ATI RN Maternal Newborn Proctored Retake Exam

1d/d 18

ATI RN Maternal Newborn Proctored Retake Exam with NGN Questions and Answers

• Adnursedisdperformingdadvaginaldexaminationdondadclientdwhodisdindlabordanddobservesdthedu

mbilicaldcorddprotrudingdfromdthedvaginadafterdcallingdfordassistancedwhichdofdthedfollowingdact ionsdshoulddthednursedtakednext

dANSdApplydinternaldupwarddpressuredtodthedpresentingdpartdusingdtwodgloveddfingers

• Adnursedisdplanningdcaredfordadclientdwhodisdtwodhoursdpostpartumdwhichdofdthedfollowingdinte

rventiondshoulddthednursedplandtodimplementdduringdthedtakingdholddphasedofdpostpartumdbeha vioraldadjustment

dANSdDemonstratedtodthedclientdhowdtodperformdadnewborndbath

• Adnursedisdteachingdadclientdwhodisdatd36dweeksdofdgestationdanddhasdadprescriptiondfordadnonstr

essdtestdwhichdofdthedfollowingdstatementsdshoulddthednursedincludedindthedteaching dANSdYoudwilldbedoffereddorangedjuicedtoddrinkdduringdadtest

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• Adnursedindadwomen'sdhealthdclinicdisdprovidingdteachingdaboutdnutritionaldintakedtodadclientdwh

odisditdeightdweeksdofdgestationdthednursedshoulddinstructdthedclientdtodincreasedherddailydintakedofd whichdofdthedfollowingdnutrientsdANSdIron

• Adnursedisdcaringdfordadclientdwhodisdatd35dweeksdofdgestationdanddhasdplacentadpreviadwhichd

ofdthedfollowingdactionsdshoulddthednursedtake

dANSdInitiatedcontinuousdexternaldfetaldmonitoring

• Adnursedisdassessingdfetaldheartdtonesdfordadclientdwhodisdpregnantdthednursedisddetermineddthedf

etaldpositiondasdleftdoccipitaldanteriordtodwhichdofdthedfollowingdareasdofdthedclientsdabdomendsure dthednursedapplydthedultrasounddtransducerdtodassessdthedpointdofdmaximumdintensitydtodthedfetaldh eart

dANSdLeftdlowerdquadrant

• Adnursedisdpreparingdtodadministerdazithromycindtodadclientdwhodisdatd16dweeksdofdgestationdan

ddhasdadpositivedchlamydiadculturedthedprescriptiondstatesdadministerdisditdfromdicedind1dgdOrlydnowd availabledisd250dmgdtabletsdhowdmanydtabletsdfordthednursedadministerdrounddthedanswerdtodthedn earestdwholednumberdusingdleadingdzerodifditdappliesddodnotdusedadtrailingdzero dANSd4dtablets

• Adnursedisdcaringdfordadnewborndwhodisdundergoingdphotodtherapydtodtreatdhyperbilirubinemia

dwhichdofdthedfollowingdactionsdshoulddthednursedtake

dANSdCoverdthednewbornsdeyesdwhiledunderdthedphotodtherapydlight

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• Adschooldnursedisdprovidingdteachingdtodandadolescentdaboutdlevonorgestreldcontraceptiondwhic

hdofdthedfollowingdinformationdshoulddthednursedincludedindthedteaching

dANSdYoudshoulddtakedthedmedicationdwithind72dhoursdfollowingdunprotecteddsexualdintercourse

• Adnursedisdprovidingdteachingdaboutdfamilydplanningdtodadclientdwhodhasdadnewdprescriptiondf

ordaddiaphragmdwhichdofdthedfollowingdstatementdshoulddthednursedincludedindthedteaching

dANSdYoudshoulddleavedtheddiaphragmdindplacedfordatdleastdsixdhoursdafterdintercourse

