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Maternity and Women’s Health Care, 13th Edition (Lowdermilk, 2024) |
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Test Bank For Maternity and Women’s Health Care, 13th Edition(Lowdermilk, 2024) | 9780323810180 | All Chapters with
Answers and Rationals
The nurse in a maternity unit is reviewing the clients' records. Which clients should the nurse identify as
being at the most risk for developing disseminated intravascular coagulation (DIC)? Select all that apply.
- ANSWER:3.
A gravida II who has just been diagnosed with dead fetus syndrome
5.
A primigravida at 29 weeks of gestation who was recently diagnosed with severe preeclampsia
The nurse is caring for a client in labor. Which assessment findings indicate to the nurse that the client is
beginning the second stage of labor? Select all that apply. - ANSWER:3.
The cervix is dilated completely.
5.
The spontaneous urge to push is initiated from perineal pressure.
The nurse in the labor room is caring for a client in the active stage of the first phase of labor. The nurse
is assessing the fetal patterns and notes a late deceleration on the monitor strip. What is the most
appropriate nursing action? - ANSWER:1. Administer oxygen via face mask.
The nurse is performing an assessment of a client who is scheduled for a cesarean delivery at 39 weeks
of gestation. Which assessment finding indicates the need to contact the health care provider (HCP)? -
ANSWER:2 .Fetal heart rate of 180 beats/minute
, The nurse is reviewing the record of a client in the labor room and notes that the health care provider
has documented that the fetal presenting part is at the -1 station. This documented finding indicates
that the fetal presenting part is located at which area? Click on the image to indicate your answer. -
ANSWER:3
A client arrives at a birthing center in active labor. Following examination, it is determined that her
membranes are still intact and she is at a -2 station. The health care provider prepares to perform an
amniotomy. What will the nurse relay to the client as the most likely outcomes of the amniotomy?
Select all that apply. - ANSWER:3.
Increased efficiency of contractions
5.
The need for frequent fetal heart rate monitoring to detect the presence of a prolapsed cord
The nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if which is
noted on the external monitor tracing during a contraction? - ANSWER:4. Variable decelerations
A client in labor is transported to the delivery room and prepared for a cesarean delivery. After the
client is transferred to the delivery room table, the nurse should place the client in which position? -
ANSWER:1.Supine position with a wedge under the right hip
The nurse is monitoring a client in active labor and notes that the client is having contractions every 3
minutes that last 45 seconds. The nurse notes that the fetal heart rate between contractions is 100
beats/minute. Which nursing action is most appropriate? - ANSWER:1. Notify the health care provider
(HCP).
The nurse is caring for a client in labor and is monitoring the fetal heart rate patterns. The nurse notes
the presence of episodic accelerations on the electronic fetal monitor tracing. Which action is most
appropriate? - ANSWER:4. Document the findings and tell the mother that the pattern on the monitor
indicates fetal well-being.
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