OB NCLEX Exam 3 - Questions with Verified Answers & Rationales sh...

OB NCLEX Exam 3 (2025) | Comprehensive Practice Questions with Verified Answers & Rationales

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should the nurse be aware of?

• Preeclampsia is a condition of the first trimester;

eclampsia is a condition of the second and third trimesters.

• Preeclampsia results in decreased function in

such organs as the placenta, kidneys, liver, and brain.

• The causes of preeclampsia and eclampsia are

well documented.

• Severe preeclampsia is defined as preeclampsia

plus proteinuria.

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• "Even though this is your second cesarean birth, you may

wish to review the preoperative and postoperative

procedures." Even though the client has previously had this surgical procedure, the prudent nurse should provide client teaching at this time. Maternal and fetal risks are associated with every cesarean section. Physiologic and psychologic recovery from a cesarean section is multifactorial and 2 / 4

individual to each client each time. Preoperative teaching should always be performed regardless of whether the client has already had this procedure.

• Preeclampsia results in decreased function in such

organs as the placenta, kidneys, liver, and brain.

• Intense abdominal pain

Pain is absent with placenta previa and may be agonizing with abruptio placentae. Bleeding, uterine activity, and cramping may be present in varying degrees for both placental conditions.

• Women experiencing precipitous labor are about the

only women experiencing dysfunctional labor who are not exhausted.

Precipitous labor lasts less than 3 hours. Short women more than 30 pounds overweight are more at risk for dysfunctional labor. Hypotonic uterine dysfunction, in which the contractions become weaker, is more common.Abnormal labor patterns are more common in women younger than 20 years.

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Term

• Place the woman in the knee-chest position.

The woman is assisted into a position (e.g., modified Sims position, Trendelenburg position, or knee-chest position) in which gravity keeps the pressure of the presenting part off the cord.Relieving pressure on the cord is the nursing priority. The nurse may also use her gloved hand or two fingers to lift the presenting part off the cord. If the cord is protruding from the vagina it may be covered with a sterile towel soaked in saline. The nurse should administer O2 by facial mask at 8 to 10 L/min until delivery is complete. If the cervix is fully dilated, the nurse should prepare for immediate vaginal delivery. Cesarean birth is indicated only if cervical dilation is not complete.

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