3 Training Exam Questions And All Complete Answers.
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Course
NURS 1204
Institution
NURS 1204
The nurse is performing telephone triage with a client at 38 weeks gestation who thinks she may be in labor. Which questions would help the nurse determine whether the client is in labor? Select all that apply.
1. "Do you feel like the contractions are getting stronger?"
2. "Does anything you...
3 Training Exam Questions And All
Complete Answers.
The nurse is performing telephone triage with a client at 38 weeks gestation who thinks she may be in
labor. Which questions would help the nurse determine whether the client is in labor? Select all that
apply.
1. "Do you feel like the contractions are getting stronger?"
2. "Does anything you do make the pain better?"
3. "Have you lost your mucous plug?"
4. "How frequent are the contractions?"
5. "Where do you feel the contraction pain most?" - Answer 1245
The obstetric nurse is reviewing phone messages. Which client should the nurse call first?
1. Client at 18 weeks gestation taking ceftriaxone and reporting mild diarrhea [10%]
2. Client at 22 weeks gestation with twins who is taking acetaminophen twice a day [23%]
3. Client at 28 weeks gestation taking metronidazole and reporting dark-colored urine [27%]
4. Client at 32 weeks gestation taking ibuprofen for moderate back pain [38%] - Answer 4
A nurse is preparing to administer oxytocin to induce labor in a pregnant client at term gestation. Which
nursing actions are appropriate during oxytocin infusion? Select all that apply.
1. Administering IV oxytocin via the distal port
2. Assessing uterine contraction pattern
3. Auscultating fetal heart rate intermittently
4. Monitoring intake and output
5. Placing the IV oxytocin on an electronic infusion pump - Answer 245
,The nurse providing culturally competent care to a group of new mothers will give further teaching
concerning breastfeeding to which of the following clients?
1. A mother of African descent who desires to breastfeed for 2 years [10%]
2. A mother of Arab descent who wishes to bottle-feed while in the hospital [11%]
3. A mother of European-Caucasian descent who wishes to breastfeed immediately after birth [2%]
4. A mother of Hispanic descent who refuses to offer colostrum to the newborn [75%] - Answer 4
Exhibit
A pregnant client admitted for induction of labor is receiving an oxytocin infusion. The baseline fetal
heart rate is 140/min and the strip is shown in the exhibit. What is the nurse's best course of action?
Click on the exhibit button for additional information.
1. Apply oxygen 10 L/min face mask [9%]
2. Continue to monitor the client [52%]
3. Discontinue oxytocin infusion [31%]
4. Notify the health care provider (HCP) [6%] - Answer 2
What is an appropriate nursing intervention after the birth of a newborn with anencephaly?
1. Instruct the parents that visitors should be restricted [4%]
2. Provide information to the parents about genetic counseling [8%]
3. Refer the parents to a perinatal loss support group [10%]
4. Wrap the newborn in warm blankets for the parents to hold [77%] - Answer 4
Exhibit
A laboring client with epidural anesthesia experiences spontaneous rupture of membranes, immediately
followed by an abrupt change in the fetal heart rate. The nurse knows that considering the probable
, cause of the change in fetal heart rate, which action should be taken first? Click on the exhibit button for
additional information.
1. Administer IV fluid bolus [3%]
2. Assess for umbilical cord prolapse [46%]
3. Notify the health care provider [11%]
4. Reposition client to alternate side [37%] - Answer 2
The labor and delivery nurse is caring for a Japanese client who has declined epidural anesthesia. The
client has been very stoic and quiet throughout labor. Which nursing action represents the most
appropriate care for this client?
1. Complete hourly pain assessments using a numeric pain scale [38%]
2. Document that the client appears to be experiencing minimal pain [1%]
3. Monitor for nonverbal signs of ineffective coping with labor [57%]
4. Recognize that the client's stoicism is ineffective coping with labor [2%] - Answer 3
A laboring client, gravida 3 para 2, is admitted to the labor unit reporting severe perineal pressure and
urgently requesting pain relief. The client's cervix is 10 cm dilated and 100% effaced, with the fetal head
at 0 station. Which pain management technique is most appropriate for this client's report of perineal
pressure?
1. Epidural anesthesia [21%]
2. Hydrotherapy [29%]
3. IV narcotics [15%]
4. Pudendal nerve block [32%] - Answer 3
A pregnant client comes to the labor and delivery unit stating the water just broke at home. On
assessment of the client's perineal area, the nurse visualizes a loop of umbilical cord protruding from the
vagina. Which nursing intervention would be appropriate?
1. Apply suprapubic pressure [14%]
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