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• Adnursedisdcaringdfordadclientdwhodisdatd22dweeksdofdgestationdanddreportsdconcerndaboutdblot

chydhyperpigmentationdondherdforeheaddwhichdofdthedfol-dlowingdactionsdshoulddthednursedtake

dANSdExplaindtodthedclientdthatdthisdisdandexpecteddoccurrence

• Adnursedisdteachingdadclientdwhodisdindpretermdlabordaboutdterbutalinedwhichdofdthedfollowingdsta

tementsdbydthedclientdindicatesdandunderstandingdofdthedteaching

dANSdIdwilldhavedblooddtestsdbecausedmydpotassiumdmightddecrease

• Adnursedisdassessingdadnewborndofdadclientdwhodtookdadselectivedserotonindreuptakedinhibitordd

uringdpregnancydwhichdofdthedfollowingdmanifestationsdshoulddthednursedidentifydasdandindicationdo fdwithdrawaldfromdandSSRI

dANSdVomiting

• Adnursedisdassessingdadnewborndwhodisd12dhoursdolddwhichdofdthedfollowingdmanifestationsdrequi

redinterventionsdbydthednurse

dANSdSubsternaldchestdretractionsdwhiledsleeping

• Adnursedindthedantepartumdclinicdisdassessingdadclientdadaptationdofdpreg-

dnancydthedclientdstatesdthatdshedisdhappydonedminutedanddcryingdthednextdthednursedshoulddinterpr etdthedclientsdstatementdasdandindicationdofdwhichdofdthedfollowing

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dANSdEmotionaldlability

• Adnursedondadantepartumdunitdisdcaringdfordfourdclientsdwhichdofdthedfollowingdclientdtodthednurs

edidentifydasdadpriority

dANSdAdclientdwhodisdatd34dweeksdofdgestationdanddreportsdepigastricdpain

• Adnursedisdassessingdadclientdwhodisdatd30dweeksdofdgestationdduringdadroutinedprenataldvisitd

whichdofdthedfollowingdfindingsdshoulddthednursedreportdtodthedprovider

dANSdSwellingdofdthedface

• Adnursedisdprovidingddischargedteachingdtodadclientdwhodhasdpostpartumdfordwhichdofdthedfollo

wingdmanifestationdshoulddthednursedinstructdthedclientdtodmonitordanddreportdtodthedprovider

dANSdUnilateraldbreastdpain

• Adnursedisdteachingdadnewdmotherdhowdtodusedadbulbdsyringedtodsuctiondherdnewborndsecretion

sdwhichdofdthedfollowingdinstructionsdshoulddthednursedincludedANSdStopdsuctioningdwhendthednewb ornsdcrydsounddclear

• Adnursedisdreviewingdlaboratorydresultsdofdadnewborndwhodisdfourdhoursdolddwhichdofdthedfollowi

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ngdfindingsdshoulddthednursedreportdtodthedproviderdANSdBiliru-dbindofd9dmg/Dl

• Adnursedindadfamilydplanningdclinicdisdcaringdfordadclientdwhodrequestdandoraldcontraceptivedw

hichdofdthedfollowingdfindingsdindthedclientsdhistorydtodthednursedrecognizesdadcontraindicationdtodo raldcontraceptivesdselectdalldthatdapplydANSdCholecystitis HypertensiondMigrained headaches

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• AdnursedisdteachingdadpostpartumdKlinedaboutdthedstepsdthednursesdwilldtakedtodpromotedtheds

ecuritydanddsafetydofdthedclientsdnewborndwhichdofdthedfollowingdstatementdshoulddthednursedma kedANSdStaffdmemberdtodtakedcaredofdyourdbabydwilldbedwearingdadphotodidentificationdbadge

• Adnursedisdreviewingdthedlaboratorydresultsdfordadclientdwhodisdatd10dweeksdgestationdwhichdof

dthedfollowingdlaboratorydfindingsdshoulddthednursedreportdtodthedproviderdANSdHemoglobind10d g/dL

• Adnursedisdcaringdfordadclientdwhodhasdpreeclampsiadanddisdreceivingdadcontinuousdinfusiondo

fdmagnesiumdsulfatedIVdwhichdofdthedfollowingdactionsdshoulddthednursedtakedANSdHavedcalciumd gluconatedreadilydavailable

• Adnursedisdcaringdfordadclientdwhodisdindactivedlabordanddhasdnodcervicaldchangedindthedlastdfo

urdhoursdwhichdofdthedfollowingdstatementdshoulddthednursedmakedANSdYourdproviderdwilldinsertd andintrauterinedpressuredcatheterdtodmonitordthedstrengthdofdyourdcontractions

