internal fetal monitor for continuous FHR

monitoring

• encourage frequent ambulation to facilitate uterine

activity

• withhold oral fluids and administer IV fluids

a which of the following patients who presents in labor and delivery would be a candidate for induction of labor?

• transverse lie
• positive heroes lesion on labia
• PROM
• twin gestation

c the nurse turns off the oxytocin infusion after a period of tachysystole. which of the following outcomes indicates that the nurse's action was effective?

• intensity moderate
• frequency every 3 minutes
• duration 120 seconds
• attitude flexed

b your patient is experiencing preterm labor. to help mature the fetal lungs and decrease the likelihood that her baby will be born with RDS, you anticipate administering what medication?

• magnesium sulfate
• ritrosie
• betamethasone
• terbutaline

c while preparing your patient for an external version you provide information regarding the indication for

terbutaline administration:

• providing maternal analgesia
• inducing labor
• preventing hemorrhage
• achieving uterine relaxation

d

a woman, G3 P2002, is 6 cm dilated, the fetal monitor tracing shows receptive late decelerations. the woman's doctor informs her the baby must be delivered by cesarean section. the woman refuses to sign the informed consent. which of the following actions by the nurse is appropriate?

• strongly encourage the woman to sign the informed

consent

• prepare the woman for cesarean section
• inform the woman that the baby will likely die without

the surgery

• provide the woman with ongoing labor support

d you receive phone orders from the obstetrician who has instructed her 38 week's gestation patient to come to be evaluated for a possible placental abruption due to reported vaginal bleeding. what assessment findings would you anticipate when first evaluating this patient?

• abdomen soft to palpation
• uterine tenderness
• absence of abdominal pain
• painless, bright red vaginal bleeding

b a labor nurse is caring for a client, 30 weeks' gestation, who is symptomatic for a complete placenta previa.which of the following physicians orders should the nurse question?

• administer betamethasone 12 mg IM daily x 2
• maintain strict bedrest
• assess cervical dilation
• regulate IV

c immediately after a woman spontaneously ruptures her membranes, the nurse notes a loop of the umbilical cord protruding from the woman's vagina. which of the following actions should the nurse perform first?

• put the woman in the knew chest position
• administer oxygen by face mask
• assess the fetal heart rate
• notify the obstetrician of the findings

a

in reviewing your preeclamptic patient's lab values you

understand her elevated hematocrit value is due to:

• intravascular fluid moves to extracellular species due to

decrease in plasma colloid osmotic pressure

• being on fluid restriction results in decreased

intravascular fluid volume

• loss of normal vasodilation of the uterine arteries
• high intravascular flow rate damages the endothelium

which cause platelet aggregation a which of the following assessment findings in your preeclamptic patient with sever features would indicate the need to monitor your patient closely for HELLP syndrome?a