PN 131 Quiz 3 NCLEX Practice Questions and Answers 2024/2025
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Course
PN 131
Institution
PN 131
A pregnant woman's amniotic membranes rupture. Prolapsed umbilical cord is suspected.
What intervention would be the top priority?
a. Placing the woman in the knee-chest position
b. Covering the cord in sterile gauze soaked in saline
c. Preparing the woman for a cesarean birth
d. Starting oxy...
c. A gravida 5 who had two vaginal births and two cesarean births.
d. A gravida 4 who has had all cesarean births.
D
The risk of uterine rupture increases for the patient who has had multiple prior births with no
vaginal births. As the number of prior uterine incisions increases, so does the risk for uterine
rupture. Low-segment transverse cesarean scars do not predispose the patient to uterine
rupture.
The nurse is monitoring a pregnant client after amniotomy. Which observation would indicate
a likelihood of umbilical cord compression?
A. The fetal heart rate (FHR) confirms tachycardia.
B. The client's vaginal drainage has a foul-smell.
C. The client has maternal chills frequently.
D. The fetal heart rate (FHR) has variable decelerations.
D
(Amniotomy is performed in a pregnant client in order to rupture the membranes artificially.
After the procedure, the nurse should closely monitor the FHR. Reduced FHR and variable
decelerations in FHR indicate that the client's umbilical cord is compressed. The nurse should
immediately inform the primary health care provider of the client's condition. Tachycardia or
increased FHR are common manifestations observed after amniotomy. Tachycardia does not
require immediate clinical action. Maternal chills and foul-smelling vaginal discharge after
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