Maternal newborn unit 2 Exam Questions and Answers
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Course
NCC Fetal Monitoring
Institution
NCC Fetal Monitoring
A nurse in the labor and delivery unit is assisting with the care of a client in labor and applies an external fetal monitor and Tocotransducer. The FHR is around 140/min, contractions are occurring every eight minutes and 30 to 40 seconds induration. The RN performs a vaginal exam and finds the ce...
Maternal newborn unit 2 Exam
Questions and Answers
A nurse in the labor and delivery unit is assisting with the care of a client in labor and
applies an external fetal monitor and Tocotransducer. The FHR is around 140/min,
contractions are occurring every eight minutes and 30 to 40 seconds induration. The RN
performs a vaginal exam and finds the cervix is 2 cm dilated and 50% effaced and the
fetus is a -2 station. Which of the following stages and phases of labor is this client
experiencing? - Answer-First stage, latent phase.
The client experiences a large cash of fluid from her vagina while walking in the hallway
of the birthing unit. Which of the following actions should the nurse take first? - Answer-
Monitor FHR for distress.
A nurse is assisting with the care of a client who is at 40 weeks of gestation and is
experiencing contractions every 3 to 5 min and becoming stronger. A vaginal exam
reveals that the clients cervix is 3 cm dilated, 80% effaced, and -1 station. The client
asks for pain medication. Which of the following actions should the nurse take? -
Answer-Encourage use patterns breathing techniques.
Administer opioid analgesic medication.
Suggest application of cold.
A nurse is caring for a client who has been in labor for 12 hours, and her membranes
are intact. The provider has decided to perform an amniotomy In an effort to facilitate
the progress of labor. The nurse performs a vaginal examination to ensure which of the
following prior to the performance of the amniotomy? - Answer-Fetal engagement.
A nurse is assisting with the care of a client in active labor. When last exam and two
hours ago, the client cervix was 3 cm dilated, 100% effaced, membranes intact, and the
fetus was at a -2 station. The client suddenly states her water broke. The monitor
reveals a FHR of 80 to 85 per minute. The nurse observes clear fluid And a loop of
pulsating umbilical cord outside the clients vagina. Which of the following actions should
the nurse perform first? - Answer-Call for assistance.
A nurse is discussing intermittent heart monitoring with a newly licensed nurse. Which
of the following statements should the nurse include? - Answer-Auscultate the fetal
heart rate immediately following rupture of membranes.
Reinforcing teaching with a client about the benefits of internal fetal heart monitoring.
Which of the following statements should the nurse include? - Answer-It can detect
abnormal fetal heart tones early.
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