Because cervical effacement and dilation are not progressing in a patient in labor, the doctor orders I.V. administration of oxytocin (Pitocin). Why should the nurse monitor the patient’s fluid intake and output closely during oxytocin administration? A. Oxytocin causes water intoxication. B. Oxytocin causes excessive thirst. C. Oxytocin is toxic to the… Read More »
Which of the following prenatal laboratory test values would the nurse consider as significant? A. Hematocrit 33.5% B. Rubella titer less than 1:8 C. White blood cells 8,000/mm3 D. One hour glucose challenge test 110 g/dL Correct Answer: B. Rubella titer less than 1:8 A rubella titer… Read More »
A patient is in labor and has just been told she has a breech presentation. The nurse should be particularly alert for which of the following? A. Quickening B. Ophthalmia neonatorum C. Pica D. Prolapsed umbilical cord Correct Answer: D. Prolapsed umbilical cord In a breech position,… Read More »
Pelvic rocking is an appropriate exercise in pregnancy to relieve which discomfort? A. Leg cramps B. Urinary frequency C. Orthostatic hypotension D. Backache Correct Answer: D. Backache Backache is caused by the stretching of the muscles of the lower back because of the pregnancy. Pelvic rocking is… Read More »
The normal dilatation of the cervix during the first stage of labor in a nullipara is A. 1.2 cm./hr B. 1.5 cm./hr. C. 1.8 cm./hr D. 2.0 cm./hr Correct Answer: A. 1.2 cm./hr For nullipara, the normal cervical dilatation should be 1.2 cm/hr. If it is less… Read More »
Five hours after birth, a neonate is transferred to the nursery, where the nurse intervenes to prevent hypothermia. What is a common source of radiant heat loss? A. Low room humidity B. Cold weight scale C. Cool incubator walls D. Cool room temperature Correct Answer: C. Cools… Read More »
Which of the following characteristics of contractions would the nurse expect to find in a client experiencing true labor? A. Occurring at irregular intervals. B. Starting mainly in the abdomen. C. Gradually increasing intervals. D. Increasing intensity with walking. Correct Answer: D. Increasing intensity with walking With… Read More »
When describing dizygotic twins to a couple, on which of the following would the nurse base the explanation? A. Two ova fertilized by separate sperm. B. Sharing of a common placenta. C. Each ova with the same genotype. D. Sharing of a common chorion. Correct Answer: A.… Read More »
The main reason for an expected increased need for iron in pregnancy is: A. The mother may have physiologic anemia due to the increased need for red blood cell mass as well as the fetal requires about 350-400 mg of iron to grow. B. The mother may suffer anemia because of poor appetite.… Read More »
When the fetal head is at the level of the ischial spine, it is said that the station of the head is A. Station –1 B. Station “0” C. Station +1 D. Station +2 Correct Answer: B. Station “0” Determining is defined as the relationship of the… Read More »