A nurse is teaching a client who is in labor about the use of nitrous oxide analgesia for
pain control. Which of the following statements by the client indicates an
understanding of the teaching?
A) "Nitrous oxide could make my baby sleepy when he is born."
B) "I should inhale the nitrous oxide between contraindications."
C) "I will feel the effects of the nitrous oxide almost immediately."
D) "Nitrous oxide can make me feel disoriented."
Give this one a try later!
C) "I will feel the effects of the nitrous oxide almost immediately."
Explanation: The effects of nitrous oxide are felt within 1 minute. It does not
affect neonatal sedation, it is used as the contractions begin, and it only
decreases pain, not cause disorientation.
,A nurse is calculating a pregnant client's estimated date of delivery using Naegele's
rule. The client's last menstrual period started on January 20. Which of the following is
the client's expected date of delivery?
A. October 13
B. November 13
C. October 27
D. November 27
Give this one a try later!
C. October 27
Naegele's rule involves subtracting 3 months from the first day of the last
menstrual period and adding 7 days.
A nurse is caring for a client who is in labor. The client asks the nurse, "Why are you
pressing on my abdomen?" Which of the following responses should the nurse make?
A) "I can determine your baby's heart rate."
B) "I can confirm that you have sufficient fluid around your baby."
C) "I can confirm that your baby moves with simulation."
D) "I can determine the position of your baby."
Give this one a try later!
D) I can determine the position of your baby.
Explanation: Palpation of the abdomen can determine which fetal part is in
the uterine fundus and where the back of the fetus is. Palpating the lower
abdomen will help determine whether the fetus's head is down or if another
extremity is the presenting part.
, A nurse is caring for a client who has oligohydramnios. Which of the following fetal
anomalies should the nurse expect?
A. Atrial septal defect
B. Renal agenesis
C. Spina bifida
D. Hydrocephalus
Give this one a try later!
B. Renal agenesis
Oligohydramnios is a volume of amniotic fluid that is <300 mL during the
third trimester of pregnancy. This occurs when there is a renal system
dysfunction or obstructive uropathy. The absence of fetal kidneys will
cause oligohydramnios.
A nurse is reviewing the laboratory findings of a 24-hour-old newborn. Which of the
following findings should the nurse report to the provider?
A. Hemoglobin 12 g/dL
B. Platelet count 200,000/mm^3
C. Total bilirubin 4 mg/dL
D. Glucose 50 mg/dL
Give this one a try later!
A. Hemoglobin 12 g/dL
The nurse should report a hemoglobin level of 12 g/dL to the provider
because it is below the expected reference range of 14 to 24 g/dL.
A nurse is caring for a client who is at 39 weeks gestation and shows manifestations of
labor. Which of the following findings will alert the nurse that the client is in true
pain control. Which of the following statements by the client indicates an
understanding of the teaching?
A) "Nitrous oxide could make my baby sleepy when he is born."
B) "I should inhale the nitrous oxide between contraindications."
C) "I will feel the effects of the nitrous oxide almost immediately."
D) "Nitrous oxide can make me feel disoriented."
Give this one a try later!
C) "I will feel the effects of the nitrous oxide almost immediately."
Explanation: The effects of nitrous oxide are felt within 1 minute. It does not
affect neonatal sedation, it is used as the contractions begin, and it only
decreases pain, not cause disorientation.
,A nurse is calculating a pregnant client's estimated date of delivery using Naegele's
rule. The client's last menstrual period started on January 20. Which of the following is
the client's expected date of delivery?
A. October 13
B. November 13
C. October 27
D. November 27
Give this one a try later!
C. October 27
Naegele's rule involves subtracting 3 months from the first day of the last
menstrual period and adding 7 days.
A nurse is caring for a client who is in labor. The client asks the nurse, "Why are you
pressing on my abdomen?" Which of the following responses should the nurse make?
A) "I can determine your baby's heart rate."
B) "I can confirm that you have sufficient fluid around your baby."
C) "I can confirm that your baby moves with simulation."
D) "I can determine the position of your baby."
Give this one a try later!
D) I can determine the position of your baby.
Explanation: Palpation of the abdomen can determine which fetal part is in
the uterine fundus and where the back of the fetus is. Palpating the lower
abdomen will help determine whether the fetus's head is down or if another
extremity is the presenting part.
, A nurse is caring for a client who has oligohydramnios. Which of the following fetal
anomalies should the nurse expect?
A. Atrial septal defect
B. Renal agenesis
C. Spina bifida
D. Hydrocephalus
Give this one a try later!
B. Renal agenesis
Oligohydramnios is a volume of amniotic fluid that is <300 mL during the
third trimester of pregnancy. This occurs when there is a renal system
dysfunction or obstructive uropathy. The absence of fetal kidneys will
cause oligohydramnios.
A nurse is reviewing the laboratory findings of a 24-hour-old newborn. Which of the
following findings should the nurse report to the provider?
A. Hemoglobin 12 g/dL
B. Platelet count 200,000/mm^3
C. Total bilirubin 4 mg/dL
D. Glucose 50 mg/dL
Give this one a try later!
A. Hemoglobin 12 g/dL
The nurse should report a hemoglobin level of 12 g/dL to the provider
because it is below the expected reference range of 14 to 24 g/dL.
A nurse is caring for a client who is at 39 weeks gestation and shows manifestations of
labor. Which of the following findings will alert the nurse that the client is in true
