Passpoint Intrapartum | 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?

Passpoint-Intrapartum 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?

You Selected:

 Maternal heart rate of 65 beats/minute

Correct response:

 Fetal heart rate of 80 beats/minute

Explanation:

Remediation:

Question 2 See full question

A client with hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is admitted to

the labor and delivery unit. The client's condition rapidly deteriorates and despite efforts by the staff, the

client dies. After the client's death, the nursing staff displays many emotions. With whom should the

nurse-manager consult to help the staff cope with this unexpected death?

You Selected:

 The social worker, so she can contact the family about funeral arrangements and pass along the

information to the nursing staff

Correct response:

 The chaplain, because his educational background includes strategies for handling grief

Explanation:

Remediation:

Question 3 See full question

A 31-year-old multigravid client at 39 weeks' gestation admitted to the hospital in active labor is

receiving intravenous lactated Ringer's solution and a continuous epidural anesthetic. During the first

hour after administration of the anesthetic, the nurse should monitor the client for:

You Selected:

 hypotension.

Correct response:

 hypotension.

Explanation:

Remediation:

Question 4 See full question

The nurse is caring for a multigravid client in active labor when the nurse detects variable fetal heart rate

decelerations on the electronic monitor. The nurse interprets this as the compression of which

structure?

You Selected:

 umbilical cord

Correct response:

 umbilical cord

Explanation:

Remediation:

Question 5 See full question

The membranes of a multigravid client in active labor rupture spontaneously, revealing greenish-colored

amniotic fluid. How does the nurse interpret this finding?

You Selected:

 maternal intrauterine infection

Correct response:

 passage of meconium by the fetus

Explanation:

Remediation:

Question 6 See full question

Having had only one prenatal visit, a 16-year-old primigravida at 37 weeks’ gestation is admitted to the

hospital in active labor. Her cervix is 7 cm dilated with the presenting part at +1 station. Soon after

admission, the nurse observes that the client is hyperventilating. Which action would

be mostappropriate?

You Selected:

 Give the client a paper bag and have her breathe into it.

Correct response:

 Give the client a paper bag and have her breathe into it.

Explanation:

Remediation:

Question 7 See full question

A client had a cesarean section with her first pregnancy and is hoping to have a vaginal birth with this

pregnancy. She begins to cry at her 38-week visit when she realizes that her baby is a breech

presentation. She says, “I just know it’s going to be horrible again. I won’t be able to breastfeed my baby.

It will be painful.” Which of the following responses from the nurse is appropriate?

You Selected:

 “Tell me about your previous baby’s birth.”

Correct response:

 “Tell me about your previous baby’s birth.”

Explanation:

Remediation:

Question 8 See full question

The nurse is caring for a pregnant client. The nurse notes hypotension and a nonreassuring fetal heart

tracing. Which of the following would the nurse include in the client’s plan of care?

You Selected:

 Call the healthcare provider

Correct response:

 Position the client on her left side

Explanation:

Remediation:

Question 9 See full question

A nurse is evaluating the external fetal monitoring strip (see image) of a client who is in labor. Which

nursing interventions would the nurse implement?

You Selected:

 Reassure the client and continue to monitor the fetal heart rate.

Correct response:

 Reassure the client and continue to monitor the fetal heart rate.

Explanation:

Remediation:

Question 10 See full question

The nurse is performing Leopold’s maneuvers to determine fetal presentation and position. Which

illustration shows the third maneuver?

You Selected:



Correct response:



Explanation:

Question 1 See full question

Which physiologic change during labor makes it necessary for the nurse to assess blood pressure

frequently?

You Selected:

 Alterations in cardiovascular function affect the fetus.

Correct response:

 Alterations in cardiovascular function affect the fetus.

Explanation:

Remediation:

Question 2 See full question

A nurse is caring for a client in labor. The external fetal monitor shows a pattern of variable decelerations

in fetal heart rate. What should the nurse do first?

You Selected:

 Change the client's position.

Correct response:

 Change the client's position.

Explanation:

Remediation:

Question 3 See full question

While performing continuous electronic monitoring of a client in labor, the nurse should document

which information about uterine contractions?

You Selected:

 Duration, frequency, and intensity

Correct response:

 Duration, frequency, and intensity

Explanation:

Remediation:

Question 4 See full question

What should the nurse include in the plan of care for a client with diabetes who is in labor?

You Selected