• Adnursedisdcaringdfordadnewborndwhodwasdtransferreddtodthednurseryd30dminutesdafterdbirthdb

ecausedofdmilddrespiratoryddistressdwhichdofdthedfollowingdactionsdshoulddthednursedtakedANSdVerif ydthednewbornsdidentification

• Adnursedisdassessingdadnewborndfordmanifestationsdofdhypoglycemiadwhichdofdthedfollowingdfin

dingsdshoulddthednursedexpectdANSdJitteriness

• Adnursedanddadprenataldclinicdisdcaringdfordadclientdwhodreportsdthatdherdmenstrualdperioddisdtw

odweeksdlatedclientdappearsdanxiousdanddaskeddthednursedifdshe'sdpregnantdwhichdofdthedfollowingdre sponsesdtodthednursedmakedANSdYoudcandmissdyourdperioddfordseveraldotherdreasonsddescribedyour

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dtypicaldmenstrualdcycle

• Adnursedisdcaringdfordadclientdwhodisdpregnantdanddisdatdthedenddofdherdfirstdtrimesterdthednursin

gdplacedthedDopplerdultrasounddstethoscopedindwhichdofdthedfollowingdlocationsdtodbegindassessin gdthedfetaldheartdtonesdANSdJustdabovedthedsymphysisdpubis

• AdnursedisdpreparingdtodperformdLeopold'sdManeuversdfordadclientdidentifydthedsequencedthed

nursedshoulddfollowdANSdPalpatedthedfundsdtodidentifydthedfetaldpartdDeterminedthedlocationdofdth edfetaldback PalpatedfordthedfetaldpartdpresentingdatdthedinletdIdentifydtheda ltitudedofdthedhead

• Adnursedisdperformingdadnewborndassessmentdwhichdofdthedfollowingdimagesdshoulddthednursedi

dentifydasdandindicationdofdspinadbifidadoccultadANSdCau-dcasiandbabydwithdsmalldbruise- like/birthmarkdatdthedbasedofdthedbackdabovedbuttocks

• Adnursedisdcaringdfordadclientdwhodisdexperiencingdpretermdlabordatd29dweeksdofdgestationdanddh

asdadprescriptiondfordbetamethasonedwhichdofdthedfollowingdstatementsdfordthednursedmakedabout dthedindicationdfordthedmedicationdanddadministrationdANSdThisdmedicationdstimulatesdfetaldlungd maturity

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• Adnursedisdcaringdfordadclientdwhodisdindlabordanddreportsdincreasingdrectaldpressuredshe'sdexp

eriencingdcontractionsd2dtod3dminutesdapartdeachdlastingd80dtod90dsecondsdindadvaginaldexaminatio ndrevealsdindherdcervixdisddilateddtod9dcmdthednursedshoulddidentifydthatdthedclientdisdindwhichdofdthedfo llowingdphasesdofdlabordANSdTransition

• AdnursedisdteachingdadnewdparentdaboutdNyborgdsafetydwhichdofdthedfollow-

dingdinstructionsdtodthednursedincludedindthedteachingdANSdYoudcandsharedyourdroomdwithdyourdbaby dfordthednextdfewdweeks

• Adnursedisdprovidingddietarydteachingdtodadclientdwhodhasdhyperdemesisdgravidarumdwhichdo

fdthedfollowingdstatementsdbydthedclientdindicatesdunder- dstandingdofdthedteachingdANSdIdwilldeatdfoodsdthatdtastedgooddinsteaddofdbalancingdmydmeals

• Adnursedisdcaringdfordadclientdfollowingdandamniocentesisdatd18dweeksdofdgestationdwhichd

ofdthedfollowingdfindingsdshoulddthednursedreportdtodthedproviderdisdadpotentialdcomplicationdA NSdLeakagedofdfluiddfromdthedvagina

• Adnursedisdassessingdadclientdwhodisdpostpartumdanddhasdidiopathicdthrombocytopeniadpurp

uradwhichdofdthedfollowingdfindingsdshoulddthednursedexpectdANSdDecreasedplateletdcount

