NUR260 Q6 – Flashcard

A new mother asks the nurse when the "soft spot" on her son's head will go away. The nurse's answer is based on the knowledge that the anterior fontanel closes after birth by _____ months. 8 12 2 18

When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable fetal part in the fundal portion of the uterus and a long, smooth surface in the mother's right side close to midline. What is the likely position of the fetus? LOA RSA LSP ROA

With regard to factors that affect how the fetus moves through the birth canal, nurses should be aware that: Of the two primary fetal lies, the horizontal lie is that in which the long axis of the fetus is parallel to the long axis of the mother. The fetal attitude describes the angle at which the fetus exits the uterus. The transverse lie is preferred for vaginal birth. The normal attitude of the fetus is called general flexion.

A laboring woman received an opioid agonist (meperidine) intravenously 90 minutes before she gave birth. Which medication should be available to reduce the postnatal effects of Demerol on the neonate? Promethazine (Phenergan) Nalbuphine (Nubain) Naloxone (Narcan) Fentanyl (Sublimaze)

A woman has requested an epidural for her pain. She is 5 cm dilated and 100% effaced. The baby is in a vertex position and is engaged. The nurse increases the woman's intravenous fluid for a preprocedural bolus. She reviews her laboratory values and notes that the woman's hemoglobin is 12 g/dL, hematocrit is 38%, platelets are 67,000, and white blood cells (WBCs) are 12,000/mm3. Which factor would contraindicate an epidural for the woman? She has thrombocytopenia. She is too far dilated. She is anemic. She is septic.

With regard to spinal and epidural (block) anesthesia, nurses should know that: Epidural blocks allow the woman to move freely. A high incidence of after-birth headache is seen with spinal blocks. This type of anesthesia is commonly used for cesarean births but is not suitable for vaginal births. Spinal and epidural blocks are never used together.

The nurse providing care for a woman with preterm labor who is receiving terbutaline would include which intervention to identify side effects of the drug? Assessing for hypoglycemia Assessing deep tendon reflexes (DTRs) Assessing for chest discomfort and palpitations Assessing for bradycardia

In evaluating the effectiveness of magnesium sulfate for the treatment of preterm labor, what finding would alert the nurse to possible side effects? Deep tendon reflexes 2+ and no clonus Respiratory rate of 16 breaths/min Serum magnesium level of 10 mg/dL Urine output of 160 mL in 4 hours

A woman in preterm labor at 30 weeks of gestation receives two 12-mg doses of betamethasone intramuscularly. The purpose of this pharmacologic treatment is to: Suppress uterine contractions. Stimulate fetal surfactant production. Reduce maternal and fetal tachycardia associated with ritodrine administration. Maintain adequate maternal respiratory effort and ventilation during magnesium sulfate therapy.

A pregnant woman's amniotic membranes rupture. Prolapsed umbilical cord is suspected. What intervention would be the top priority? Preparing the woman for a cesarean birth Placing the woman in the knee-chest position Starting oxygen by face mask Covering the cord in sterile gauze soaked in saline

Prepidil (prostaglandin gel) has been ordered for a pregnant woman at 43 weeks of gestation. The nurse recognizes that this medication will be administered to: Increase amniotic fluid volume. Enhance uteroplacental perfusion in an aging placenta. Stimulate the amniotic membranes to rupture. Ripen the cervix in preparation for labor induction

The nurse is caring for a client whose labor is being augmented with oxytocin. He or she recognizes that the oxytocin should be discontinued immediately if there is evidence of: Uterine contractions occurring every 8 to 10 minutes. Rupture of the client's amniotic membranes. A fetal heart rate (FHR) of 180 with absence of variability. The client's needing to void.

The standard of care for obstetrics dictates that an internal version may be used to manipulate the: Fetus from a transverse lie to a longitudinal lie before cesarean birth. Second twin from an oblique lie to a transverse lie before labor begins. Second twin from a transverse lie to a breech presentation during vaginal birth. Fetus from a breech to a cephalic presentation before labor begins.

The nurse practicing in a labor setting knows that the woman most at risk for uterine rupture is: A gravida 4 who has had all cesarean births. A gravida 3 who has had two low-segment transverse cesarean births. A gravida 2 who had a low-segment vertical incision for delivery of a 10-pound infant. A gravida 5 who had two vaginal births and two cesarean births.

The priority nursing care associated with an oxytocin (Pitocin) infusion is: Monitoring uterine response. Increasing infusion rate every 30 minutes. Measuring urinary output. Evaluating cervical dilation.

Immediately after the forceps-assisted birth of an infant, the nurse should: Apply a cold pack to the infant's scalp. Measure the circumference of the infant's head. Give the infant prophylactic antibiotics. Assess the infant for signs of trauma.

For vaginal birth to be successful, the fetus must adapt to the birth canal during the descent. The turns and other adjustments necessary in the human birth process are termed the "mechanism of labor." Please list the seven cardinal movements in the mechanism of labor in the correct order. One Two Three Four Five Six Seven

The nurse teaches a pregnant woman about the characteristics of true labor contractions. The nurse evaluates the woman's understanding of the instructions when she states, "True labor contractions will: Remain irregular but become stronger Subside when I walk around Cause discomfort over the top of my uterus Continue and get stronger even if I relax and take a shower

Maternal hypotension is a potential side effect of regional anesthesia and analgesia. What nursing interventions could you use to raise the client's blood pressure (Select all that apply)? Place the woman in a supine position. Increase intravenous (IV) fluids. Perform a vaginal examination. Place the woman in a lateral position. Administer oxygen.