Mastering Labor Complications Management: A Comprehensive Guide for Nursing Students

Question 1

During childbirth, what is the primary nursing intervention to manage shoulder dystocia?

Accepted Answer

Apply suprapubic pressure

Answer

Perform an episiotomy

Answer

Use vacuum extraction

Answer

Perform a cesarean section

Question 2

Identify the most common cause of postpartum hemorrhage:

Accepted Answer

Uterine atony

Answer

Retained placenta

Answer

Cervical laceration

Answer

Hematological disorders

Question 3

Select the most common cause of dystocia:

Accepted Answer

Cephalopelvic disproportion

Answer

Maternal obesity

Answer

Premature labor

Answer

Polyhydramnios

Question 4

What is the primary responsibility for a nurse caring for a patient in active labor?

Accepted Answer

Monitor fetal heart rate and uterine activity

Answer

Provide emotional support

Answer

Administer pain medication

Answer

Promote hydration

Question 5

Choose the significant risk factor associated with placenta previa:

Accepted Answer

Previous uterine surgery

Answer

Smoking

Answer

Advanced maternal age

Answer

Multiparity

Question 6

In a scenario of shoulder dystocia, which nursing intervention is most appropriate?

Accepted Answer

Assist with the Zavanelli maneuver

Answer

Suction the baby's head

Answer

Break the clavicle

Answer

Administer episiotomy

Question 7

Identify the primary sign of shoulder dystocia:

Accepted Answer

Fetal head crowning but not delivering

Answer

Excessive vaginal bleeding

Answer

Fetal heart rate less than 110 bpm

Answer

Maternal fever

Question 8

In a patient with abruptio placentae, the priority nursing intervention is to:

Accepted Answer

Prepare for an emergency cesarean section

Answer

Administer oxygen and fluids

Answer

Monitor the fetal heart rate

Answer

Insert an indwelling urinary catheter

Question 9

When caring for a patient with an epidural, the primary nursing priority is to:

Accepted Answer

Monitor the fetal heart rate

Answer

Assess the patient's pain level

Answer

Prevent the patient from moving

Answer

Encourage the patient to drink plenty of fluids

Question 10

Identify the primary risk factor for uterine rupture:

Accepted Answer

Previous cesarean section

Answer

Prolonged labor

Answer

Macrosomia

Answer

Placenta previa

Question 11

The primary goal of nursing care for a patient with placenta previa is to:

Accepted Answer

Prevent bleeding

Answer

Promote fetal growth

Answer

Reduce uterine contractions

Answer

Induce labor

Question 12

Which risk factor is most strongly associated with uterine rupture?

Accepted Answer

Previous cesarean section

Answer

Grand multiparity

Answer

Placenta previa

Answer

Fetal macrosomia

Question 13

Which fetal heart rate pattern is typically associated with fetal hypoxia?

Accepted Answer

Category IV

Answer

Category I

Answer

Category II

Answer

Category III

Question 14

What is the primary nursing priority in the management of shoulder dystocia?

Accepted Answer

To prevent brachial plexus injury

Answer

To deliver the baby within 6 minutes

Answer

To reduce maternal blood loss

Answer

To relieve maternal pain

Question 15

What is the definition of fetal macrosomia?

Accepted Answer

Birth weight over 4,000 grams

Answer

Birth weight over 3,500 grams

Answer

Birth weight over 3,000 grams

Answer

Birth weight over 2,500 grams

Question 16

Which assessment parameter has the highest priority during labor monitoring?

Accepted Answer

Fetal heart rate

Answer

Maternal blood pressure

Answer

Uterine contractions

Answer

Cervical dilation

Question 17

In a patient experiencing abruptio placentae, what is the immediate priority nursing intervention?

Accepted Answer

Prepare for an emergency cesarean section

Answer

Initiate blood transfusion

Answer

Administer magnesium sulfate

Answer

Monitor fetal heart rate closely

Question 18

What is the most common fetal presentation encountered during labor?

