Intrapartum and Labor and Delivery Flashcards
6 cards from real Maternal Newborn Nursing Test practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Intrapartum and Labor and Delivery flashcards as text
The nurse is monitoring a patient receiving oxytocin for labor augmentation. Which finding requires the nurse to immediately stop the infusion?
Answer: Uterine hyperstimulation with 6 contractions in 10 minutes
Uterine tachysystole (more than 5 contractions in 10 minutes) from oxytocin requires immediate cessation of the infusion to prevent fetal hypoxia.
A patient's labor has been augmented with oxytocin. She is now 10 cm dilated and pushing. The fetal head has not advanced after 2 hours of pushing in a nulliparous patient. This is termed:
Answer: Arrested descent
Arrested descent is diagnosed when there is no progress in fetal descent after 2 hours of pushing in a nulliparous patient despite adequate uterine contractions.
Which maternal position is most effective for promoting fetal descent and reducing back labor caused by an occiput posterior fetal position?
Answer: Hands-and-knees or all-fours position
The hands-and-knees position encourages rotation of the fetal occiput from posterior to anterior, relieving back labor and facilitating descent.
After rupture of membranes, the nurse notes the umbilical cord protruding from the vaginal introitus. Which action should the nurse take first?
Answer: Place the patient in Trendelenburg or knee-chest position
The nurse's priority with cord prolapse is to relieve cord compression by elevating the presenting part, which is achieved with Trendelenburg or knee-chest positioning.
A laboring patient is 5 cm dilated with intact membranes and experiencing severe back pain. The fetal position is right occiput posterior (ROP). Which nursing intervention is most appropriate?
Answer: Apply counterpressure to the sacral area during contractions
Sacral counterpressure during contractions provides direct relief from the back pain caused by the fetal occiput pressing against the maternal sacrum in a posterior position.
A patient at 39 weeks gestation is admitted in active labor. Her GBS (Group B Streptococcus) status is positive. What is the priority nursing intervention?
Answer: Initiate IV antibiotic prophylaxis as ordered
GBS-positive patients require IV antibiotic prophylaxis (typically penicillin G) during labor to prevent vertical transmission to the neonate.