Maternal Newborn Nursing Test Intrapartum Nursing: Labor and Delivery 2

Question 1

Which assessment finding would indicate a client in labor is experiencing hypotonic uterine dysfunction?

Accepted Answer

Contractions less than 25 mmHg in intensity with a frequency of more than every 5 minutes

Answer

Contractions occurring every 2 minutes with a duration of 90 seconds

Answer

Failure of the presenting part to descend despite adequate contractions

Answer

Cervical dilation of less than 1.2 cm per hour in the active phase

Question 2

A nurse is preparing to administer oxytocin (Pitocin) for labor augmentation. Which assessment finding requires withholding the medication and notifying the provider?

Accepted Answer

Uterine contractions occurring every 2 minutes lasting 90 seconds

Answer

Fetal heart rate baseline of 140 bpm with moderate variability

Answer

Cervical dilation of 4 cm

Answer

Intact amniotic membranes

Question 3

Which position is MOST appropriate for a client with a suspected shoulder dystocia during delivery?

Accepted Answer

McRoberts maneuver with suprapubic pressure

Answer

Trendelenburg position

Answer

Left lateral (Sims) position

Answer

Lithotomy position with fundal pressure

Question 4

A nurse notes meconium-stained amniotic fluid at rupture of membranes. What is the priority nursing action?

Accepted Answer

Apply continuous electronic fetal monitoring and notify the provider

Answer

Prepare for immediate cesarean delivery

Answer

Increase IV fluid rate to dilute the amniotic fluid

Answer

Reassure the client that this is a normal finding

Question 5

What is the primary purpose of an episiotomy during vaginal delivery?

Accepted Answer

To enlarge the vaginal opening and prevent severe perineal lacerations in selected cases

Answer

To routinely speed up delivery in all vaginal births

Answer

To reduce postpartum perineal pain

Answer

To prevent neonatal shoulder dystocia

Question 6

What does an acceleration in the fetal heart rate tracing typically indicate?

Accepted Answer

Fetal well-being and adequate oxygenation

Answer

Fetal hypoxia

Answer

Umbilical cord compression

Answer

Uterine tachysystole