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CHAPTER 21 RICCI QUESTIONS WITH COMPLETE SOLUTIONS-
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When reviewing the medical record of a client, the nurse notes that the woman has a condition in which the fetus cannot physically pass through the maternal pelvis. The nurse interprets this as: A. Cervical insuffiency B. Contracted pelvis C. Maternal disproportion D. Fetopelvic disproportion - Correct Answers -D. Fetopelvic disproportion A client who was in active labor and whose cervix had dilated to 4 cm experiences a weakening in the intensity and frequency of her contractions and exhibits no further progress in labor. The nurse interprets this as a sign of: A. Hypertonic labor B. Precipitate labor C. Hypotonic labor D. Dysfunctional labor - Correct Answers -C. Hypotonic labor The nurse is developing a plan of care for a woman experiencing dystocia. Which of the following nursing interventions would be the nurse's high priority? A. Changing woman's position frequently B. Providing comfort measures to the woman C. Monitoring the fetal heart rate patterns D. Keeping the couple informed of the labor progress - Correct Answers -C. Monitoring the fetal heart rate patterns The nurse is caring for a woman experiencing hypertonic uterine dystocia. The woman's contractions are erratic in their frequency, duration, and of high intensity. The priority nursing intervention would be to: A. Encourage ambulation every 30 min. B. Provide pain relief measures C. Monitor the Pitocin infusion rate closely D. Prepare the woman for an amniotomy - Correct Answers -B. Provide pain relief measures The nurse would anticipate a C-section for a client who has which active infection present at the onset of labor? A. Hepatitis
B. Herpes simplex virus C. Toxoplasmosis D. Human pap. - Correct Answers -B. Herpes simplex virus After a vaginal exam, the nurse determines that the client's fetus is in an occiput posterior position. The nurse would anticipate that the client will have: A. Intense back pain B. Frequent leg cramps C. Nausea and vomiting D. Precipituous birth - Correct Answers -A. Intense back pain When assessing the following women, which would the nurse identify as being at the greatest risk for preterm labor? A. Woman who had twins in a previous pregnancy B. Client living in a large city close to subway C. Woman working full-time as computer programmer D. Client with history of previous preterm birth - Correct Answers -D. Client with history of previous preterm birth The rationale for using a prostaglandin gel for a client prior to induction of labor is to: A. Stimulate uterine contractions B. Numb cervcal pain receptors C. Prevent cervical lacerations D. Soften and efface cervix - Correct Answers -D. Soften and efface cervix