Exam 3: Intrapartum

A primiparous client at 38 weeks' gestation is admitted to the labor and delivery room after showing signs of true labor. The client asks how long she should expect to be in labor before she gives birth to her baby. The nurse midwife informs the client that, on the average, the length of labor for primiparous clients is:

A nurse midwife is caring for a client in labor and is about to determine the fetal position and presentation. Which of the following methods can be used to obtain the needed assessments? I.Vaginal examination II.Sonography III.Combined abdominal inspection and palpation. IV.Auscultation of fetal heart tones

A nurse midwife is managing the care of a G3P2 client. The birthing room is converted into a birth room when the cervix is dilated to:

A nurse midwife conducts an amniotomy on a client to induce labor. Which of the following interventions is the priority of the nurse midwife after the procedure?

A nurse midwife is monitoring a client in labor. Assessment findings determine that the fetus is in cephalic presentation. The descent of _________________ to the level of the ischial spines indicates that engagement has started.

A nurse midwife assesses a client who is in her 35th week of gestation. After conducting abdominal inspection and palpation, the nurse midwife notes that the fetus is in the transverse lie. This finding is verified by a sonogram. Which of the following actions by the nurse midwife is the most appropriate before an external version?

Which of the following clients in labor is most likely considered for artificial induction of labor?

A client at 38 weeks' gestation is admitted to the unit after complaining of painful, moderate vaginal bleeding of dark, clotted blood. A series of diagnostic and laboratory tests verify that the client is experiencing abruptio placenta. The fetal heart rate is 180 beats per minute. Which of the following actions is the priority action of the nurse midwife?

A nurse midwife is creating a care plan for a client who is in early labor. Which of the following guidelines is least important?

A client is given oxytocin for the induction of labor. The nurse midwife should monitor the client for which of the following side effects of oxytocin?

A client says she has a feeling that something is coming through her vagina. On examination, the nurse midwife notes that the umbilical cord is visible. Which of the following interventions is the least appropriate for the client?

Which of the following fetal attitudes is the most advantageous for birth?

A client in labor is expected to give birth less than three hours after the onset of contractions. Which of the following actions by the nurse midwife is the most effective during the labor process?

A nurse midwife assesses a client in labor. Combined abdominal inspection and palpation and sonography indicate that the occiput of the fetus is the presenting part. The nurse midwife also finds out that there is a disproportion between the fetus and the client's pelvis. The history of the client's pregnancy is not remarkable. Routine screening tests suggested good fetal well-being. Which of the following statements made by the nurse midwife is the most appropriate when informing the client about the findings?

A nurse midwife may administer meperidine to which of the following clients?

A nurse midwife notes that the separation of placenta from the uterus via the Schultze mechanism. This means that:

A nurse midwife is reviewing the fetal heart rate monitor tracing obtained from a G2P1 client who is in labor. The nurse midwife notes decelerations at unpredictable times in relation to contractions. The nurse midwife suspects which of the following conditions?

Which of the following factors contribute(s) to a successful labor? I. The client's pelvis is of adequate size and contour. II. The fetus is in an advantageous position and presentation and is of appropriate size. III. The uterine contractions are adequate. IV. The client has a strong sense of self-esteem.

A client gives birth to a baby girl through vaginal birth. After placental delivery, which of the following assessment findings indicates that further evaluation of the client is necessary?

A client at 40 weeks' gestation comes to the facility after having a gush of clear of vaginal discharge, which occurs with contractions. The client is admitted to the unit after true labor is determined and the interventions have started. Which of the following is the priority action of the nurse midwife?