Nursing 320 OB Prep-U: High-Risk Labor - 100 Latest Questions with Well-Explained Answers

Obstetrics is a critical field of nursing that demands acute knowledge and clinical precision, particularly in managing high-risk labor scenarios. Nurses and midwives must be well-versed in complications, interventions, and best practices to ensure maternal and fetal well-being. This article provides an extensive overview of Nursing 320 OB Prep-U high-risk labor questions, along with detailed explanations that will aid in exam preparation and clinical expertise.

The Importance of Mastering High-Risk Labor Questions

High-risk labor presents various challenges that require prompt recognition and intervention. Whether dealing with preeclampsia, gestational diabetes, fetal distress, or emergency cesarean sections, understanding the nuances of high-risk obstetrics is imperative. These questions help nurses refine their diagnostic acumen and enhance their problem-solving abilities.

For those preparing for certifications or exams, resources like Obstetrics questions and answers PDF, Obstetrics MCQ with answers, and Obstetrics and Gynecology questions and answers for nurses serve as invaluable tools.

Sample High-Risk Labor Questions with Well-Explained Answers

1. A 32-year-old primigravida at 40 weeks presents with severe headaches, blurred vision, and 170/110 mmHg blood pressure. What is the immediate nursing intervention?

Answer: The nurse should prioritize administering magnesium sulfate to prevent seizures, as these symptoms indicate severe preeclampsia. Continuous fetal monitoring and possible preparation for delivery are essential.

2. During labor, a patient’s fetal heart rate drops to 90 bpm and shows late decelerations. What should the nurse do first?

Answer: Reposition the mother laterally to improve placental perfusion. If unresolved, interventions include oxygen administration, IV fluid bolus, and discontinuation of oxytocin if in use.

3. A laboring patient presents with a prolapsed umbilical cord. What is the priority nursing action?

Answer: Manually elevate the presenting fetal part to relieve pressure from the cord and immediately prepare for an emergency cesarean section.

4. A G2P1 patient with a previous C-section is experiencing strong contractions and reports sudden, severe abdominal pain. What is the likely complication?

Answer: Uterine rupture. This is an obstetric emergency requiring immediate surgical intervention to prevent maternal and fetal morbidity.

5. A patient receiving oxytocin infusion for labor augmentation develops tachysystole (more than five contractions in 10 minutes). What is the appropriate response?

Answer: Discontinue oxytocin immediately, administer terbutaline if needed, and provide supportive care to reduce hyperstimulation.

Resources for Effective Exam Preparation

Preparation is crucial for mastering high-risk labor concepts. Utilizing Obstetrics questions and answers PDF nursing, Obstetrics and Gynaecology Question Bank PDF, and High risk labor and delivery NCLEX questions can significantly enhance knowledge retention. These resources provide varied question formats, including multiple-choice, short-answer, and case-based scenarios.

Benefits of Using a Question Bank:

• Comprehensive coverage of key obstetric topics

• Realistic case studies to strengthen clinical reasoning

• In-depth explanations for each question

• Updated guidelines aligning with current best practices

Midwifery and High-Risk Labor: Specialized Considerations

Midwifery professionals face unique challenges when handling high-risk labor. Midwifery questions and Answers PDF download is an excellent resource for those looking to refine their skills in natural labor support while recognizing complications requiring medical intervention.

Key areas of focus include:

• Active management of the third stage of labor

• Identifying signs of fetal distress

• Strategies for shoulder dystocia resolution

• Management of postpartum hemorrhage

• Indications for operative deliveries

Final Thoughts

Nurses and midwives play a pivotal role in managing high-risk labor. A strong grasp of Obstetrics MCQ with answers, Short answer questions Obstetrics & Gynaecology, and Obstetrics and Gynecology questions and Answers for nurses not only facilitates exam success but also enhances clinical competency.

By leveraging structured question banks and refining critical-thinking skills, healthcare professionals can optimize maternal and neonatal outcomes in complex labor scenarios. Continuous learning and practice are the keys to excellence in obstetric nursing.

Below are sample Questions and Answers:

A multigravid client at 34 weeks' gestation visits the hospital because she suspects that her water has broken. After testing the leaking fluid with
nitrazine paper, the nurse confirms that the client's membranes have ruptured when the paper turns which color?
a) white
b) red
c) yellow
d) blue
A nurse is caring for a client with mild active bleeding from placenta previa. Which assessment factor indicates that an emergency cesarean birth
may be necessary?
a) Maternal heart rate of 65 beats/minute
b) Fetal heart rate of 80 beats/minute
c) Increased maternal blood pressure of 150/90 mm Hg
d) Decreased amount of vaginal bleeding
A laboring client with preeclampsia is prescribed magnesium sulfate 2 g/h IV piggyback. The pharmacy sends the IV to the unit labeled
magnesium sulfate 20 g/500 ml normal saline  . To deliver the correct dose, the nurse should set the pump to deliver how many milliliters per
hour? Record your answer using a whole number.
50 mL/hour