NR 327 Exam 2 Questions With 100%
Verified Answers
When admitting a client to the labor and delivery unit, which is the priority assessment? -
answer✔contraction frequency and duration
Uterine tachysystole - answer✔more than 5 contractions in 10 minutes
What can uterine tachysytole put the fetus at risk for ? - answer✔decreased fetal oxygenation
*requires immediate action*
If amniotic membranes have ruptured, assess for... - answer✔time
amount
color
odor
Why is it important for a client in labor to maintain an empty bladder? - answer✔To ensure that
fetal descent is not impaired
To prevent damage to the bladder from uterine compression
Misprostol - answer✔causes cervical ripening and contractions
Misprostol adverse effects - answer✔uterine tachysystole
*should not be given to clients who have had a previous cesarean birth or major uterine surgery*
Dinoprostone - answer✔one time dose administered vaginally used to ripen the cervix
Oxytocin - answer✔cause uterine contractions once the cervix is favorable or when contractions
need to be stronger or more regular to dilate the cervix. It is also used after birth to control
postpartum hemorrhage.
Oxytocin adverse effects - answer✔blood pressure elevation
water intoxication
What is the highest priority after birth of the fetus? - answer✔Establishing the newborn's airway
fetal occiput - answer✔most rounded and smooth surface of the fetal head, is best at fitting
through the pelvis and dilating the cervix when it is turned in a right anterio
Passageway - answer✔pelvis
Passanger - answer✔fetus, umbillical cord, and placenta
Powers - answer✔contractions
Position - answer✔change frequently and remain physically active during labor when safe to do
so
Psyche - answer✔mothers psychological response
True labor contractions - answer✔occur at regular intervals, gradually increase in duration and
intensity, and shorten in frequency
False labor contractions - answer✔irregular with no change in duration, intensity, or frequency
Latent phase of dilation - answer✔Dilation of 0-3 cm
Contractions every 5-8 minutes lasting 30-40 seconds
The client is still alert, talkative, and teachable.
Active phase of dilation - answer✔Dilation of 4-7 cm
Contractions every 2-3 minutes lasting 40-60 seconds
The client is less talkative and focused on comfort and breathing techniques.
Transitional phase of dilation - answer✔Dilation of 8-10 cm
Contractions every 2-3 minutes lasting 60-90 seconds
The client is deeply focused and may not want to talk, easily irritated, and nauseous.
Lochia Rubra - answer✔red in color and lasts for 3-4 days after birth
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