Comprehensive Questions
(Frequently Tested) with Verified
Answers Graded A+
Professional Academic Assistance Services
Services Offered
• Proctored Exam Assistance
• Online Class Management (Full Course Support)
• Exam Preparation & Study Materials
• Assignments and Coursework Support
• Essay and Research Paper Writing
• Discussion Posts & Responses
• Editing and Proofreading
• Confidential Academic Consultation
Helping Students Achieve Academic Excellence
The nurse is caring for a client in labor. Which assessment findings
indicate to the nurse that the client is beginning the second stage of
labor? Select all that apply.
1. The contractions are regular.
2. The membranes have ruptured.
3. The cervix is dilated completely.
,4. The client begins to expel clear vaginal fluid.
5. The Ferguson reflex is initiated from perineal pressure. - Answer: 3.
The cervix is completely dilated
5. The Ferguson reflex is initiated from perineal pressure
The nurse in the labor room is caring for a client in the active stage of
the first phase of labor. The nurse is assessing the fetal patterns and
notes a late deceleration on the monitor strip. What is the most
appropriate nursing action?
1. Administer oxygen via face mask.
2. Place the mother in a supine position.
3. Increase the rate of oxytocin intravenous infusion.
4. Document the findings and continue to monitor the fetal patterns. -
Answer: 1. Administer oxygen via face mask.
The nurse is performing an assessment of a client who is scheduled for
cesarean delivery at 39 weeks of gestation. Which assessment finding
indicates the need to contact the primary health care provider (PHCP)?
1. Hemoglobin of 11 g/dL (110 mmol/L)
2. Fetal heart rate of 180 beats per minute
3. Maternal pulse rate of 85 beats per minute
, 4. White blood cell count of 12.000/mm3 (12 × 109/L) - Answer: 2.
Fetal heart rate of 180 beats per minute
A client arrives at a birthing center in active labor. After examination, it
is determined that her membranes are still intact and she is at a −2
station. The primary health care provider prepares to perform an
amniotomy. What will the nurse relay to the client as the most likely
outcomes of the amniotomy? Select all that apply.
1. Less pressure on her cervix
2. Decreased number of contractions
3. Increased efficiency of contractions
4. The need for increased maternal blood pressure monitoring
5. The need for frequent fetal heart rate monitoring to detect the
presence of a prolapsed cord - Answer: 3. Increased efficiency of
contractions
5. The need for frequent fetal heart rate monitoring to detect the
presence of a prolapsed cord
. The nurse is monitoring a client in labor. The nurse suspects umbilical
cord
compression if which is noted on the external monitor tracing during a
contraction?