Maternal Newborn Nursing Test Intrapartum Nursing: Labor and Delivery

Question 1

A client in active labor has a fetal heart rate (FHR) baseline of 170 bpm for 15 minutes. Which nursing action is the priority?

Accepted Answer

Notify the provider immediately

Answer

Reposition the client to the left lateral position

Answer

Administer oxygen via face mask at 8–10 L/min

Answer

Increase IV fluid rate

Question 2

Which finding during the second stage of labor indicates the nurse should prepare for an imminent delivery?

Accepted Answer

Crowning of the fetal head

Answer

Rupture of membranes

Answer

Complete cervical dilation

Answer

Increased bloody show

Question 3

A client at 39 weeks reports regular contractions every 4 minutes lasting 60 seconds. Cervical exam shows 5 cm dilation, 80% effacement, and -1 station. What stage and phase of labor is she in?

Accepted Answer

First stage, active phase

Answer

First stage, latent phase

Answer

Second stage

Answer

Transition phase

Question 4

During labor, a nurse notes variable decelerations on the fetal monitor. What is the first nursing intervention?

Accepted Answer

Change the maternal position

Answer

Apply oxygen via face mask

Answer

Stop oxytocin infusion

Answer

Perform a vaginal exam

Question 5

What does a late deceleration pattern on the fetal monitor indicate?

Accepted Answer

Uteroplacental insufficiency

Answer

Umbilical cord compression

Answer

Fetal head compression

Answer

Normal vagal response

Question 6

A nurse is assessing a client in labor and notes the umbilical cord is visible at the vaginal introitus. Which action should be taken FIRST?

Accepted Answer

Apply continuous upward pressure on the presenting part to relieve cord compression

Answer

Call for emergency assistance immediately

Answer

Place the client in Trendelenburg position

Answer

Administer oxygen via face mask