QUESTION AND ANSWER 3

1. A client is admitted to the birthing suite in early active labor. The priority nursing intervention
on the admission of this client would be:
A. Auscultating fetal heart rate
B. Taking obstetric history
C. Asking the client when she last ate
D. Ascertaining wether, the membranes were ruptured

2. A client who is gravida 1. Para 0 is admitted in labor. Her cervix is 100% effaced. And she is
dilated to 3 cm. Her fetus is at +1 station. The nurse is aware that the fetus' head is:
A. Not yet engaged
B. Entering the pelvic inlet
C. Below the ischial spines
D. Visible at the vaginal opening

3. The physician asks the nurse the frequency of a laboring client's contractions. The nurse
assesses the client's contractions by timing from the beginning of one contraction:
A. Until the time is completely over
B. To the beginning of the next contraction
C. To the end of a second contraction
D. Until the time thet the uterus becomes very firm

4. The nurse observes the client's amniotic fluid and decides that it appears normal. Because it
is:
A. Clear and dark amber in color
B. Milky, greenish yellow, containing shreds of mucus
C. Clear, almost colorless and containing little white pecks
D. Cloudy, greenish-yellow and containing little white specks

5. When examining the fetal monitor strip after the rupture of the membranes in a laboring
client. The nurse notes variable decelerations in the fetal heart rate. The nurse should:
A. Stop thhe oxytocin infusion
B. Change the client’s position.
C. Prepare for immediate delivery