1. A 25-year-old primigravida at 39 weeks of gestation is

admitted to the labor and delivery unit with regular

contractions. Her cervix is 4 cm dilated and 80?faced.

The fetal heart rate (FHR) is 140 beats per minute with

moderate variability and no decelerations. The nurse

should:

a) Prepare for an imminent delivery

b) Administer oxytocin to augment labor

c) Monitor the FHR and uterine activity continuously

d) Perform a vaginal exam every hour to assess progress

*Answer: c) Monitor the FHR and uterine activity

continuously*

Rationale: The nurse should monitor the FHR and uterine

activity continuously to assess the well-being of the fetus

and the progress of labor. The FHR pattern is reassuring

and indicates adequate oxygenation. The cervix is not fully

dilated and there is no indication of fetal distress or

maternal complications that would require immediate

delivery or augmentation of labor. A vaginal exam every

hour is unnecessary and may increase the risk of infection.

2. A 32-year-old multipara at 41 weeks of gestation is

undergoing induction of labor with oxytocin. Her cervix is

6 cm dilated and 90?faced. The FHR is 150 beats per

minute with minimal variability and late decelerations. The

nurse should:

a) Increase the oxytocin infusion rate to hasten delivery

b) Decrease the oxytocin infusion rate and administer