CORRECT ANSWERS 2026/2027
A nurse is caring for a client who is in active labor and just had
an amniotomy performed by the provider. Which of the
following findings indicates a need for further evaluation?
Select all that apply.
Amniotic fluid is stained with meconium
Minimal FHR variability
A change in the fetal station from 0 to +2
An abrupt decrease in the FHR below the baseline
Stronger and more frequent uterine contractions
Amniotic fluid is stained with meconium is correct. This is
an unexpected finding that requires further evaluation.
Meconium-stained amniotic fluid can indicate fetal distress.
Minimal FHR variability is correct. This is an unexpected
finding that requires further evaluation. Minimal or absent
variability can indicate fetal metabolic acidemia or hypoxemia
at the time it is observed.
An abrupt decrease in the FHR below the baseline is
correct. This is an unexpected finding that requires further
evaluation. This finding indicates a variable deceleration, which
is a manifestation of cord compression.
, A nurse in the newborn nursery is caring for a newborn
who has jaundice. Which of the following actions should
the nurse take to determine if the jaundice is pathologic?
Determine the newborn's age in hours.
Perform a New Ballard Score assessment.
Blanch the skin to assess for a yellow hue.
Request a prescription to obtain a blood specimen for a
bilirubin level.
Determine the newborn's age in hours.
The nurse should first confirm the newborn's age in hours to
determine if the jaundice is pathologic or physiologic. Jaundice
that appears within the first 24 hr of birth is pathologic and
jaundice that occurs after 24 hr is physiologic.
A nurse in a prenatal clinic is caring for a client who is at
24 weeks of gestation. Which of the following findings
requires immediate attention?
Abdominal bloating and constipation for 2 days
Presence of a third heart sound upon auscultation
Shortness of breath and wheezing at rest
Client report of increased, odorless vaginal discharge
Shortness of breath and wheezing at rest
Shortness of breath at rest along with other pulmonary
symptoms such as cough, crackles, and wheezing are