Nursing Care During Obstetric Procedures
\ Chapter 16: Nursing Care During Obstetric Procedures
MULTIPLE CHOICE
1. The nurse knows that a urinary catheter is added to the instrument table if a forceps-assisted bir
...
Nursing Care During Obstetric Procedures
\ Chapter 16: Nursing Care During Obstetric Procedures
MULTIPLE CHOICE
1. The nurse knows that a urinary catheter is added to the instrument table if a forceps-assisted birth is anticipated. The correct rationale for this intervention is that:
a. a sterile urine specimen is needed preoperatively.
b
. an empty bladder provides more room in the pelvis.
spontaneous release of urine might contaminate the
c. sterile field.
d a Foley catheter prevents the membranes from
. spontaneously rupturing.
2. After a forceps-assisted birth, the client is observed to have continuous bright red lochia but a firm fundus. Which other data would indicate the presence of a potential vaginal wall hematoma?
a. Lack of an episiotomy
b
. Mild, intermittent perineal pain
c. Lack of pain in the perineal area
d
. Edema and discoloration of the labia and perineum
3. The nurse is positioning the Foley catheter prior to a cesarean birth. Which position should the nurse use to place the catheter drainage tubing and catheter bag?
a. Place near the head of the table.
b
. Position on top of the patient’s leg.
c. Place at the foot and clamp during the cesarean section.
d Position at the foot of the surgeon under the sterile
. drapes.
4. Which condition is a contraindication for an amniotomy?
a. –2 station
b
. Breech presentation
c. Dilation less than 3 cm
d
. Right occiput posterior position
5. Which client status is an acceptable indication for serial oxytocin induction of labor?
a. Multiple fetuses
b
. Polyhydramnios
c. History of long labors
d
. Past 42 weeks of gestation
6. The nurse is explaining the technique of internal version to a group of nursing students. Which describes the technique of internal version?
Manipulation of the fetus from a breech to a cephalic
a. presentation before labor begins
b Manipulation of the fetus from a transverse lie to a
. longitudinal lie before cesarean birth
Manipulation of the second twin from an oblique lie to a
c. transverse lie before labor begins
d Manipulation of the second twin from a transverse lie to
. a breech presentation during vaginal birth
7. The greatest risk to the newborn after an elective cesarean birth is:
a. tachypnea because of maternal anesthesia.
b
. tachycardia because of maternal narcotics.
c. trauma because of manipulation during birth.
d
. prematurity because of miscalculation of gestation.
8. Which client is most at risk for a uterine rupture?
a. A gravida 4 who had a classic cesarean incision
b A gravida 5 who had two vaginal births and one cesarean
. birth
A gravida 3 who has had two low-segment transverse
c. cesarean births
d A gravida 2 who had a low-segment vertical incision for
. birth of a 10-lb infant
9. Before the health care provider performs an external version, the nurse should expect an order for a:
a. Foley catheter.
b
. tocolytic drug.
c. local anesthetic.
d
. contraction stress test (CST).
10. A maternal indication for the use of vacuum extraction is:
a. a wide pelvic outlet.
b
. maternal exhaustion.
c. a history of rapid deliveries.
d
. failure to progress past 0 station.
11. The priority nursing intervention following an amniotomy is to:
a. change the client’s gown.
b
. assess the fetal heart rate.
c. assess the color of the amniotic fluid.
d
. estimate the amount of amniotic fluid.
12. For which client should the oxytocin (Pitocin) infusion be discontinued immediately?
A client in transition with contractions every 2 minutes
a. lasting 90 seconds each
b A client in early labor with contractions every 5 minutes
. lasting 40 seconds each
A client in active labor with contractions every 3 minutes
c. lasting 60 seconds each
d A client in active labor with contractions every 2 to 3
. minutes lasting 70 to 80 seconds each
13. The priority nursing care associated with an oxytocin infusion is:
a. measuring urinary output.
b
. evaluating cervical dilation.
c. monitoring uterine response.
d
. increasing infusion rate every 30 minutes.
14. Which event indicates a complication of an external version?
a. Maternal pulse rate of 100 bpm
b
. Fetus returning to the original position
c. Increased maternal anxiety after the version
d
. Fetal bradycardia persisting 10 minutes after the version
15. Immediately following the forceps-assisted birth of an infant, which action should the nurse implement?
a. Assess the infant for signs of trauma.
b
. Apply a cold pack to the infant’s scalp.
c. Give the infant prophylactic antibiotics.
d
. Measure the circumference of the infant’s head.
16. Nursing care before a cesarean birth should include:
a. full perineal shave preparation.
b
. administering a clear oral antacid.
c. injection of narcotic preoperative medications.
d
. straight catheterization to empty the bladder.
17. A gravida 2, para 1 client is admitted to the labor and birth unit in labor. She states that she had a cesarean birth with her first pregnancy. The most critical information the nurse must obtain at this point is:
a. the onset of contractions.
b
. her estimated date of birth.
c. when the client ate last and what she consumed.
d
. the type of uterine incision with the first pregnancy.
...................................................................CONTINUED....................................................................
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