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NCLEX 6TH EDITION/ MATERNAL-NB/ INTRAPARTUM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NCLEX 6TH EDITION/ MATERNAL-NB/ INTRAPARTUM QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NCLEX 6TH EDITION/ MATERNAL-NB/INTRAPARTUM QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
A client is brought to the labor unit. As the nurse is attaching the fetal heart monitor, the client's
membranes rupture spontaneously. What should be the nurse's immediate action? - ANSWER Check the
fetal heart rate.
After the client vaginally delivers a viable newborn, the nurse sees the umbilical cord lengthen and
observes a spurt of blood from the vagina. The nurse recognizes these findings as signs of which
condition? - ANSWER Placental separation
A client asks, "What does it mean that the baby is at minus one?" The nurse should explain to the client
that the fetal presenting part is which? - ANSWER 1 cm above the ischial spines
The nurse is reviewing the record of a client in the labor room and notes that the nurse-midwife has
documented that the fetus is at minus one station. The nurse determines that the fetal presenting part is
in which position? - ANSWER 1 cm above the ischial spines
The nurse is assigned to care for a client experiencing dystocia. Which would be the highest priority in
planning care? - ANSWER Monitoring for changes in the physical and emotional condition of the mother
and fetus
The client is in the second stage of labor. As the baby begins to crown, the health care provider
administers a pudendal nerve block in preparation for an episiotomy. Which action should the nurse
take? - ANSWER Continue to assess vital signs and fetal heart rate the same as before the nerve block.
The nurse is reviewing the record of a client in the labor room. The nurse midwife noted the following
documentation. Which documented notation refers to the relationship of the presenting part to the
maternal ischial spines? - ANSWER Minus (-) 1 station
The nurse is collecting data from a client who has been diagnosed with placenta previa. Which findings
should the nurse expect to note? Select all that apply. - ANSWER -Bright red vaginal bleeding
-Soft, relaxed, nontender uterus
, A client in preterm labor is placed on bed rest. The nurse assists the client to which advantageous
position? - ANSWER Left lateral
A client in labor has been pushing effectively for 1 hour and the presenting part is at a +2 station. The
nurse determines which physiological need is primary to the client at this time? - ANSWER Rest between
contractions
A pregnant client with severe uterine bleeding is admitted to the labor and birthing department. Which
data should best alert the nurse to early signs of hypovolemic shock? - ANSWER Restlessness and
agitation
For the previous 4 hours, a client in labor has been experiencing contractions every 2 minutes lasting 60
to 70 seconds and strong to palpation. She is dilated 2 cm and complaining of severe pain. The nurse
understands that the client is experiencing which type of dystocia? - ANSWER Hypertonic
Which would be the appropriate method to use to deliver the placenta after a precipitate delivery? -
ANSWER Gently guide the placenta out after a spontaneous separation.
The client who is being prepared for a cesarean delivery is brought to the delivery room. To maintain the
optimal perfusion of oxygenated blood to the fetus, the nurse should place the client in which position? -
ANSWER Supine position with a wedge under the right hip
Which documentation concerning the characteristics of amniotic fluid supports the determination that
the fluid is normal? - ANSWER It is pale, straw-colored with flecks of vernix.
The nurse is preparing a client for an emergency cesarean delivery. Which information regarding the
client has priority? - ANSWER When was the last time the client ate or drank?
A woman who is 36 weeks pregnant arrives at the labor and delivery unit complaining of vaginal
bleeding. Which signs/symptoms would indicate that the client's bleeding is caused by placenta previa?
Select all that apply. - ANSWER -Bright red vaginal bleeding
-Lack of uterine contractions
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