OB Week 7 PP

A laboring client has been pushing for 3 hours with minimal fetal descent despite strong contractions. Which complication is most likely?

Dystocia

Which client has the greatest risk for shoulder dystocia?

Client with gestational diabetes carrying a 9.5-lb fetus

Which fetal presentation is most appropriate for vaginal delivery?

Vertex (cephalic)

Which presentation is considered an obstetric emergency requiring cesarean birth if labor begins?

Transverse lie

Which maternal condition is associated with hypotonic uterine dysfunction?

Weak ineffective contractions

Hypertonic uterine dysfunction is characterized by:

Painful, ineffective contractions

A client is diagnosed with preterm labor at 31 weeks. What is the primary purpose of administering tocolytics?

Delay birth long enough for corticosteroids to improve fetal lung maturity

Corticosteroids given during preterm labor primarily:

Accelerate fetal lung maturity

Which finding suggests preterm labor?

Four contractions in 20 minutes with cervical change

Which assessment finding is expected in a postterm pregnancy?

Twice-weekly nonstress tests

Which fetal complication is associated with postterm pregnancy?

Shoulder dystocia

The nurse cannot detect fetal heart tones during assessment. What is the priority action?

Notify the provider and prepare for ultrasound confirmation

A prolapsed umbilical cord is noted after rupture of membranes. What is the nurse's priority action?

Relieve pressure off the cord while calling for help

Which fetal heart rate pattern is most commonly seen with cord prolapse?

Variable decelerations

Which finding best differentiates placental abruption from placenta previa?

Painful uterine tenderness

Sudden fetal bradycardia during labor should make the nurse suspect:

Uterine rupture

A client suddenly develops dyspnea, cyanosis, hypotension, and bleeding from IV sites immediately after birth. Which complication should the nurse suspect?

Amniotic fluid embolism

Which complication is commonly associated with amniotic fluid embolism?

Disseminated intravascular coagulation (DIC)

Labor augmentation differs from labor induction because augmentation:

Strengthens contractions after labor has started.

Before beginning an oxytocin infusion, the nurse should assess:

Bishop score and fetal status

Amnioinfusion is most appropriate for which fetal heart rate pattern?

Severe variable decelerations from cord compression

Which client would most likely require a vacuum-assisted birth?

Maternal fatigue with prolonged second stage

Which nursing intervention is priority after a cesarean birth?

Monitor incision, bleeding, fundus, and pain

Which client is NOT an appropriate candidate for vaginal birth after cesarean (VBAC)?

Previous classical uterine incision

A nurse caring for a woman attempting VBAC notes sudden fetal bradycardia and severe abdominal pain. What is the priority action?

Prepare for emergency cesarean birth