Accepted Answer

Vertex

Answer

Breech

Answer

Transverse

Answer

Face

Question 19

Placenta previa is a potentially life-threatening condition. Which nursing intervention is considered the primary treatment?

Accepted Answer

Cesarean section

Answer

External cephalic version (ECV)

Answer

Induction of labor

Answer

Conservative management

Question 20

Continuous fetal heart rate (FHR) monitoring is an important tool during labor. Which FHR pattern is typically associated with fetal distress?

Accepted Answer

Category III FHR

Answer

Category I FHR

Answer

Category II FHR

Answer

Sine wave FHR

Question 21

A patient presents with postpartum hemorrhage. What is the immediate nursing priority?

Accepted Answer

Call for help and activate the emergency response system

Answer

Administer Pitocin intramuscularly

Answer

Start an intravenous fluid infusion

Answer

Massage the fundus

Question 22

Post epidural administration, which nursing assessment is of utmost importance?

Accepted Answer

Sensory and motor function

Answer

Fetal heart rate

Answer

Maternal blood pressure

Answer

Uterine activity

Question 23

Which of the following is the primary cause of dystocia?

Accepted Answer

Cephalopelvic disproportion

Answer

Maternal fatigue

Answer

Malpresentation

Answer

Uterine rupture

Question 24

What is the initial nursing intervention for a woman experiencing postpartum hemorrhage?

Accepted Answer

Perform a uterine massage

Answer

Administer oxytocin

Answer

Apply an ice pack to the perineum

Answer

Elevate the mother's legs

Question 25

Which fetal heart rate pattern is a sign of fetal distress?

Accepted Answer

Late decelerations

Answer

Sinusoidal pattern

Answer

Early decelerations

Answer

Variable decelerations

Question 26

Which action should the nurse take first when managing a prolapsed umbilical cord?

Accepted Answer

Reposition the mother

Answer

Call for immediate medical assistance

Answer

Cover the cord with a sterile dressing

Answer

Administer oxygen to the mother

Question 27

Which medication is commonly used to inhibit uterine contractions?

Accepted Answer

Magnesium sulfate

Answer

Oxytocin

Answer

Misoprostol

Answer

Nitroglycerin

Question 28

Which of the following is a potential complication of shoulder dystocia?

Accepted Answer

Brachial plexus injury

Answer

Neonatal seizures

Answer

Hypothermia

Answer

Fetal distress

Question 29

In the event of a uterine inversion, the immediate nursing action is to:

Accepted Answer

Manually reposition the uterus

Answer

Apply pressure to the fundus

Answer

Administer magnesium sulfate

Answer

Insert a Foley catheter into the vagina

Question 30

For the treatment of postpartum seizures, the preferred medication is:

Accepted Answer

Magnesium sulfate

Answer

Diazepam

Answer

Phenytoin

Answer

Valproic acid

Question 31

When dealing with cord prolapse, the first-line treatment is:

Accepted Answer

Immediate cesarean delivery

Answer

Tocolysis

Answer

Manual repositioning of the cord

Answer

Amnioinfusion

Question 32

What is the most important nursing goal when managing labor complications?

Accepted Answer

Early detection and prompt intervention

Answer

Prevention of complications

Answer

Provision of emotional support

Answer

Symptom management

Question 33

In primiparous women, which factor is a common contributor to dystocia?

Accepted Answer

Cephalopelvic disproportion

Answer

Shoulder dystocia

Answer

Uterine prolapse

Answer

Cord prolapse

Question 34

For antepartum hemorrhage, which nursing intervention is most appropriate?

Accepted Answer

Bed rest and IV fluids

Answer

External fetal monitoring

Answer

Administering oxytocin

Answer

Performing an emergency cesarean section

Question 35

Which fetal heart rate (FHR) pattern is associated with fetal distress?

Accepted Answer

Late decelerations

Answer

Early decelerations

Answer

Variable decelerations

Answer

Sinusoidal pattern

Question 36

Which symptom is indicative of uterine rupture?