• Adnursedisdplanningddischargedfordadclientdwhodisdthreeddaysdpostdpartumdwhichdofdthedfollow

ingdnon- pharmacologicaldinterventiondshoulddthednursedincludedindthedplandofdcaredfordlactationdsuppress iondANSdApplydcabbagedleavesdtodthedbreasts

• Adnursedisdpreparingdtodadministerdoxytocindtodadclientdwhodisdpostdpartumdwhichdofdthedfollowi

ngdfindingsdasdandindicationdfordthedadministrationdofdthedmedicationdselectdalldthatdapplydANSdFl accidduterus Excessdvaginaldbleeding

• Adnursedisdplanningdcaredfordadclientdwhodisdindlabordanddisdrequestingdepiduraldanesthesiadfor

dpaindcontroldwhichdofdthedfollowingdactionsdshoulddthednursedincludedindthedplandofdcaredANSdMonit ordthedclientsdblooddpressuredeverydfivedminutesdfollowingdthedfirstddosedofdthedanestheticdsolution

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• Adnursedondpostpartumdunitdisdcaringdfordadclientdwhodisdexpectingdhypov-

dolemicdshockdafterdnotifyingdthedproviderdwhichdofdthedfollowingdactionsdshoulddthednursedtakednextd ANSdMassagedclientsdfundus

• Adnursedisdplanningdcaredfordadclientdwhodisdindlabordanddisdtodhavedandamniotomydwhichdof

dthedfollowingdassessmentsdfordthednursedidentifydasdadprioritydANSdTemperature

• Adnursedisdreviewingdthedlaboratorydreportdofdadnewborndhedwasd24dhoursdolddwhichdofdthedf

ollowingdresultsdshoulddthednursedexpectdtodreportdtodthedproviderdANSdBlooddglucosed30dmg/d L

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• Adnursedisdspeakingdwithdadclientdwhodisdtryingdtodmakedaddecisiondaboutdtubaldligationdthedcl

ientdasksdwhatdeffectdwilldthisdproceduredhavedondmydsexdlifedwhichdofdthedfollowingdresponsesds houlddthednursedmakedANSdThisdproceduredshoulddhavednodeffectdondyourdsexualdperformancedo rdadequacy

• Adnursedisdreviewingdthedmedicaldrecorddofdadclientdwhodhasdpostpartumdanddhasdpreeclampsiad

whichdofdthedfollowingdlaboratorydresultsdshoulddthednursedreportdtodthedproviderdANSdPlateletsd 50,000/mm3

• AdnursedisdteachingdadclientdwhodisdRhdnegativedaboutdRh0(D)dimmunedglob-

dulindwhichdofdthedfollowingdstatementsdbydthedclientdindicateddunderstandingdofdthedteachingdAN SdIdwilldneeddthisdmedicationdifdIdhavedandamniocentesis

• Adnursedisdteachingdadclientdwhodhasdadnewdprescriptiondfordcombineddoraldcontraceptivesdab

outdpotentialdadversedeffectsdofdthedmedicationdfordwhichdofdthedfollowingdfindingsdshoulddthednu rsedinstructdthedclientdtodnotifydthedproviderdANSdShortnessdofdbreath

• Adnursedisdteachingdadclientdwhodisdatd24dweeksdofdgestationdregardingdadonedhourdglucosedtol

erancedtestdwhichdofdthedfollowingdstatementsdshoulddthednursedincludedindthedteachingdANSdBlooddgl ucosedofd130dtod140disdconsidereddadpositivedscreeningdresult

• Adnursedisdassessingdadclientdwhodgavedbirthdvaginallyd12dhoursdagodanddpalpatedherduteru

sdtodthedrightdabovedthedumbilicusdwhichdofdthedfollowingdinterventionsdshoulddthednursedperform dANSdAssistdthedclientdtodemptydherdbladder

• Adnursedisdcaringdfordadclientdwhodisdindlabordanddwho'sdfetusdisdindthedrightdocciputdposteriord

positiondthedclientdisddilateddtod8dcmdanddreportsdbackdpaindwhichdofdthedfollowingdactionsdshoul ddthednursedtakedANSdApplydsacraldcounterpressure

