NUR 230 Exam 2- Questions & Answers
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?
Clots have formed in the upper uterine segment.
The placenta has separated.
The client is beginning to hemorrhage.
A cervical tear occurred during the birth. Correct Ans-The placenta has separated.
The nurse is assessing this external fetal monitoring strip of a laboring client. What should the
nurse do first?
Notify the health care provider.
Increase the rate of the client's IV fluids.
Place the client in lateral position.
Document the findings in the chart. Correct Ans-Place the client in lateral position.
The client is experiencing a late deceleration. The nurse should immediately place the client in
the left lateral position, d/c the oxytocin if infusing, administer oxygen before notifying the
healthcare provider.
While reviewing laboratory results for a woman being admitted for a Cesarean Section at 40
weeks gestation due to breech position, which of the laboratory results would the alert the
nurse to a potential complication?
platelets 90,000
urine positive for trace protein
WBC 14,000
Hematocrit 34% Correct Ans-platelets 90,000
Normal platelet count is 150,000-400,000.
, A laboring client requests intravenous pain medication. Which finding would alert the nurse
that narcotic administration should be withheld?
Fetal tracing is interpreted as a Category I
Moderate fetal heart rate variability with three accelerations noted in 20 minutes
Cervical exam 6 cm/75%/0 with a reactive fetal heart rate tracing
Category III Fetal heart rate tracing Correct Ans-Category III Fetal heart rate tracing
A client who requires an emergency Cesarean Section would be MOST likely to experience what
type of anesthesia?
epidural/spinal combo
general
epidural
spinal Correct Ans-general
View the fetal monitoring tracing below. What is the frequency of the contractions in this
picture in minutes?
1-2
2-3
2-4
3-4 Correct Ans-2-3
What causes early decelerations?
uterine tachysystole
oligohydramnios
head compression
cord compression Correct Ans-head compression
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