1. A nurse is assisting with an amniotomy for a client who is in active labor.

Which of the following actions should the nurse take?

a. Assess the fetal heart rate before and after the procedure

b. Monitor the client’s temperature every 4 hours after procedure

c. Medicate the client for pain 30 min prior to the procedure

d. Perform cervical assessments every 2 hr after the procedure

Rationale: A. The nurse should assess the fetal heart rate for the presence of

variable declarations or bradycardia, which can occur after rupturing of the

membranes if the umbilical cord has prolapsed. (Amniotomy is artificial

rupture of membranes).

2. An adolescent reports abdominal cramping due to dysmenorrhea. Which of

the following analgesics should the nurse expect the provider to prescribe?

a. Fentanyl

b. Acetaminophen and oxycodone

c. Acetaminophen and hydrocodone

d. Ibuprofen

Rationale: D To treat dysmenorrhea, provides prescribe NSAIDs such as

ibuprofen and naproxen. Providers also recommend exercise and dietary

changes such as reducing salt and sugar intake and following a low-fat,

vegetarian diet.

3. A nurse is caring for a client at 34 weeks’ gestation who presents with

vaginal bleeding. Which of the following assessments will indicate whether

the bleeding is caused by placenta previa or abruptio placenta?

a. Uterine tone

b. Fetal heart rate

c. Blood pressure

d. Amount of bleeding

Rationale: A. The uterus will be relaxed, soft, and painless if the bleeding is

caused by placenta previa. With abruptio placenta, the uterus will be firm

and board-like, the client will complain of pain.