• Adnursedisdreviewingdthedmedicaldrecorddatd1800dfordclientdwhodisdatd34dweeksdofdgestationdbase

ddondthedchartdfindingsdandddocumentationdthednursingdplandofdcaredshoulddincludedwhichdofdthedfo llowingdactionsdANSdAdministerdterbutaline

• Adnursedisdreviewingdthedmedicaldrecorddofdadnewlydadmitteddclientditdwasdatd32dweeksdgestati

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ondwhichdofdthedfollowingdconditionsdisdandindicationdfordfetaldassessmentdusingdelectronicdfetaldmo nitoringdANSdOligohydramnios

• Adnursedisdteachingdadclientdwhodisdatd35dweeksdofdgestationdaboutdman-

difestationsdofdpotentialdpregnancydcomplicationsdtodreportdtodthedproviderdwhichdofdthedfollowin gdmanifestationdshoulddthednursedincludedANSdHeadachedthatdisdunrelieveddbydanalgesia

• Adnursedisdcaringdfordadclientdwhodisdatd41dweeksdofdgestationdanddhas

adpositivedcontractiondstressdtestdfordwhichdofdthedfollowingddiagnosticdtestdshoulddthednursedprepar edthedclientdANSdBiophysicaldprofiledBPP

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• Adnursedisdprovidingddischargedteachingdtodthedparentsdofdadnewborndaboutdcardseatdsa

fetydwhichdofdthedfollowingdinstructiondshoulddthednursedincludedANSdPlacedthedretainerdclipda tdthedleveldofdthednewbornsdarmpits

• AdnursedisdcalculatingdadclientdexpectedddatedofdbirthdusingdNägelesdruledthedclientdtellsdthednurs

edthatdherdlastdmenstrualdperioddstarteddondNovemberd27dwhichdofdthedfollowingddatesdasdthedcli entsdexpectedddatedofdbirthdANSdSeptemberd3

• Adnursedisdplanningdcaredfordadclientdwhodisdtodundergodadnonstressdtestdwhichdofdthedfollo

wingdactionsdshoulddthednursedincludedindthedplandof caredANSdInstructdthedclientdtodpressdthedprovideddbuttondeachdtimedfetaldmovementdisddetected

• Adnursedisdcaringdfordadclientdwhodbecomesdunresponsiveduponddeliverydofdthedplacentadwhichd

ofdthedfollowingdactionsdshoulddthednursedtakedfirstdANSdDeter-dminedrespiratorydfunction

• Adnursedisdteachingdadclientdwhodhasdpregestationaldtyped1ddiabetesdmellitusdaboutdmanageme

ntdduringdpregnancydwhichdofdthedfollowingdstatementsdbydthedclientdindicateddunderstandingdofd thedteachingdANSdIdwilldcontinuedtakingdmydinsulindifdIdexperiencednauseadanddvomiting

• Adnursedisdassessingdadnewborndfollowingdcircumcisiondwhichdofdthedfollowingdfindingsdshoul

ddthednursedidentifydasdandindicationdofdthednewborndisdexperiencingdpaindANSdChindquivering

ddd61.dAdnursedindadprenataldclinicdisdreinforcingdteachingdwithdadclientdwhodhasdadnewddiagnosisdofdh eartburn.dWhichdofdthedfollowingdstatementsdshoulddthednursedinclude?A."Godfordadwalkdafterdeating." B."Limitdyourdfooddconsumptiondtod2dmealsdadday." C."Drinkdplentydofdwaterdwithdyourdmeals." D."Weardtightdclothingdtodenhanceddigestion."dANSd"Godfordadwalkdafterdeating." ddd62.Adnursedisdcontributingdtodthedplandofdcaredfordadclientdwhodisdindthedactivedstagedofdlabordanddex pressesdaddesiredtodusednonpharmacologicaldmethodsdofdpaindrelief.dWhichdofdthedfollowingdinterven tionsdshoulddthednursedtake?

