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Exam (elaborations)

NRSG 376 Exam 2 Study Guide Graded A 2024

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The frequency of uterine contractions is measured as: The end of one contraction to the beginning of the next contraction. The beginning of one contraction to the end of that contraction. The beginning of one contraction to the beginning of the next contraction. The end of one contraction to the end of the next contraction. - The beginning of one contraction to the beginning of the next contraction. Which of the following characteristics demonstrate a woman in latent (early) phase of labor? Discussing baby names with the partner, contractions every 5-7 minutes, palpated firm as mild, cervix 3 cm Cervix dilated 7cm, 80% effaced, demanding an epidural for pain Woman states," I can't do this anymore", cervix 9 cm, feels perineal pressure Contractions moderate intensity, occurring every 4-5 minutes, cervix 5 cm, using focused breathing - Discussing baby names with the partner, contractions every 5-7 minutes, palpated firm as mild, cervix 3 cm A client is in active labor and having several repetitive variable decelerations on her external monitor strip. The labor nurse interprets the cause of these variable decelerations as: Hypertension Head compression Umbilical cord compression Uteroplacental insufficiency - Umbilical cord compression A primigravida client is having contractions. The nurse is assessing her and knows that the most reliable indicator that the onset of true labor has begun is the following: A sudden urge to do household tasks Regular contractions that occur every 15 mintures Change in the dilation and effacement of the cervix Increased ease of breathing with the contractions - Change in the dilation and effacement of the cervix A nurse is performing the Leopold's maneuvers on a primigravida who is 39 weeks on admission to the labor unit. During the second maneuver, the nurse's assessment will answer which question? What is the presenting part? Is the fetal head flexed and engaged in the pelvis? On which maternal side is the fetal back located? What fetal part is located in the fundus? - On which maternal side is the fetal back located? The nurse is assessing the fetal heart rate of a woman in early labor. The fetal heart rate is 140 beats per minute. Which of the following actions by the nurse is appropriate? Place the woman on her left side and administer oxygen Immediately inform the health care provider Reassess the fetal heart rate in 5 minutes Inform the mother that this is a normal rate - Inform the mother that this is a normal rate The client has given birth 30 minutes ago. During the fourth stage of labor what is the priority nursing care management? Allow rest Prevent hemorrhage Promote attachment Promote breastfeeding - Prevent hemorrhage The fetal monitor reveals several late decelerations. What causes this physiologic response?

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