Maternal Newborn Nursing Test Intrapartum Nursing: Labor and Delivery 3

Question 1

A nurse is monitoring a client receiving epidural analgesia in labor. Which complication should the nurse assess for most closely?

Accepted Answer

Maternal hypotension

Answer

Uterine hyperstimulation

Answer

Fetal tachycardia

Answer

Maternal hyperglycemia

Question 2

The nurse assesses a client 30 minutes after epidural placement and notes the blood pressure has dropped from 118/72 to 88/52 mmHg. What is the priority intervention?

Accepted Answer

Increase IV fluid infusion rate and reposition to left lateral position

Answer

Administer epinephrine IV push

Answer

Discontinue the epidural catheter

Answer

Place the client in Trendelenburg position

Question 3

Which finding on a biophysical profile (BPP) is considered reassuring?

Accepted Answer

Score of 8 out of 10 with two or more breathing movements, tone, movement, and reactive NST

Answer

Score of 4 with absent fetal breathing movements

Answer

Amniotic fluid index of 3 cm

Answer

Non-reactive NST with no accelerations

Question 4

During delivery, the nurse observes a tight nuchal cord. What is the most appropriate first action?

Accepted Answer

Attempt to slip the cord over the fetal head or perform a somersault maneuver

Answer

Apply immediate fundal pressure

Answer

Perform an emergency cesarean delivery

Answer

Clamp and cut the cord immediately

Question 5

A client has been pushing for 2 hours with no fetal descent. The provider plans an operative vaginal delivery. Which item should the nurse prepare?

Accepted Answer

Vacuum extractor or forceps, along with neonatal resuscitation equipment

Answer

Cesarean delivery cart only

Answer

Oxytocin bolus for administration

Answer

Magnesium sulfate infusion

Question 6

What is the cardinal movement of fetal descent in which the fetal head rotates 45 degrees to align the occiput with the pubic symphysis?

Accepted Answer

Internal rotation

Answer

Extension

Answer

External rotation

Answer

Flexion