NUR 230 Exam 2 Latest Questions and Answers 100% Correct.
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Course
NUR 230
Institution
NUR 230
Which fetal heart rate tracing characteristics are considered reassuring or normal
(category I)?
Bradycardia not accompanied by baseline variability.
Early decelerations, either present or absent.
Sinusoidal pattern, either present or absent.
Tachycardia not accompanied by baseline variability...
NUR 230 Exam 2
Which fetal heart rate tracing characteristics are considered reassuring or normal
(category I)?
Bradycardia not accompanied by baseline variability.
Early decelerations, either present or absent.
Sinusoidal pattern, either present or absent.
Tachycardia not accompanied by baseline variability. - ✔️✔️Early decelerations, either
present or absent.
A multigravida presents to the labor and delivery triage area and states that she feels as
though she needs to push. What is the priority?
Notify the health care provider
Assess the client's vital signs
Place the client On the external fetal monitor
Perform a sterile vaginal exam - ✔️✔️Perform a sterile vaginal exam
When caring for a nulliparous client in labor, the nurse knows that the experience for a
nulliparous client is different from that of a multiparous client in what way?
The nulliparous client experiences less sensory pain during labor.
The nulliparous client experiences greater sensory pain during the second stage of
labor.
The nulliparous client experiences greater fatigue as a result of longer duration of labor.
The nulliparous client experiences greater affective pain in the second stage of labor. -
✔️✔️The nulliparous client experiences greater fatigue as a result of longer duration of
labor.
When assessing uterine activity, the nurse is aware of which consideration?
The examiner's hand should be placed on the fundus before, during, and after
contractions.
The frequency and duration of contractions are measured in seconds for consistency.
Contraction intensity is given a judgement number of 1-7 by the nurse and client
together.
The resting tone between contractions is described as either placid or turbulent. -
✔️✔️The examiner's hand should be placed on the fundus before, during, and after
contractions.
Which condition is occurring in a multiparous client who has just given birth, her fundus
is firm and globular, and she has a gush of dark red blood from her vagina?
The placenta has separated.
A cervical tear occurred during birth.
The client is beginning to hemorrhage.
Clots have formed in the upper uterine segment. - ✔️✔️The placenta has separated.
, Which is characteristic of true labor contractions?
Subsides when walking around.
Causes discomfort over the top of the uterus.
Continues and gets stronger, even if the client relaxes and takes a shower.
Remains irregular but becomes stronger. - ✔️✔️Continues and gets stronger, even if
the client relaxes and takes a shower.
Which stage of labor is indicated for a client who has been laboring for several hours,
whose cervix is dilated 9 cm, and who is having strong uterine contractions, each lasting
for 45-90 seconds?
Latent phase of the first stage of labor.
Active phase of the first stage of labor.
Active stage of the second stage of labor.
Transition phase of the first stage of labor. - ✔️✔️Transition phase of the first stage of
labor.
Which nursing instruction would reduce the risk of urinary retention in a client during
labor?
"Void in a lateral position."
"Increase your fluid intake."
"Empty your bladder every 4 hours."
"I can show you some techniques to help stimulate voiding." - ✔️✔️"I can show you
some techniques to help stimulate voiding."
Which characteristic is associated with false labor contractions?
Painless
Decrease in intensity with ambulation.
Regular pattern of frequency established.
Progressive in terms of intensity and duration. - ✔️✔️Decrease in intensity with
ambulation.
Which are characteristics of the second stage of labor? Select all that apply.
A. The second stage of labor is the stage in which the infant is born.
B. In this stage, the birthing table is usually set up for the nulliparous client
C. The progress of labor is enhanced when the client changes position frequently during
this stage of labor.
D. This stage begins with full cervical dilation (10 cm) and complete effacement (100%)
and ends with the baby's birth.
E. The force exerted by uterine contractions, gravity, and maternal bearing-down efforts
facilitates achievement of the expected outcome of a spontaneous, uncomplicated
vaginal birth.
F. The median duration of this stage of labor is 50-60 minutes in nulliparous clients and
20-30 minutes in multiparous clients. - ✔️✔️A, D, E, F
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