Maternal Newborn Nursing Test Intrapartum and Labor and Delivery 2

Question 1

The nurse is monitoring a patient receiving oxytocin for labor augmentation. Which finding requires the nurse to immediately stop the infusion?

Accepted Answer

Uterine hyperstimulation with 6 contractions in 10 minutes

Answer

Uterine tachysystole (more than 5 contractions in 10 minutes) from oxytocin requires immediate cessation of the infusion to prevent fetal hypoxia.

Question 2

A patient's labor has been augmented with oxytocin. She is now 10 cm dilated and pushing. The fetal head has not advanced after 2 hours of pushing in a nulliparous patient. This is termed:

Accepted Answer

Arrested descent

Answer

Arrested descent is diagnosed when there is no progress in fetal descent after 2 hours of pushing in a nulliparous patient despite adequate uterine contractions.

Question 3

Which maternal position is most effective for promoting fetal descent and reducing back labor caused by an occiput posterior fetal position?

Accepted Answer

Hands-and-knees or all-fours position

Answer

The hands-and-knees position encourages rotation of the fetal occiput from posterior to anterior, relieving back labor and facilitating descent.

Question 4

After rupture of membranes, the nurse notes the umbilical cord protruding from the vaginal introitus. Which action should the nurse take first?

Accepted Answer

Place the patient in Trendelenburg or knee-chest position

Answer

The nurse's priority with cord prolapse is to relieve cord compression by elevating the presenting part, which is achieved with Trendelenburg or knee-chest positioning.

Question 5

A laboring patient is 5 cm dilated with intact membranes and experiencing severe back pain. The fetal position is right occiput posterior (ROP). Which nursing intervention is most appropriate?

Accepted Answer

Apply counterpressure to the sacral area during contractions

Answer

Sacral counterpressure during contractions provides direct relief from the back pain caused by the fetal occiput pressing against the maternal sacrum in a posterior position.

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Practice Test

Maternal Newborn Nursing Test Intrapartum and Labor and Delivery 2