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1. A nurse is assisting with an amniotomy for a client who is in active labor.
Which of the following actions should the nurse take?
a. Assess the fetal heart rate before and after the procedure
b. Monitor the client’s temperature every 4 hours after procedure
c. Medicate the client for pain 30 min prior to the procedure
d. Perform cervical assessments every 2 hr after the procedure
Rationale: A. The nurse should assess the fetal heart rate for the presence of
variable declarations or bradycardia, which can occur after rupturing of the
membranes if the umbilical cord has prolapsed. (Amniotomy is artificial
rupture of membranes).
2. An adolescent reports abdominal cramping due to dysmenorrhea. Which of
the following analgesics should the nurse expect the provider to prescribe?
a. Fentanyl
b. Acetaminophen and oxycodone
c. Acetaminophen and hydrocodone
d. Ibuprofen
Rationale: D To treat dysmenorrhea, provides prescribe NSAIDs such as
ibuprofen and naproxen. Providers also recommend exercise and dietary
changes such as reducing salt and sugar intake and following a low-fat,
vegetarian diet.
3. A nurse is caring for a client at 34 weeks’ gestation who presents with
vaginal bleeding. Which of the following assessments will indicate whether
the bleeding is caused by placenta previa or abruptio placenta?
a. Uterine tone
b. Fetal heart rate
c. Blood pressure
d. Amount of bleeding
Rationale: A. The uterus will be relaxed, soft, and painless if the bleeding is
caused by placenta previa. With abruptio placenta, the uterus will be firm
and board-like, the client will complain of pain.
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