Title: Module 3 Quiz
Course: NUR 1411C Nursing Care for the Family Part 1 > Section: Module 3

Q: A pregnant woman with premature rupture of membranes is at higher risk for infection. Which assessment data indicates a potential infection? (SELECT ALL THAT APPLY)
- Fetal heart rate 180
- Blurry vision and dizziness
- Cloudy amniotic fluid with foul odor
- 3 + pitting edema in the lower extremities
A: Fetal heart rate 180; Cloudy amniotic fluid with foul odor

Q: Your 40 weeks and 3 days gestation primigravida client is in labor. Assessment reveals 2 cms. dilation, 10% effacement, - 4 station, contractions q. 10-13 minutes with good variability noted on the fetal monitor and + accelerations, membranes are intact.  Which of the following orders should be questioned?
- Allowing the mother to go home
- Prepare for an amniotomy
- Having her ambulate
- Starting IV fluids
A: Prepare for an amniotomy

Q: Pitocin 20Units is ordered via IV, in 1,000 mls of Lactated Ringers. The midwife asks that the infusion start at 1 mu/min, and increase by 2 mu/min every 30 minutes until adequate contraction pattern is noted. If the current dose is at 4 mu what rate (mls/hr) is the IV pump set at?
- 3 mls/hr
- 4mls/hr
- 12mls/hr
D 120mls/hr
A: 12mls/hr
D 120mls/hr

Q: The term “station” refers to the relationship of the presenting part to the mother’s:
- linea terminalsis
- ischial spines
- perineum
- fundal height
A: ischial spines

Q: Your pregnant client asks if she is a candidate for a VBAC (vaginal birth after cesarean). She had classical cesarean 3 years ago for severe fetal distress.
Your best response is:
- we will attempt a VBAC on you only if your child weighs 6 pounds or less
- VBACs are reserved for severe fetal distress only
- you are a candidate since you have had multiple pregnancies
- only prior low transverse C/S incisions are candidates for VBAC
A: only prior low transverse C/S incisions are candidates for VBAC

Q: The process by which the external os of the cervix opens to allow the fetus to be born is:
- transition
- effacement
- labor
- dilation
A: dilation

Q: A preterm labor client is receiving magnesium sulfate in her IV fluids. The nurse notes that the client’s respirations are 9 and her patellar reflexes have diminished. The nurse recognizes that she should first:
- transfer her immediately to a stretcher to go to the delivery room
- leave the labor room and call the doctor immediately
- stop the magnesium sulfate IV
- draw a blood serum sample and send to the lab
A: stop the magnesium sulfate IV

Q: Lab values are reported for your laboring client. Which of the following concern you? (SELECT ALL THAT APPLY)
- WBC's 12.0
- Platelets 100,000
- Hemoglobin 6.2
- Hematocrit 44.0
A: Platelets 100,000; Hemoglobin 6.2

Q: Identify a nursing intervention for a client in labor who has had epidural anesthesia. .
- Assist with ambulation
- Place an internal uterine pressure catheter (IUPC)
- Monitor bladder status
- Limit IV fluid intake
A: Monitor bladder status

Q: You are the L & D triage nurse, which client would you discharge to home first, after you completed her assessment & labor check?
- 37 weeks, G2P1, 2/50/-2, Ctx’s q 2 mins, intact membranes
- 37 weeks, G5P1, 2/50/-1, Ctx’s q. 12 mins, intact membranes
- 38 weeks, G4P3, 2/50/-1, Ctx’s q. 10 mins, ruptured membranes
- 42 weeks, G1P0, 2/50/-1, Ctx’s q. 2 mins, intact membranes
A: 37 weeks, G5P1, 2/50/-1, Ctx’s q. 12 mins, intact membranes

Q: In a complete breech presentation, the feet and legs of the fetus:
- present first through the cervix
- are extended against the abdomen & chest with feet meeting the shoulders
- are flexed (it’s like an upside down vertex position
- are crossed in a figure four with one foot coming through the cervix first
A: are flexed (it’s like an upside down vertex position

Q: Where should the nurse place the U/S transducer for external fetal monitoring: ____________________ if the baby is _____ position
- Upper right quadrant of abd; ROA
- Upper left quadrant of abd;LOA
- Lower left quadrant of abd; ROA
- Lower left quadrant abd; LOA
A: Lower left quadrant abd; LOA

Q: Adequate placental oxygenation will be reflected on the fetal monitor by the presence of which heart rate pattern?
- Early decelerations
- Minimal variablity
- Variable decelerations
- Accelerations
A: Accelerations

Q: Tachysystole noted on the monitor should cause concern to the nurse because they:
- decrease labor time for the patient
- result in fetal hypoxia
- require increased sedation for the patient
- are a sign of pre-eclampsia
A: result in fetal hypoxia

Q: The onset of labor may be indicated by the presence of the mucous plug. The purpose of the mucous plug is to:
- provide vaginal lubrication during pregnancy
- produce amniotic fluid
- protect from ascending microbes
- produce progesterone
A: protect from ascending microbes

Q: Indications for delivery via c-section include (SELECT ALL THAT APPLY)
- Placenta Previa
- Active genital herpes
- Preterm labor
- Fetal Malpresentation
A: Placenta Previa; Active genital herpes; Fetal Malpresentation

Q: An intrapartum client was ordered this medication to stop preterm labor. The side effects of ___________are known to be: jitteriness, increased heart rate, and tremors; difficulty sleeping.
- Betamethasone
- Terbutaline
- Magnesium Sulfate
- Methergine
A: Terbutaline

Q: A laboring woman’s fetal heart monitor reveals deep variable decelerations with moderate variability that continue after the woman has changed positions. The nurse reports the findings to the physician and would suggest:
- Placement of an intrauterine pressure catheter (IUPC) for an amnioinfusion
- A stat cesarean section to prevent fetal hypoxia
- Administration of Stadol
- Allowing the woman to ambulate
A: Placement of an intrauterine pressure catheter (IUPC) for an amnioinfusion

Q: Continuous electronic fetal monitoring during an induction is essential because oxytocin (Pitocin) medication can cause:
- fetal accelerations
- hypotonic uterine contractions
- hydramnios
- tetanic contractions
A: tetanic contractions

Q: The primary force that moves the fetus through the pelvis in the SECOND stage of labor is:
- Uterine contractions
- Maternal pushing efforts
- Engagement
- Effacement
A: Maternal pushing efforts