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E.Encouragedthedclientdtodlistendtodmusic F.Instructdthedclientdhowdtodusedinformationaldfeedback

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G.Askdthedclientdtodreconsiderdusingdadregionaldanesthetic H.AssistdthedclientdintodadwarmdshowerdANSdAssistdthedclientdintodadwarmdshower

• 63.dAdnursedisdreinforcingdsafetydteachingdwithdthedparentsdofdadnewborn.dWhichdofdthedfollowin

gdinstructionsdshoulddthednursedinclude?A.Positiondthednewborndondthedstomachdwhendsleeping B.Cleansedthednewborn'sdearsdwithdadcotton-tippeddswab C.Burpdthednewborndfrequentlydduringdfeedings D.AllowdthednewborndtodairddrydafterdbathingdANSdBurpdthednewborndfrequentlydduringdfeedings

• 64.dAdnursedisdreinforcingdteachingdwithdadclientdindthedthirddtrimesterdofdpregnancydwhodrepo

rtsddifficultydsleeping.dWhichdofdthedfollowingdinstructionsdshoulddthednursedprovide?A.Eatdadhigh-fatdsmackdbeforedbed B.Exercisedindthedeveningdbeforedbed C.Sleepdindthedsupinedposition D.UsedadditionaldpillowsdtodsupportdextremitiesdanddabdomendANSdUsedadditionaldpillowsdtods upportdextremitiesdanddabdomen

• 65.dAndadolescentdreportsdabdominaldcrampingdduedtoddysmenorrhea.dWhichdofdthedfollowi

ngdanalgesicsdshoulddthednursedexpectdthedproviderdtodprescribe?A.Fentanyl B.Acetaminophendanddoxycodone C.Acetaminophendanddhydrocodone D.IbuprofendANSdIbuprofen

• 66.dAdnursedisdcollectingddatedfordadnewborndwhodisd12dhoursdolddanddnotesdmilddjaundicedofdt

hedfacedanddtrunk.dWhichdofdthedfollowingdactionsdshoulddthednursedtake?

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A.AdministerdphytonadionedIM B.Obtaindadstatdprescriptiondfordadbilirubindlevel C.Obtaindadbaggeddurinedspecimen D.PerformdadgestationaldagedassessmentdANSdObtaindadstatdprescriptiondfordadbilirubindlevel

• 67.dAdnursedisdcollectingddatadfromdadnewborn.dWhichdofdthedfollowingdfindingsdsuggestsdthedn

ewborndisdpost-mature?A.Pale,dtranslucentdskin

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B.Nailsdextendingdoverdthedfingers C.Weakdgagdreflex D.ThindcoveringdofdfinedhairdondthedshouldersdanddbackdANSdNailsdextendingdoverdthedfingers

• 68.dAdnursedisdreinforcingdteachingdwithdadclientdwhodisdatd32dweeksdofdgestationdanddreportsdre

gulardalcoholdusedduringdherdpregnancy.dThednursedshoulddinformdthedclientdthatdherdchilddisdatdriskd fordwhichdofdthedfollowingdcharacter-distics?A.Largedheaddsize B.Increaseddweight C.Poordcoordination D.HypoactivedreflexesdANSdPoordcoordination

• 69.dAdnursedisdreinforcingdteachingdaboutdoxytocindwithdadclientdwhodisdindthedthirddtrimesterdo

fdpregnancydanddhasdpre- eclampsia.dWhichdofdthedfollowingdisdadcontraindicationdfordusedofdthisdmedication?A.Prolongeddrupturedofdmembranesdatd38dweeksdofdgestation B.Intrauterinedgrowthdrestriction C.Activedgenitaldherpes D.Post-termdpregnancydANSdActivedgenitaldherpes

• 70.dAdnursedisdassistingdwithdthedcaredofdadclientdindlabor.dHerdcervixdisddilateddtod9dcm,danddshedh

asdstrongdcontractionsdeveryd2dminutesdthatdlastd75dseconds.dThednursedshoulddrecognizedthatdthisdcl ientdisdindwhichdofdthedfollowingdphasesdordstagesdofdlabor?A.Latentdphasedofdfirstdstage B.Activedphasedofdfirstdstage C.Seconddstage D.TransitiondphasedofdfirstdstagedANSdTransitiondphasedofdfirstdstage

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