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NCLEX Review: NUR 245 Unit 6 Terms in this set (40) The nurse is reviewing the complications of childbirth. Head entrapment (unable to pass through pelvis) is most likely to occur with which presentation? 1) Shoulder 2) Face 3) Brow 4) Breech 4) He $7.99   Add to cart

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NCLEX Review: NUR 245 Unit 6 Terms in this set (40) The nurse is reviewing the complications of childbirth. Head entrapment (unable to pass through pelvis) is most likely to occur with which presentation? 1) Shoulder 2) Face 3) Brow 4) Breech 4) He

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NCLEX Review: NUR 245 Unit 6 Terms in this set (40) The nurse is reviewing the complications of childbirth. Head entrapment (unable to pass through pelvis) is most likely to occur with which presentation? 1) Shoulder 2) Face 3) Brow 4) Breech 4) Head entrapment is most likely to oc...

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  • August 9, 2024
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8/9/24, 1:41 PM




NCLEX Review: NUR 245 Unit 6
Jeremiah




Terms in this set (40)

The nurse is reviewing the complications of 4)
childbirth. Head entrapment (unable to pass Head entrapment is most likely to occur with breech presentation, as the cervical
through pelvis) is most likely to occur with dilatation that allowed the buttocks to pass may not be large enough for the head to
which presentation? pass. Head entrapment is not a risk associated with shoulder, face, or brow
presentations
1) Shoulder
2) Face
3) Brow
4) Breech

The nurse is assessing a prenatal client at 30 1)
weeks gestation who was admitted to the A prenatal client at 30 weeks gestation with complaints of severe nausea and vomiting,
hospital with complaints of severe nausea elevated alpha-fetoprotein, and a fundal height of 38 is likely to have a multiple
and vomiting, elevated alpha-fetoprotein, pregnancy. A client with abruptio placentae would complain of vaginal bleeding. A
and a fundal height of 38 cm. What diagnosis client with oligohydramnios is characterized by a decrease in amniotic fluid. A client
should the nurse anticipate? with placenta previa would complain of painless vaginal bleeding.


1) Multiple pregnancy
2) Oligohydramnios
3) Abruptio placentae
4) Placenta previa

The nurse is providing prenatal care to a 3)
client pregnant with twins. How much weight
should the nurse counsel this client to gain?


1) 30 to 35 pounds
2) 15 to 20 pounds
3) 40 to 50 pounds
4) 25 to 30 pounds




1/9

, 8/9/24, 1:41 PM
The nurse is caring for a third-trimester 3)
prenatal client admitted with bright red Vaginal exams are contraindicated on a client with placenta previa. This is due to the
painless vaginal bleeding. What nursing increased risk of perforating the placenta. Nursing management may include
intervention is not recommended? intravenous fluids with lactated Ringer's; bed rest with bathroom privileges; and
monitoring vital signs, contractions, bleeding, and fetal heart rate.
1) Application of an internal uterine pressure
catheter
2) Bed rest with bathroom privileges
3) Vaginal exams
4) Intravenous fluids with lactated Ringer's

The nurse is caring for a prenatal client at 38 4)
weeks gestation whose ultrasound reveals Amniocentesis would draw fluid off and provide relief in a client with excess amniotic
approximately 3000 mL of amniotic fluid. She fluid. A cesarean section delivery is contraindicated, because it could be dangerous to
complains of shortness of breath and has 2+ give anesthesia to a client with respiratory distress. Intravenous antibiotics would not be
pitting edema in her lower extremities. The indicated, as it has not been established that the client has an infection. Amnioinfusion
nurse anticipates preparation for: (instilling fluid into the uterus) is inappropriate for a client with excess amniotic fluid.


1) Intravenous antibiotics.
2) Delivery by cesarean
3) Amnioinfusion.
4) Amniocentesis.

The nurse is assessing a prenatal client 4)
diagnosed with possible placenta previa.
What signs and symptoms should the nurse
expect this client to demonstrate?


1) Severe abdominal pain
2) Dark red vaginal bleeding
3) Absence of fetal heart sounds
4) Bright red vaginal bleeding

The nurse is caring for a client whose uterine 3)
contractions are irregular and of low Protracted labor is defined as uterine contractions that are irregular and of low
amplitude, and the dilatation of the cervix is amplitude, with the dilation of the cervix less than 1 cm per hour. Arrested progress in
less than 1 cm per hour. The nurse recognizes labor is no change of cervical dilatation for two hours. Hypertonic labor is ineffectual
this pattern as: uterine contractions of poor quality in the latent phase with increasing resting tone.
Normal labor is characterized by regular contractions of moderate amplitude with a
1) Normal labor. regular pattern of cervical change.
2) Arrested progress.
3) Protracted labor.
4) Hypertonic labor.

A nurse is admitting a laboring client with a 2)
breech presentation. Where is the most Auscultate for fetal heart tones above the umbilicus for a breech presentation, but
appropriate place for the nurse to auscultate below the umbilicus for a cephalic presentation.
for fetal heart tones?


1) Lower right maternal quadrant
2) Above the umbilicus
3) Midline of the umbilicus
4) Below the umbilicus




2/9

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