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NU201 EXAM 3 Intrapartum Period Questions and Answers 100% Solved

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NU201 EXAM 3 Intrapartum Period Questions and Answers 100% Solved A 24-year-old primigravid client in active labor requests use of the jet hydrotherapy tub to aid in pain relief. The nurse should contact the health care provider (HCP) for clarification in what circumstance? The client's membra...

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  • November 1, 2024
  • 26
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NU 201
  • NU 201
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NU201 EXAM 3 Intrapartum Period

Questions and Answers 100% Solved


A 24-year-old primigravid client in active labor requests use of the jet

hydrotherapy tub to aid in pain relief. The nurse should contact the health

care provider (HCP) for clarification in what circumstance?

The client's membranes have ruptured.

The client is exhibiting hypotonic labor patterns.

The client has been diagnosed with type 2 diabetes.

The client's pregnancy is multifetal. - ✔✔Correct response:

The client's membranes have ruptured.

Explanation:

Some HCPs do not allow clients with ruptured membranes to use a hot tub

or jet hydrotherapy tub during labor for fear of infections. The nurse should

check with the HCP before continuing. Jet hydrotherapy is not

contraindicated for clients with multifetal gestation, diabetes mellitus, or

hypotonic labor patterns.

,©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
The nurse is caring for a multigravid client in active labor when the nurse

detects variable fetal heart rate decelerations on the electronic monitor.

The nurse interprets this as the compression of which structure?

chest

head

umbilical cord

placenta - ✔✔Correct response:

umbilical cord

Explanation:

Variable decelerations are associated with compression of the umbilical

cord. The nurse should alter the client's position and increase the IV fluid

rate. Fetal head compression is associated with early decelerations.

Severe compression of the fetal chest, such as during the process of

vaginal birth, may result in transient bradycardia. Compression or damage

to the placenta, typically from abruptio placentae, results in severe, late

decelerations.

The membranes of a multigravid client in active labor rupture

spontaneously, revealing greenish-colored amniotic fluid. How does the

nurse interpret this finding?

passage of meconium by the fetus

, ©NINJANERD 2024/2025. YEAR PUBLISHED 2024.
maternal sexually transmitted disease

Rh incompatibility between mother and fetus

maternal intrauterine infection - ✔✔Correct response:

passage of meconium by the fetus

Explanation:

Greenish-colored amniotic fluid is caused by the passage of meconium,

usually secondary to a fetal insult during labor. Meconium passage also

may be related to an intact gastrointestinal system of the neonate,

especially those neonates who are full term or of postdate gestational age.

Amnioinfusion may be used to treat the condition and dilute the fluid.

Cloudy amniotic fluid is associated with an infection caused by bacteria or a

sexually transmitted disease. Severe yellow-colored fluid is associated with

Rh incompatibility or erythroblastosis fetalis.

A nurse and an LPN are working in the labor and birth unit. Of the activities

that must be done immediately, which should the nurse assign to the LPN?

Perform a straight catheterization for protein analysis.

Complete an initial assessment on a client.

Assess a laboring client for a change in labor pattern.

Increase the oxytocin rate on a laboring client. - ✔✔Correct response:

Perform a straight catheterization for protein analysis.

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