NURS 3610 Quiz 2 Questions and Answers with Rationales

NURS 3610 Quiz 2 Questions and Answers with Rationales A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns? A. Early decelerations B. Accelerations C. Late decelerations D. Variable decelerations D. Variable decelerations Variable decelerations occur when the umbilical cord becomes compressed and disrupts the flow of oxygen to the fetus. * Think VEALCHOP A nurse in the newborn nursery is caring for a group of newborns. Which of the following newborns requires immediate intervention? A. A newborn who is 24 hr post-delivery and has not voided. B. A newborn who is 18 hr post-delivery and has acrocyanosis C. A newborn who is 24 hr post-delivery and has not passed meconium D. A newborn who is 12 hr post-delivery and has a temperature of 37.5C (99.5F) D. A newborn who is 12 hr post-delivery and has a temperature of 37.5C (99.5F) Hyperthermia in the newborn requires immediately intervention. Hyperthermia is typically caused by increased heat production related to sepsis or decreased heat loss. A nurse is assessing a client who is 12hr postpartum and received spinal anesthesia for a cesarean birth. Which of the following findings requires immediate intervention by the nurse? A. Blood pressure 100/70 mmHg B. Headache pain rated 6 on a scale of 0 to 10 C. Respiratory rate 10/min D. Urinary output 30mL/hr C. Respiratory rate 10/min A client who has received spinal anesthesia is at risk for respiratory depression and hypotension. A respiratory rate of 10/min indicates bradypnea and requires immediate intervention. A nurse is caring for a client who has just delivered her first newborn. The nurse anticipates hyperbilirubinemmia due to Rh incompatibility. The nurse should understand that hyperbilirubinemia occurs