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NR 327 Exam 2 Questions and Answers |Latest Edition Graded A+

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NR 327 Exam 2 Questions and Answers |Latest Edition Graded A+ The nurse is caring for a laboring client and evaluates the characteristics of contractions. Which questions should the nurse ask? Select that all apply. "When did your contractions start?" "How long are your contractions lasti...

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  • February 27, 2025
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NR 327 Exam 2 Questions and Answers |Latest
Edition Graded A+
The nurse is caring for a laboring client and evaluates the characteristics of
contractions. Which questions should the nurse ask? Select that all apply.
"When did your contractions start?"
"How long are your contractions lasting?"
"What is the resting tone of your uterus?"
"How often do you have contractions right now?"
"What is the intensity of your contractions?" - ANSWER -"When did your
contractions start?"
"How long are your contractions lasting?"
"How often do you have contractions right now?"

Why is it important for a client in labor to maintain an empty bladder? Select all
that apply.
To assess hydration status
To ensure that fetal descent is not impaired
To avoid delayed contraction frequency
To protect the uterus from the pressure of the bladder
To prevent damage to the bladder from uterine compression - ANSWER -To
ensure that fetal descent is not impaired
To prevent damage to the bladder from uterine compression

What are possible complications associated with oxytocin for induction of labor?
Select all that apply.
Fetal distress
Maternal bradycardia
Hypertension
Uterine hyperstimulation
Decreased urine output - ANSWER -Fetal distress
Hypertension
Uterine hyperstimulation
Decreased urine output

, What is the highest priority after birth of the fetus?
Establishing the newborn's airway
Medicating the mother for pain
Assisting with the quick delivery of the placenta
Promoting bonding and breastfeeding - ANSWER -Establishing the newborn's
airway

The _______ process of the fetal skull is the most rounded and smooth surface of
the fetal head and is best for fitting through the pelvis and dilating the cervix. -
ANSWER -occiput

A pregnant client who is 39 weeks gestation reports that she is urinating a lot more
lately and does not feel the baby up as high in her abdomen. What is the likely
reason?
Internal rotation
Lightening
Braxton Hicks contractions
Urinary tract infection - ANSWER -Lightening

The nurse is caring for a gravida 4, para 3 (G4P3) client, 37-weeks-pregnant, who
has come to the hospital because she believes her water has broken. How should
the nurse verify if the wetness the client feels is urine or amniotic fluid?
Use nitrazine paper to test the fluid at the bedside.
Press downward on the fundus and observe for a fluid gush.
Assess the color, consistency, and odor of the fluid.
Complete a vaginal examination to assess for cervical dilation and effacement. -
ANSWER -Use nitrazine paper to test the fluid at the bedside.

The nurse is caring for a gravida 2, para 1 (G2P1) client, 41-weeks-pregnant,
whose membranes ruptured prior to arrival at the hospital. The vaginal exam
reveals no cord prolapse. Fetal heart rate is 120 bpm with moderate variability.
Cervix is 8 cm dilated and 100% effaced. The current fetal station is +1. Which
stage of labor should the nurse document?
Stage 1, Transitional phase

,Stage 2
Stage 1, Active phase
Stage 3 - ANSWER -Stage 1, Transitional phase

What is a normal range for the fetal heart rate?
120-140 bpm
110-160 bpm
110-130 bpm
90-110 bpm - ANSWER -110-160 bpm

What does the fetal heart rate and pattern indicate, particularly in response to
uterine contractions?
The fetus's position and presentation
The fetus's condition
Labor progression
The mother's pain tolerance - ANSWER -The fetus's condition

Which of the following variability classifications is generally indicative of fetal
well-being?
Moderate
Absent
Minimum
Marked - ANSWER -Moderate

Which device can assess the intensity of contractions?
Doppler
Internal fetal monitor
Fetoscope
External fetal monitor - ANSWER -Internal fetal monitor

What is the legal responsibility of the nurse in assessment of fetal heart rate (FHR)
patterns?
Provide technical assessment for the monitor technicians.
The nurse is not legally responsible for fetal monitoring.
Correctly identify abnormal FHR patterns and prescribe medication.

, Correctly identify abnormal FHR patterns and notify the healthcare provider. -
ANSWER -Correctly identify abnormal FHR patterns and notify the healthcare
provider.

When fetal heart rate decreases at the beginning of a contraction and returns to
baseline at the end of the contraction, which condition is occurring?
Umbilical cord compression causing variable decelerations
Fetal head compression causing an early deceleration
Fetal distress
Uteroplacental insufficiency causing a late deceleration - ANSWER -Fetal head
compression causing an early deceleration

What does a decrease in the fetal heart rate after a contraction peaks indicate?
Uteroplacental insufficiency causing a late deceleration
A normal fetal heart rate pattern
Fetal head compression causing an early deceleration
Umbilical cord compression causing variable decelerations - ANSWER -
Uteroplacental insufficiency causing a late deceleration

Which statements describe the actions of analgesics given in labor? Select all that
apply.
Analgesics may depress newborn respiratory efforts.
Analgesics cross the placenta barrier.
Analgesics slow labor.
Analgesics are contraindicated. - ANSWER -Analgesics may depress newborn
respiratory efforts.
Analgesics cross the placenta barrier.

Which statement is accurate regarding the pain associated with childbirth?
Labor pain is predictable and easily treated.
Those with family present can cope with labor pain much easier.
Labor pain has a foreseeable end, which can help some to cope.
Labor pain is harder for women to cope with, knowing that it will result in the birth
of a child. - ANSWER -Labor pain has a foreseeable end, which can help some to
cope.

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