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Time
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00:51:53
Question: 6 of 60 Pause
Remaining:
08:07:56
A nurse is caring for a client who is to receive oxytocin to augment their labor. Which of
the following findings contraindicates the initiation of the oxytocin infusion and should be
reported to the provider?
Late decelerations
Late decelerations are indicative of uteroplacental insufficiency. Therefore, this is a
contraindication for the administration of oxytocin and should be reported to the
provider.
Moderate variability of the FHR
INCORRECT
Moderate variability of the FHR is an expected assessment finding associated with
normal fetal acid-base balance. It is not a contraindication to the administration of
oxytocin.
Cessation of uterine dilation
INCORRECT
Cessation of uterine dilation is an indication for the initiation of an oxytocin infusion to
augment the client's labor progression.
,2|Page
Prolonged active phase of labor
INCORRECT
A prolonged active phase of labor is an indication for the initiation of an oxytocin
infusion to augment the client's labor progression.
,3|Page
PN Maternal Newborn 2023
CLOSE
Questio n 1 l oa d ed rati o nals provide
Time
Elapsed:
00:07:53
Question: 1 of 60 Pause
Remaining:
08:07:56
A nurse is caring for a For each assessment finding, click to specify if the finding is
newborn. consistent with hypoglycemia, hyperbilirubinemia, or sepsis.
Each finding may support more than one disease process.
Exhibit 1 Exhibit 2
Assessment
Nurses' Notes
Findings Hypoglycemia Hyperbilirubinemia Sepsis
8 hr of age: Poor feeding
Newborn is awake, Decreased
alert, and active. Oral temperature
mucosa pink.
Ecchymotic
Respirations easy and caput
unlabored. Extremities succedaneum
flexed. Good muscle
Yellow sclera
tone. Breastfed
and oral
vigorously x 2 for 30-
mucosa
40 minutes. Fontanel
level and soft. Large Respiratory
ecchymotic caput distress
succedaneum noted
Lethargy
on posterior scalp.
Voided. Passed
Note: Each category must have at least 1 response option selected.
, 4|Page
meconium stool.
CORRECT My AnSwer
36 hr of age:
When analyzing cues, the nurse should recognize that the
newborn is experiencing hypoglycemia. Decreased temperature,
Infant lethargic with poor feeding, respiratory distress, and lethargy are consistent with
hypotonia. Yellow hypoglycemia.
discoloration noted of When analyzing cues, the nurse should recognize that the
newborn is experiencing hyperbilirubinemia. Yellow sclera and oral
sclera and oral
mucosa, and poor feeding are consistent with hyperbilirubinemia.
mucosa. Respirations A newborn with an ecchymotic caput succedaneum is at higher
rapid with intercostal risk for hyperbilirubinemia.
retractions. When analyzing cues, the nurse should recognize that the
newborn is experiencing sepsis. Decreased temperature, yellow
Extremities extended.
sclera and oral mucosa, poor feeding, respiratory distress, and
Decreased muscle lethargy are consistent with sepsis.
tone. Difficult to
arouse for feedings.
Breastfed x 1 in the
past 6 hr for 10
https://studsnt.atitssting.com/Asssssmsnt 3/24/24, 12:32 PM
Pags 2 of 2
Time
Elapsed:
00:51:53
Question: 6 of 60 Pause
Remaining:
08:07:56
A nurse is caring for a client who is to receive oxytocin to augment their labor. Which of
the following findings contraindicates the initiation of the oxytocin infusion and should be
reported to the provider?
Late decelerations
Late decelerations are indicative of uteroplacental insufficiency. Therefore, this is a
contraindication for the administration of oxytocin and should be reported to the
provider.
Moderate variability of the FHR
INCORRECT
Moderate variability of the FHR is an expected assessment finding associated with
normal fetal acid-base balance. It is not a contraindication to the administration of
oxytocin.
Cessation of uterine dilation
INCORRECT
Cessation of uterine dilation is an indication for the initiation of an oxytocin infusion to
augment the client's labor progression.
,2|Page
Prolonged active phase of labor
INCORRECT
A prolonged active phase of labor is an indication for the initiation of an oxytocin
infusion to augment the client's labor progression.
,3|Page
PN Maternal Newborn 2023
CLOSE
Questio n 1 l oa d ed rati o nals provide
Time
Elapsed:
00:07:53
Question: 1 of 60 Pause
Remaining:
08:07:56
A nurse is caring for a For each assessment finding, click to specify if the finding is
newborn. consistent with hypoglycemia, hyperbilirubinemia, or sepsis.
Each finding may support more than one disease process.
Exhibit 1 Exhibit 2
Assessment
Nurses' Notes
Findings Hypoglycemia Hyperbilirubinemia Sepsis
8 hr of age: Poor feeding
Newborn is awake, Decreased
alert, and active. Oral temperature
mucosa pink.
Ecchymotic
Respirations easy and caput
unlabored. Extremities succedaneum
flexed. Good muscle
Yellow sclera
tone. Breastfed
and oral
vigorously x 2 for 30-
mucosa
40 minutes. Fontanel
level and soft. Large Respiratory
ecchymotic caput distress
succedaneum noted
Lethargy
on posterior scalp.
Voided. Passed
Note: Each category must have at least 1 response option selected.
, 4|Page
meconium stool.
CORRECT My AnSwer
36 hr of age:
When analyzing cues, the nurse should recognize that the
newborn is experiencing hypoglycemia. Decreased temperature,
Infant lethargic with poor feeding, respiratory distress, and lethargy are consistent with
hypotonia. Yellow hypoglycemia.
discoloration noted of When analyzing cues, the nurse should recognize that the
newborn is experiencing hyperbilirubinemia. Yellow sclera and oral
sclera and oral
mucosa, and poor feeding are consistent with hyperbilirubinemia.
mucosa. Respirations A newborn with an ecchymotic caput succedaneum is at higher
rapid with intercostal risk for hyperbilirubinemia.
retractions. When analyzing cues, the nurse should recognize that the
newborn is experiencing sepsis. Decreased temperature, yellow
Extremities extended.
sclera and oral mucosa, poor feeding, respiratory distress, and
Decreased muscle lethargy are consistent with sepsis.
tone. Difficult to
arouse for feedings.
Breastfed x 1 in the
past 6 hr for 10
https://studsnt.atitssting.com/Asssssmsnt 3/24/24, 12:32 PM
Pags 2 of 2
