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NRSG 3302 Women And Families Exam 2 Questions And Answers Latest Update 2024/2025
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NRSG 3302 Women And Families Exam 2 Questions And Answers Latest Update 2024/2025
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NRSG 3302 Women And Families Exam 2Questions And Answers Latest Update
2024/2025
A patient has been laboring for over 18 hours when the provider ruptures her membranes. The fetus
experiences a prolonged deceleration immediately following the procedure. Which is the priority
nursing action for this patient?
1.
Notify the provider.
2.
Administer an IV fluid bolus.
3.
Change the maternal position.
4.
Perform a vaginal exam. Answer: 3.
Change the maternal position.
Which patient with a fetus displaying minimal variability would the nurse assess first?
1.
A patient who received nalbuphine 10 mg slow IV push 10 minutes ago
2.
A patient who is 25 weeks gestation with intermittent contractions
3.
A patient who is 39 weeks gestation with 8 contractions in 10 minutes
4.
,A patient who is 37 weeks gestation contracting every 6 to 7 minutes with no accelerations Answer:
3.
A patient who is 39 weeks gestation with 8 contractions in 10 minutes
The nurse is caring for a patient who is a G4P3 at 38 weeks gestation, contracting every 3 minutes.
Which assessment finding by the nurse requires immediate action?
1.
FHR of 105 per minute for the last 15 minutes
2.
Variable decelerations with 2 contractions
3.
Minimal variability
4.
Contraction duration of 60-70 seconds Answer: 3.
Minimal variability
The nurse notifies the provider that the patient has a Category III tracing and discontinued the oxytocin.
The provider orders the nurse to restart the oxytocin infusion. Which is the most appropriate action by
the nurse to minimize risks to the patient?
1.
Refuse to restart the oxytocin.
2.
Communicate concerns to the provider about restarting oxytocin and use the chain of command if
necessary.
3.
Restart the oxytocin as ordered.
4.
,Document the communication and concerns that were discussed, then restart the oxytocin as ordered.
Answer: 2.
Communicate concerns to the provider about restarting oxytocin and use the chain of command if
necessary.
The nurse evaluates the tracing on a patient and notices 6 contractions in 10 minutes. Which
assessment regarding the contraction pattern is priority?
1.
What is the intensity?
2.
What is the duration?
3.
What is the resting tone?
4.
What are possible causes? Answer: 4.
What are possible causes?
A nurse is monitoring a patient who is 26 weeks gestation and in preterm labor. Which assessment data
does the nurse document as a normal finding?
1.
Minimal variability
2.
FHR 168
3.
Late decelerations
4.
Contractions every 3 to 4 minutes Answer: 1.
, Minimal variability
Which plan would be most appropriate for monitoring a patient who presents to the labor and delivery
unit in the active phase of labor with ruptured membranes?
1.
At least hourly by auscultation
2.
Every 30 minutes by electronic fetal heart monitoring
3.
Every 15-30 minutes by auscultation
4.
Every 15 minutes by electronic fetal heart monitoring Answer: 4.
Every 15 minutes by electronic fetal heart monitoring
During a childbirth education class, the nurse educator describes signs of impending labor. Which
statement made by a class participant requires further teaching?
1.
"I may experience a sudden surge of energy, or a 'nesting' instinct, as labor approaches"
2.
"It may be more difficult to breathe as the baby gets larger toward my due date."
3.
"It's normal to experience warm-up contractions that aren't painful before the real thing."
4.
"I could feel some increasing lower back and hip discomfort" Answer: 2.
"It may be more difficult to breathe as the baby gets larger toward my due date."
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