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PN 108 PREPU CHAPTER 10 QUESTIONS AND ANSWERS
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PN 108 PREPU CHAPTER 10 QUESTIONS AND ANSWERS...
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A client is in active labour. Checking the EFM tracing, the nurse notesabnormal variables. What would be the nurse's first nursing intervention?
- ANSWER Help the woman change positions.
As your client progresses through the fourth stage of labour, or recovery,
you make many assessments. One of these is the assessment of
bonding between the parents and the newborn. What is one nursing
intervention that promotes maternal-infant bonding? - ANSWER
Kangaroo care
While waiting for the placenta to deliver during the third stage of labour
the nurse must assess the new mother's vital signs every 15 minutes.
What sign would indicate impending shock? - ANSWER tachycardia
and a falling blood pressure
To assess the frequency of a woman's labour contractions, the nurse
would time: - ANSWER the beginning of one contraction to the
beginning of the next.
If a fetus were not receiving enough oxygen during labour because of
uteroplacental insufficiency, which pattern would the nurse anticipate
seeing on the monitor? - ANSWER fetal heart rate declining late with
contractions and remaining depressed
If the monitor pattern of uteroplacental insufficiency were present, which
action would the nurse do first? - ANSWER Turn her or ask her to turn
to her side.
As a woman enters the second stage of labour, her membranes
spontaneously rupture. When this occurs, what would the nurse do
next? - ANSWER Assess fetal heart rate for fetal safety.
, A woman is admitted to a labour unit in active labour. Which of the
following assessments would alert you to the possibility that she may
have difficulty accepting this child? - ANSWER "I want this baby to be a
boy."
The nurse is reviewing the uterine contraction pattern and identifies the
peak intensity, documenting this as which phase of the contraction? -
ANSWER acme
The nurse determines that the fetal heart rate averages approximately
140 beats per minute over a 10-minute period. The nurse identifies this
as: - ANSWER baseline FHR.
A woman has just entered the second stage of labour. The nurse would
focus care on which intervention? - ANSWER encouraging the woman
to push when she has a strong desire to do so
A client states, "I think my water broke! I felt this gush of fluid between
my legs." The nurse tests the fluid with a Nitrazine swab and confirms
membrane rupture if the swab turns: - ANSWER blue.
A woman in labour is to receive continuous internal electronic fetal
monitoring. The nurse prepares the client for this monitoring based on
the understanding that which criterion must be present? - ANSWER
cervical dilation of 2 cm or more
When applying the ultrasound transducers for continuous external
electronic fetal monitoring, the nurse would place the transducer to
record the FHR at which location? - ANSWER between the umbilicus
and the symphysis pubis
When palpating the fundus during a contraction, the nurse notes that it
feels like a chin. The nurse interprets this finding as indicating which
type of contraction? - ANSWER moderate
A labour and delivery nurse knows that when assessing a woman's
contraction pattern, it is important to include which of the following?
(Select all that apply.) - ANSWER frequency
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