Test Prep for Nursing Exam about Obstetric Nursing (11-15)

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11. Which of the following findings by the nurse indicates that Methergine injection to a client, who had delivered 3 hours ago, is effective?

a) uterus is 2 fingerbreadths below the umbilicus
b) uterus is boggy and at the level of the umbilicus
c) uterus is palpated on the right side of the abdomen
d) uterus is 2 fingerbreadths above the umbilicus

12. Which of the following statements when made by the premenopausal woman indicates that she understands the health teachings on breast self-examination (BSE)?

a) I will perform breast self-examination every first day of the month
b) I will perform breast self-examination 5 days after menstruation
c) I will perform breast self-examination 2 to 3 days after the cycle
d) I will perform breast self-examination during menstrual period

13. Which of the following signs and symptoms indicates amniotic fluid embolism?

a) sudden onset of respiratory distress, chest pain, BP 90/60 mmHg, RR 26/min, PR 98bpm
b) restlessness, chest pain, BP 140/80 mmHg, RR 24/min, PR 70 bpm
c) difficulty of breathing, cold, clammy skin, BP 90/60 mmHg, RR 12/min, PR 70 bpm
d) chest pain, shortness of breath, BP 160/90 mmHg, RR 28/min, PR 120 bpm

14. The client is in active labor, cervix is 8 cm dilated, is nauseated, and irritable. Which of the following is appropriate nursing action?

a) encourage the client to do pant-blow breathing exercises
b) encourage the client to push with each contractions
c) encourage the client to walk
d) encourage the client to turn to the right side

15. The client is in active labor. She is on oxytocin per IV infusion drip. Which of the following situations would require that the infusion be stopped?

a) the cervix is 8 cm, dilated, contractions occur every 3-5 minutes
b) contractions occur at less than 2 minute intervals or last for longer than 90 seconds
c) the cervix is 6 cm, dilated, partially effaced, duration of contractions is 50 to 60 seconds
d) contractions occur every 3-5 minutes, last 50 to 60 seconds



ANSWERS AND RATIONALE

11) A
- methergine causes uterine contraction and prevents postpartum bleeding. Option A indicates uterine contraction.

12) B
- BSE among premenopausal women is best done after menstruation. BSE is done on the same day of the month, e.g., every first day of the month among postmenopausal women. The procedure should not be done during menstruation and during ovulation, because the tissues in the breast may feel hard during these periods.

13) A
- amniotic fluid embolism results to pulmonary embolism and possibly shock. Hypotension, tachypnea, tachycardia characterized early stage of the condition. Onset of symptoms is sudden.

14) A
- pant-blow breathing exercises will prevent sudden expulsion of the fetus, thereby preventing cervical laceration and hematoma. Pushing is to be done only when there is full cervical dilatation (10 cm). The client should be on bedrest at this stage of labor. It is best for the client to turn to the left side to relieve compression of the vena cava.

15) B
- contractions occurring at less than 2-minute intervals and lasting longer than 90 seconds may lead to tetanic uterine contractions and therefore, uterine rupture. Fetal distress may occur.


Related Topics:

• Test Prep for Nursing Exam about Obstetric Nursing (16-20) 
• Or go back to Test Prep for Nursing Exam about Pediatric Nursing (1-5) to start the practice test from the beginning.