1 of 22
Term
A nurse on the obstetric triage floor is caring for a client who is at 37
weeks of gestation. The client states, "I am leaking a lot of fluid. I
don't know if it's my bag of water or urine." The client denies
experiencing uterine contractions. Which of the following steps
should the nurse take first?
Give this one a try later!
Assess the fetal heart rate
Offer the client ice chips between
patterns and perform bedside
contractions.
testing to evaluate the fluid.
Explain the urinalysis results and Ensure vital signs are obtained
vital signs findings to the client. between contractions.
Don't know?
, 2 of 22
Term
A nurse is caring for a client who is in labor. The client's cervix is 3 cm
dilated and 50% effaced. The client is experiencing irregular
contractions every 5 to 6 mins with a plain rating of 3 on a scale of 0
to 10. The nurse should identify that the client is in which of the
following phases of labor?
Give this one a try later!
The client is in the latent phase Offer the client ice chips between
of the first stage of labor contractions.
Collaborate with the health care
The fetus is in a transverse lie.
team to support the client's request.
Don't know?
3 of 22
Term
A nurse is analyzing a clients FHR monitor strip. The FHR baseline
has been consistent at 160/min for the last hour. Upon the next
assessment, the nurse notices a FHR of 130/min for the last 15 min.
The client is having contractions very 3 to 5 min, lasting 60 to 80
second with periods of uterine relaxation between. The nurse should
identify this FHR pattern as which of the following?
Give this one a try later!
, A prolonged acceleration Non-reassuring fetal status
A baseline change A prolonged deceleration
Don't know?
4 of 22
Term
The client is at risk for _____________due to_______________
Give this one a try later!
Variable decelerations, bradycardia Early decelerations, hypotension
Late decelerations,
Accelerations, tachycardia
hypertension
Don't know?
Term
A nurse on the obstetric triage floor is caring for a client who is at 37
weeks of gestation. The client states, "I am leaking a lot of fluid. I
don't know if it's my bag of water or urine." The client denies
experiencing uterine contractions. Which of the following steps
should the nurse take first?
Give this one a try later!
Assess the fetal heart rate
Offer the client ice chips between
patterns and perform bedside
contractions.
testing to evaluate the fluid.
Explain the urinalysis results and Ensure vital signs are obtained
vital signs findings to the client. between contractions.
Don't know?
, 2 of 22
Term
A nurse is caring for a client who is in labor. The client's cervix is 3 cm
dilated and 50% effaced. The client is experiencing irregular
contractions every 5 to 6 mins with a plain rating of 3 on a scale of 0
to 10. The nurse should identify that the client is in which of the
following phases of labor?
Give this one a try later!
The client is in the latent phase Offer the client ice chips between
of the first stage of labor contractions.
Collaborate with the health care
The fetus is in a transverse lie.
team to support the client's request.
Don't know?
3 of 22
Term
A nurse is analyzing a clients FHR monitor strip. The FHR baseline
has been consistent at 160/min for the last hour. Upon the next
assessment, the nurse notices a FHR of 130/min for the last 15 min.
The client is having contractions very 3 to 5 min, lasting 60 to 80
second with periods of uterine relaxation between. The nurse should
identify this FHR pattern as which of the following?
Give this one a try later!
, A prolonged acceleration Non-reassuring fetal status
A baseline change A prolonged deceleration
Don't know?
4 of 22
Term
The client is at risk for _____________due to_______________
Give this one a try later!
Variable decelerations, bradycardia Early decelerations, hypotension
Late decelerations,
Accelerations, tachycardia
hypertension
Don't know?
