NU 350 FINAL WITH 126 QUESTIONS & CORRECT
ANSWERS
A laboring client is gong to be given an epidural for pain management in labor.Prior to the procedure, the physician orders rapid intravenous infusion of 1500 mL of lactated ringers solution. The nurse knows that the purpose of this treatment
regime is to: - ANSWER-Increase maternal blood volume to prevent hypotension.
The nurse teaches a client how to determine the duration of a contraction. What is the correct information? - ANSWER-Time the contraction from the beginning to the end of the same contraction.
You notice that a laboring client BP is lower when she rests on her back than when
she is on her side. This is because: - ANSWER-The fetus may compress the major
vessels when she is supine
______ are the soft spots on the skull. They are used in labor as landmarks to determine the position of the head during labor. - ANSWER-Fontanels
A laboring woman's husband tells the nurse that his wife is shaking and does not want him to touch her anymore. The nurse should explain that these characteristics are normal and should not be taken personally. What phase of labor is the woman likely to be in? - ANSWER-Transition
The most appropriate initial treatment for variable decelerations is to: - ANSWER- Change maternal position
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Variable fetal heart rate decelerations are caused by: - ANSWER-Umbilical cord
compressions
Which assessment is the best indication that a client is in true labor? - ANSWER- Cervix 6 cm dilated, 100 % effaced
Your order reads to add 15 units of Pitocin to 250 mL LR for labor induction. The vial reads 10 units/ml. you need to add _____ of the given solution to the IV bag. - ANSWER-1.5 mL
The process by which the cervix thins and becomes part of the lower uterine
segment tis known as: - ANSWER-Effacement
A client tells the nurse that her contractions are occurring every 2 minutes and lasting 60 seconds for the last hour. What action should the nurse take first? - ANSWER-Assess cervical dilation and effacement
A nurse administers Cervidil vaginally to a client. The nurse is aware of what potential hazard r/t this drug? - ANSWER-Hyper-stimulation of the uterus
The nurse notes that when palpating the abdomen during a contraction, it is not possible to indent the uterine wall. The intensity of this contraction would be
termed: - ANSWER-Strong
In developing a plan of care for a client who has ruptured membranes for 24 hours,
the nurse recognizes that it is essential to consider her increased risk of: -
ANSWER-Chorioamnionitis
There are three major fetal presentations which include cephalic, breech and shoulder - ANSWER-True 2 / 3
There are 2 drugs that are used for cervical ripening _____. - ANSWER-Cervidil and cytotec
A client states she has been feeling contractions, but they stop when she walks around. These contractions are called - ANSWER-Braxton Hicks
A client asks the nurse what the term is when the baby "drops". The nurse explains that the term for the setting of the fetal head into the true pelvis is: - ANSWER- Lightening
A client in active labor states that she needs to use the bedpan for a bowel
movement. The first action of the nurse should be to: - ANSWER-Examine the
cervix for progress
An antagonist for narcotics must be readily available at delivery because: -
ANSWER-Narcotics can potentially depress the newborns respiratory system
Your client asks you how frequent her contractions are coming. You explain the
frequency of uterine contractions is determined from the: - ANSWER-Beginning
of the one contraction to the beginning of the next.
The normal fatal heart rate is from ___ - ANSWER-110-160
What approach would be best for the nurse to use when assessing for ruptured membranes in a laboring client? - ANSWER-Test the vaginal fluid with nitrazine paper.
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