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PP RNSG 1538 INTRAPARTUM MASTERY QUIZ QUESTIONS WITH COMPLETE SOLUTIONS
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PP RNSG 1538 INTRAPARTUM MASTERY QUIZ QUESTIONS WITH COMPLETE SOLUTIONS
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PP RNSG 1538 INTRAPARTUMMASTERY QUIZ QUESTIONS WITH
COMPLETE SOLUTIONS
Intrauterine infection. - answer-a client at 36 weeks' gestation is admitted in preterm
labor with a temperature of 101.2° f (38.4° c). She reports a steady dripping from the
vaginal area and examination indicates that she's leaking amniotic fluid. A nurse
realizes the probable cause of her fever is:
The fetal monitor strip shows early decelerations. - answer-a laboring client smiles
pleasantly at the nurse when asked simple questions. The client speaks only mandarin,
and the interpreter is busy with an emergency situation. At her last vaginal examination,
the client was 5 cm dilated, 100% effaced, and at 0 station. While working with this
client, which response indicates that the client may be approaching birth?
"i will explain what is happening to guide you as we go along." - answer-a multigravid
client is admitted to the labor area from the emergency room. At the time of admission,
the fetal head is crowning, and the client yells, "the baby is coming!" to help the client
remain calm and cooperative during the imminent birth, which response by the nurse is
most appropriate?
Pulmonary - answer-when preparing a multigravid client at 34 weeks' gestation
experiencing preterm labor for the shake test performed on amniotic fluid, the nurse
would instruct the client that this test is done to evaluate the maturity of which fetal
systems?
Instruct the client to go to an emergency room for an urgent assessment. - answer-a
client at 27 weeks gestation experiences uterine cramping and also secretes a small
amount of bright red bleeding and mucus. The client calls her prenatal clinic nurse.
Which of the following recommendations is most appropriate from the nurse?
Fetal heart rate of 80 beats/minute - answer-a nurse is caring for a client with mild
active bleeding from placenta previa. Which assessment factor indicates that an
emergency cesarean birth may be necessary?
Ruptured membranes - answer-a 24-year-old primigravid client in active labor requests
use of the jet hydrotherapy tub to aid in pain relief. The nurse understands that which
condition is a contraindication to hydrotherapy?
"i should try to push with each contraction." - answer-after explaining about the second
stage of labor, which client statement would indicate to the nurse that the client
understands the information discussed?
, Lecithin-sphingomyelin (l/s ratio) - answer-the health care provider (hcp) orders an
amniocentesis for a primigravid client at 37 weeks' gestation to determine fetal lung
maturity. Which is an indicator of fetal lung maturity?
Discontinue the oxytocin if the uterus does not relax between uterine contractions. -
answer-a laboring client on oxyitocin is becoming more vocal and is voicing increased
pain with the uterine contractions. The nurse performs a fetal and maternal assessment
and finds that the uterus is not relaxing between contractions. Based on the assessment
findings, which of the following would be the best action for the nurse?
Heart rate 120 beats/minute, respiratory rate 28 breaths/minute, blood pressure 80/40
mm hg - answer-a nurse assesses a client during the third stage of labor. Which
assessment findings indicate that the client is experiencing postpartum hemorrhage?
Offering support by reviewing the short-pant form of breathing - answer-a client has
expressed her desire to give birth with minimal intervention. She is now moving into the
active phase of labor. What intervention by the nurse would be the priority of care?
Maternal heart rate 125 beats/minute - answer-what assessment data of a laboring
woman would require further intervention by the nurse?
Passage of meconium by the fetus - answer-the membranes of a multigravid client in
active labor rupture spontaneously, revealing greenish-colored amniotic fluid. How does
the nurse interpret this finding?
Complete a vaginal examination to determine dilation, effacement, and station. -
answer-a multigravid client is admitted at 4-cm dilation and is requesting pain
medication. The nurse gives the client nalbuphine 15 mg. Within five minutes, the client
tells the nurse she feels like she needs to have a bowel movement. The nurse should
first:
Beginning of one contraction to the beginning of the next contraction - answer-what
interval should the nurse use when assessing the frequency of contractions of a
multiparous client in active labor admitted to the birthing area?
Notify the supervisor of the unit. - answer-while preparing medication for a client in
labor, the observes a co-worker slipping a vial of morphine into their side pocket. The
nurse should:
Instruct the client to use a pant-blow pattern of breathing. - answer-a 19-year-old
primigravid client at 38 weeks' gestation is 7 cm dilated, and the presenting part is at +1
station. The client tells the nurse, "i need to push!" what should the nurse do next?
"i will make every effort to work with your cultural beliefs." - answer-the family of a
laboring client is distressed to discover that the on-call physician is a male. The client's
husband forbids the physician from providing care for his wife. What is the nurse's best
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