OB MATERNAL NEWBORN PROCTORED LATEST 2024 WITH UPDATED QUESTIONS AND DETAILED CORRECT ANSWERS WITH RATIONALES (ALREADYGRADED A+)

OB MATERNAL NEWBORN PROCTORED LATEST
2024 WITH UPDATED QUESTIONS AND
DETAILED CORRECT ANSWERS WITH
RATIONALES (ALREADYGRADED A+)
A nurse in the labor and delivery unit receives a phone call from a
client who reports that her contractions started about 2 hr ago, did
not go away when she had two glasses of water and rested, and
became stronger since she started walking. Her contractions occur
every 10 min and last about 30 seconds. She hasn't had any fluid
leak from her vagina. However, she saw some blood when she
wiped after voiding. Based on this report, which of the following
clinical findings should the nurse recognize that the client is
experiencing?
Braxton Hicks contractions
Rupture of membranes
Fetal descent
True contractions - ANSWER-D. True contractions
2 | P a g e
A nurse in the labor and delivery unit is caring for a client in labor
and applies an external fetal monitor and tocotransducer. The FHR
is around 140/min.Contractions are occurring every 8 min and 30 to
40 seconds in duration. The nurse performs a vaginal exam and
finds the cervix is 2 cm dilated, 50% effaced, and the fetus is at a -
2 station. Which of the following stages and phases of Labor is this
client experiencing?
First stage, latent phase
First stage, active phase
First stage, transition phase
Second stage of labor - ANSWER-A. First stage, latent phase
A client experiences a large gush of fluid from vagina while walking
in the hallway of the birthing unit. Which of the following actions
should the nurse take first?
Check the amniotic fluid for meconium.
Monitor FHR for distress.
dry the client and make her comfortable.
Monitor uterine contractions - ANSWER-B. Monitor FHR for
3 | P a g e
distress.
A nurse in labor and delivery unit is completing an admission
assessment for a client who is at 39 weeks gestation. The client
reports that she has been leaking fluid from her vagina for 2 days.
Which of the following conditions us the client at risk for
developing?
Cord prolapse
Infection
Postpartum hemorrhage
Hydramnios - ANSWER-B. Infection bc it's a ruptured membrane
A nurse is caring for a client who is in active labor and becomes
nauseous and vomits. The client is very irritable and feels the urge
to have a bowel movement. She states, "I've had enough. I can't do
this anymore. I want to go home right now." Which of the following
stages of Labor is the client experiencing?
Second stage
Fourth stage
Transition phase
4 | P a g e
Latent phase - ANSWER-C. Transition phase
A nurse is caring for a client who is at 40 weeks of gestation and
experiencing contractions every 3 to 5 min and becoming stronger.
A vaginal exam reveals that the client's cervix is 3 cm dilated, 80%
effaced, and -1 station. The client asks for pain medication. Which
of the following actions should the nurse take?(Select all that
apply.)
Encourage use of patterned breathing techniques.
Insert an indwelling urinary catheter.
Administer opioid analgesic medication.
Suggest application of cold.
Provide ice chips. - ANSWER-A, C, D
A nurse is caring for a client following the administration of an
epidural block and is preparing to administer an IV fluid bolus. The
client's partner asks about the purpose of the IV fluids. Which of the
following is an appropriate response for the nurse to make?
"It is needed to promote increased urine output."