Comprehensive Study Guide with Practice
Questions & Rationales
,which finding is most closely associated with a
complication of this diagnosis?
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Evidence of bleeding,
Assess the baseline fetal heart
such as in the gums,
rate.
petechiae, and purpura
Document the findings and
Notify the health care tell the mother that the
provider (HCP). pattern on the monitor
indicates fetal well-being.
2 of 100
Definition
3. It is the way the baby gets food and oxygen.
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When performing a postpartum assessment on a client, a nurse
notes the presence of clots in the lochia. The nurse examines the
,clots and notes that they are larger than 1 cm. Which nursing action
is most appropriate?
A client in a postpartum unit complains of sudden sharp chest pain
and dyspnea. The nurse notes that the client is tachycardic and the
respiratory rate is elevated. The nurse suspects a pulmonary
embolism. Which should be the initial nursing action?
A client arrives at a birthing center in active labor. Her membranes
are still intact, and the health care provider prepares to perform an
amniotomy. What will the nurse relay to the client as the most likely
outcome of the amniotomy?
Which explanation should the nurse provide to the prenatal
client about the purpose of the placenta?
1. It cushions and protects the baby.
2. It maintains the temperature of the baby.
3. It is the way the baby gets food and oxygen.
4. It prevents all antibodies and viruses from passing to the
baby
3 of 100
, Term
The nurse is reviewing the record of a client in the labor
room and notes that the health care provider has
documented that the fetal presenting part is at the -1
station. This documented finding indicates that the fetal
presenting part is located at which area?
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"I need to lie flat on my back 1 cm above the ischial
to perform the procedure." spine
3. Notify the health care "We want to attend a support
provider (HCP). group."