Obstetric Nursing CEUS Practice Test
76. A nurse is reviewing true and false labor signs with multiparous client. The nurse determines that the client understands the signs of true labor if she makes which statement?
a) I won't be in labor until the baby engages
b) my contractions will be felt in the abdominal area
c) my contractions will not be as painful if I walk around
d) my contractions will increase in duration and intensity
77. A client in labor has been pushing effectively for 1 hour. A nurse determines that the client,s primary physiological need at this time is to:
a) ambulate
b) rest between contractions
c) change positions frequently
d) consume oral food and fluids
78. A nurse is caring for a client in labor. The nurse determines that the client is beginning the second stage of labor when which of the following assessments is noted?
a) the contractions are regular
b) the membranes have ruptured
c) the cervix is dilated completely
d) the client begins to expel clear vaginal fluids
79. A nurse is performing an assessment of a client who is scheduled for a cesarean delivery. Which assessment finding would indicate a need to contact the physician?
a) hemoglobin of 11.0 g/dL
b) fetal heart rate of 180 bpm
c) maternal pulse rate of 85 bpm
d) white blood cell count of 12,000/mm3
80. A nurse has provided discharge instructions to a client who delivered a healthy newborn infant by cesarean delivery. Which statement, if made by the client, indicates a need fro further instructions?
a) I will begin abdominal exercises immediately
b) I will notify the physician if I develop a fever
c) I will turn on my side and push up with my arms to get out of bed
d) I will lift nothing heavier than the newborn infant for at least two weeks
Obstetric Nursing CEUS Practice Test:
ANSWERS AND RATIONALE
76) D
- true labor for multiparous client is present when the contractions increase in duration and intensity. A multiparous client experiences true labor before the fetus engages. Contractions felt in the abdominal area and contractions that ease with walking are signs of false labor.
77) B
- the birth process expends a great deal of energy. Encouraging rest between contractions conserves maternal energy, facilitating voluntary pushing efforts with contractions. Uteroplacental perfusion also is enhanced, which promotes fetal tolerance to stress of labor. Changing positions frequently is not the primary physiological need. Ambulation is encouraged during early labor. Ice chips should be provided. Food and fluids likely are to be withheld at this time.
78) C
- the second stage of labor begins when the cervix is dilated completely and ends with birth of the neonate. Options A, B, and D are not specific assessment findings of the second stage of labor.
79) B
- a normal fetal heart rate is 120 to 160 bpm. A count of 180 bpm could indicate fetal distress and would warrant physician notification. White blood cell counts in a normal pregnancy begin to rise in the second trimester and peak in the third trimester, with a normal range of 11,000 to 15,000/mm3, up to 18,000/mm3. During the initial postpartum period, the count may be as high as 25,000 to 30,000/mm3 as a result of increased leukocytosis during delivery. By full term, a normal maternal hemoglobin range is 11 to 13 g/dL as a result of the hemodilution caused by an increase in plasma volume during pregnancy. The maternal pulse rate increases 10 to 15 bpm over prepregnancy readings to facilitate increased cardiac output, oxygen transport, and kidney filtration.
80) A
- abdominal exercises should not start immediately following abdominal surgery, and the client should wait at least 3 to 4 weeks postoperatively to allow for healing of the incision. Option B, C, and D are appropriate instructions for the client following a cesarean delivery.
Or go back to Obstetric Nursing CEUS Practice Test (1-5) to start the practice test from the beginning.
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