Accepted Answer

Sudden onset of severe abdominal pain

Answer

Vaginal bleeding

Answer

Decreased fetal heart rate

Answer

Increased uterine tenderness

Question 37

For women with chorioamnionitis, which nursing intervention is crucial for preventing infection?

Accepted Answer

Administering broad-spectrum antibiotics

Answer

Monitoring vital signs frequently

Answer

Restricting visitors

Answer

Providing emotional support

Question 38

In nursing care for women with preeclampsia, what is the primary goal?

Accepted Answer

Preventing seizures

Answer

Inducing labor

Answer

Delivering the baby

Answer

Monitoring fetal growth

Question 39

Which nursing intervention is appropriate for managing eclampsia?

Accepted Answer

Administering magnesium sulfate

Answer

Inducing labor

Answer

Performing an emergency cesarean section

Answer

Restricting fluids

Question 40

What is the most prevalent cause of shoulder dystocia?

Accepted Answer

Large fetal size

Answer

Maternal obesity

Answer

Prolonged labor

Answer

Cephalopelvic disproportion

Question 41

A laboring patient is diagnosed with a shoulder dystocia. Which of the following nursing interventions should be implemented **immediately**?

Accepted Answer

Apply suprapubic pressure and McRobert's maneuver.

Answer

Prepare for a cesarean section.

Answer

Perform a fundal massage to control bleeding.

Answer

Administer oxytocin to stimulate contractions.

Question 42

A patient is experiencing a prolonged deceleration of the fetal heart rate. What is the **priority** nursing action?

Accepted Answer

Change the maternal position to left lateral and administer oxygen via face mask.

Answer

Notify the physician.

Answer

Increase the IV fluid rate.

Question 43

A patient is experiencing a postpartum hemorrhage. Which of the following medications is **most likely** to be prescribed to control the bleeding?

Accepted Answer

Oxytocin (Pitocin)

Answer

Meperidine (Demerol)

Answer

Magnesium Sulfate

Question 44

A patient is admitted to the labor and delivery unit with a history of previous cesarean birth. What is the **most important** assessment to perform regarding her current labor?

Accepted Answer

Evaluate for signs of uterine rupture, such as abrupt cessation of contractions or severe abdominal pain.

Answer

Monitor for fetal distress.

Answer

Assess for cervical dilation and effacement.

Answer

Check for cervical dilation and effacement.

Question 45

What is the **primary** nursing intervention for a patient experiencing a prolapsed umbilical cord?

Accepted Answer

Elevate the presenting part with a sterile gloved hand and prepare for an emergency cesarean section.

Answer

Prepare for an emergency cesarean section.

Answer

Administer oxygen to the mother.

Question 46

A patient is experiencing a prolonged labor. What is the **most likely** cause?

Accepted Answer

Cephalopelvic disproportion (CPD) or fetal malposition/malpresentation

Answer

Premature rupture of membranes (PROM)

Answer

Fetal distress.

Question 47

A patient is experiencing a precipitous labor. What is the **priority** nursing intervention?

Accepted Answer

Assess for cervical dilation and fetal station, and be prepared to assist with a rapid delivery.

Answer

Monitor for signs of fetal distress.

Answer

Prepare for a cesarean section.

Answer

Administer analgesia.

Question 48

Which of the following interventions is **most effective** in preventing postpartum hemorrhage?

Accepted Answer

Administering oxytocin (Pitocin) after delivery and performing a controlled cord traction.

Answer

Encouraging breastfeeding.

Answer

Performing a fundal massage every hour.

Answer

Monitoring blood pressure closely.

Question 49

A patient is diagnosed with a premature rupture of membranes (PROM). What is the **priority** nursing intervention?

Accepted Answer

Monitor fetal heart rate and assess for signs of infection, such as fever and uterine tenderness.

Answer

Administer antibiotics.

Answer

Prepare for a cesarean section.

Question 50

A patient is experiencing a prolonged second stage of labor. What is the **most likely** cause?

Accepted Answer

Fetal malposition or malpresentation, or inadequate maternal effort.

Answer

Postpartum hemorrhage.

Answer

Premature rupture of membranes.

Answer

Uterine rupture.