1. A nurse in the labor and delivery unit receives a phone call from a client who reportsthat her

contractions started about 2 hr. ago, did not go away when she had two glasses of water and

rested, and became stronger since she started walking. Her contractions occur every 10 min

and last about 30 seconds. She hasn't had a fluid leak form her vagina. However, she saw some

blood when she wiped after voiding. Based on this report, which of the following clinical

findings should the nurse recognize that the client is experiencing

a. Braxton hick's contractions

b. Rupture of membranes

c. Fetal descent

d. True contractions

D - true contractions

2. A nurse in the labor and delivery unit is caring for a client in labor and applies an external

fetal monitor and tocotransducer. The FHR is around 140/min. contractions are occurring every

8 min and 30 to 40 seconds in duration. The nurse performs a vaginal exam and finds the cervix

is 2 cm dilated, 50?faced, and the fetus is at a -2 station. Which of the following stages and

phases of labor isthe client experiencing

a. First stage, latent phase

b. First stage, active phase

c. First stage, transition phase

d. Second stage of labor

A - first stage, latent phase

3. A client experiences a large gush of fluid from her vagina while walking in the hallway of the

birthing unit. Which of the following actions should the nurse take first?

a. Check the amniotic fluid for meconium

b. Monitor FHR for distress

c. Dry the client and make her comfortable

d. Monitor uterine contractions

B - monitor the fetal hear rate for distress

4. A nurse in labor and delivery unit is completing an admission assessment for a client who is

at 39 weeks of gestation. The client reportsthat she has been leaking fluid from her vagina for 2

days. Which of the following conditions is the client at risk for developing

a. Cord prolapse

b. Infection

c. Postpartum hemorrhage

d. Hydramnios

B - infection

5. A nurse is caring for a client who is in active labor and becomes nauseous and vomits. The

client is very irritable and feels the urge to have a bowel movement. She states, "I've had

enough. I can't do this anymore. I want to go home right now" which stage of labor is the client