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Exam (elaborations)

NU 317 EXAM 2 REVIEW QUESTIONS AND ANSWERS

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  • NU 318/317
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  • NU 318/317

NU 317 EXAM 2 REVIEW QUESTIONS AND ANSWERS A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: -1. Which of the following interpretations of this finding should the nurse make? A. The presenting part is 1 cm abov...

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  • October 23, 2024
  • 20
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NU 318/317
  • NU 318/317
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FIRST PUBLISH OCTOBER 2024




NU 317 EXAM 2 REVIEW QUESTIONS
AND ANSWERS

A nurse on the labor and delivery unit is caring for a client following a vaginal examination by the

provider which is documented as: -1. Which of the following interpretations of this finding should the

nurse make?


A. The presenting part is 1 cm above the ischial spines.


B. The presenting part is 1 cm below the ischial spines.


C. The cervix is 1 cm dilated.


D. The cervix is effaced 1 cm. - Ans:✔✔-A. The presenting part is 1 cm above the ischial spines


A woman is in the second stage of labor and has a spinal block in place for pain management. The nurse

obtains the woman's blood pressure and notes that it is 20% lower than the baseline level. Which action

should the nurse take?


A. Encourage her to empty her bladder.


B. Decrease her intravenous (IV) rate to a keep vein-open rate.



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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




C. Turn the woman to the left lateral position or place a pillow under her hip


D. No action is necessary since a decrease in the woman's blood pressure is expected. - Ans:✔✔-C. Turn

the woman to the left lateral position or place a pillow under her hip


When monitoring a woman in labor who has just received spinal analgesia, the nurse should report

which assessment findings to the health care provider or charge nurse? (Select all that apply.)


A. Maternal blood pressure of 108/79


B. Maternal heart rate of 98


C. Respiratory rate of 14 breaths/min


D. Fetal heart rate of 100 beats/min


E. Minimal variability on a fetal heart monitor - Ans:✔✔-D. Fetal heart rate of 100 beats/min


E. Minimal variability on a fetal heart monitor


The nurse would expect which maternal cardiovascular finding during labor?


A. Increased cardiac output


B. Decreased pulse rate


C. Decreased white blood cell count


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, ©GRACEAMELIA 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED

FIRST PUBLISH OCTOBER 2024




D. Decreased blood pressure - Ans:✔✔-A. Increased cardiac output


After delivering a healthy baby boy with epidural anesthesia, a woman on the postpartum unit

complains of a severe headache. The nurse should anticipate which actions in the patient's plan of care?

(Select all that apply.)


A. Keeping the head of bed elevated at all times


B. Administration of oral analgesics


C. Avoid caffeine


D. Assisting with a blood patch procedure


E. Frequent monitoring of vital signs - Ans:✔✔-B. Administration of oral analgesics


D. Assisting with a blood patch procedure


E. Frequent monitoring of vital signs


Which test is performed to determine if membranes are ruptured?


A. Urine analysis


B. Fern test


C. Leopold maneuvers


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