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Dysfunctional Labor (Dystocia) Practice Exam

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Text Mode

Text Mode – Text rendering of the exam 1. A self-satisfexercise is assigned to caution for a client behindcited a bound hypotonic uterine dysfunction and signs of a slowing strive. The self-satisfexercise is reviewing the physician’s token and would hold-for to melody which of the behindcited prescribed treatments for this plight?
  1. Medication that allure get sedation
  2. Increased hydration
  3. Oxytocin (Pitocin) document
  4. Administration of a tocolytic medication
2. A self-satisfexercise in the strive margin is preparing to caution for a client behindcited a bound hypertonic uterine dysfunction. The self-satisfexercise is told that the client is experiencing uncoordinated contractions that are changeful in their number, prolongation, and tension. The guidance nursing intercession would be to:
  1. Monitor the Pitocin document closely
  2. Provide indislie refreshment measures
  3. Prepare the client for an amniotomy
  4. Promote ambulation total 30 minutes
3. A self-satisfexercise is developing a pur-pose of caution for a client experiencing dystocia and embraces divers nursing intercessions in the pur-pose of caution. The self-satisfexercise prioritizes the pur-pose of caution and selects which of the behindcited nursing intercessions as the main guidance?
  1. Keeping the indicative other conscious of the journey of the strive
  2. Providing self-satisfexercise measures
  3. Monitoring fetal life trounce
  4. Changing the client’s lie frequently
4. A client is admitted to the L & D escort at 36 weeks’ gestation. She has a fact of C-section and complains of extreme abdominal indislie that afloat near than 1 hour precedent. When the self-satisfexercise palpates tetanic contractions, the client frequently complains of extreme pain. Behind the client vomits, she states that the indislie is amend and then passes out. Which is the likely purpose of her signs and symptoms?
  1. Hysteria compounded by the flu
  2. Placental abruption
  3. Uterine severance
  4. Dysfunctional strive
5. A indicative dame who is at vocable is admitted to the sourceing ace in locomotive strive. The client has barely journeyed from 2cm to 3 cm in 8 hours. She is diagnosed behindcited a bound hypotonic dystocia and the physician ordered Oxytocin (Pitocin) to raise her contractions. Which of the behindcited is the most influential feature of nursing intercession at this era?
  1. Timing and recording prolixity of contractions.
  2. Monitoring.
  3. Preparing for an crisis cesarean source.
  4. Checking the perineum for bulging.
6. The self-satisfexercise is completing an obstetric fact of a dame in strive. Which accident in the obstetric fact allure acceleration the self-satisfexercise suspects dysfunctional strive in the running pregnancy?
  1. Total era of severanced membranes was 24 hours behindcited a bound the frusttrounce source.
  2. First strive perpetual 24 hours.
  3. Uterine fibroid eminent at era of cesarean exhibition.
  4. Second source by cesarean for feature offer.
7. The self-satisfexercise is caring for a primigravid client in the strive and exhibition area. Which plight would locate the client at betray for disseminated intravascular coagulation (DIC)?
  1. Intrauterine fetal demise.
  2. Placenta accreta.
  3. Dysfunctional strive.
  4. Premature severance of the membranes.
8. The behindcited are beggarly purposes of dysfunctional strive. Which of these can a self-satisfaction, on her own husband?
  1. Pelvic scourge contraction
  2. Full bladder
  3. Extension rather than hiatus of the summit
  4. Cervical rigidity
9. In evaluating the usefulness of IV Pitocin for a client behindcited a bound frustrateary dystocia. the self-satisfexercise should hold-for:
  1. A indispositionnear exhibition
  2. Cervical plainness
  3. Infrequent contractions
  4. Progressive cervical dilation
10. During the era of collection of strive, a client should be observed cautionfully for signs of:
  1. Severe indisposition
  2. Uterine tetany
  3. Hypoglycemia
  4. Umbilical protrexercise prolapse
Answer and Rationale
  1. C. Oxytocin (Pitocin) document. Therapeutic administration for hypotonic uterine dysfunction embraces oxytocin raiseation and amniotomy to incense a strive that slows.
  2. B. Get indislie refreshment measures. Management of hypertonic strive depends on the purpose. Refreshment of indislie is the first intercession to exalt a ordinary strive shape.
  3. C. Monitoring fetal life trounce. The guidance is to mentor the fetal life trounce.
  4. C. Uterine severance. Uterine severance is a medical crisis that may happen precedently or during strive. Signs and symptoms typically embrace abdominal indislie that may self-satisfexercise behind uterine severance, vomiting, vaginal bleeding, hypovolemic surprise, and fetal embarrass. Aftercited a bound locatental abruption, the client typically complains of vaginal bleeding and immutable abdominal indisposition.
  5. A. Timing and recording prolixity of contractions. The oxytocic movables of Pitocin acceptions the tension and prolongations of contractions; prolonged contractions allure stake the safetyof the fetus and constrain discontinuing the garbage.
  6. C. Uterine fibroid eminent at era of cesarean exhibition.An abnormality in the uterine muscle could subject the usefulness of uterine contractions and prolong the prolongation of behindcited strives.
  7. A. Intrauterine fetal demise. Intrauterine fetal demise, abruptio locatentae, septic surprise, and amniotic flowing embolism may trigger ordinary clotting mechanisms; if clotting factors are depleted, DIC may happen. Placenta accreta, dysfunctional strive, and rash severance of the membranes aren’t associated behindcited a bound DIC.
  8. B. Full bladder. Full bladder can clog the declination of the fetal summit. The self-satisfexercise can antecedentlyhand husband this collection by doing a isolated catheterization of the dame.
  9. D. Progressive cervical dilation. The hold-fored movables of Pitocin is cervical dilation. Pitocin purposes over solemn contractions. which can acception the indisposition. making countersegregate A inexact. Cervical plainness is purposed by urgency on the presenting segregate. so countersegregate B is inexact. Countersegregate C is contrary the force of Pitocin.
  10. B. Uterine tetany. Uterine tetany could issue from the use of oxytocin to surrender strive. Bepurpose oxytocin exalts strong uterine contractions, uterine tetany may happen. The oxytocin document must be stopped to praccident uterine severance and fetal arbitrate.


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