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Nur 230 exam 2024 | Questions and Answers Verified 100% Correct | Latest Update
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Nur 230 exam 2024 | Questions and Answers Verified 100% Correct | Latest Update
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Nur 230 exam 2024 | Questions and AnswersVerified 100% Correct | Latest Update
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
What if she's fully dilated and the baby's ready to arrive?
We want a HR on the baby but the priority to determine the baby isn't coming immediately
The nurse is aware of possible complications following epidural placement including all of the
following EXCEPT:
Precipitous (fast) labor
Hypotension
Urinary retention
Itching - ✔✔Precipitous (fast) labor
Usually slows labor
Oxytocin administration is NOT acceptable in certain situations such as (select all that apply):
Latent phase, Stage I of labor
Significant variable decelerations
Early decelerations
Late decelerations
End of stage 3 of labor - ✔✔B, D
, A, is acceptable
B, maybe not
C, head compression causes early decels, hopefully close to having a baby
D, perfusion issue, stressed baby
E, placenta delivery, we want oxytocin
A nurse is reviewing the fetal heart rate tracing and contraction pattern on a client being
triaged for spontaneous labor. The toco monitor is not registering any contractions. The client is
tearful and thrashing from side to side. The SVE is 2/50/-2. What is the priority in this scenario?
Reassure the client that she is doing well with breathing through her contractions
Readjust the toco monitor
Palpate the fundus
Notify the health care provider - ✔✔Palpate the fundus
Which position or action would the nurse suggest for labor if the pelvic outlet needs to be
increased? Select all that apply:
Squatting
Encourage the use of an episiotomy
Make sure the client's bladder is empty
Use a peanut shaped ball between the mother's legs in various positions
Place the client on her hands and knees
Use of internal fetal and contraction monitors - ✔✔A, C, D, E
A nurse evaluates the FHR tracing and notes the baseline at 115 with moderate variability,
contractions are every 2 minutes with recurrent decelerations that drop to the 90s after the
acme of the contraction and return to baseline 40 seconds after the end of the contractions.
What is the nursing priority?
Decrease the oxytocin
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