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Practice Test Assessment Performance
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Correct Let's review your results from 11/25/2024 at 6:07 pm EST
Incorrect Correct
A client in the first stage of active labor is using a shallow pattern of rapid breaths that
is twice the normal adult breathing rate. The client complains of feeling light-headed,
dizzy, and states that her fingers are tingling. What action should the nurse implement?
(O Notify the healthcare provider.
@ (O Help her breathe into a paper bag.
(O Administer oxygen via nasal cannula.
° @ Tell the client to slow her breathing.
Rationale
Hyperventilation can precipitate respiratory alkalosis and cause light-headedness, dizziness, tingling of the fingers, and
circumoral numbness. Breathing into a paper bag held tightly around the mouth and nose (B) enables the client to rebreathe
carbon dioxide, which reduces depletion of carbonic acid. and compensates for the respiratory alkalosis. (A) is unnecessary,
and (C and D) are less effective than (B).
At 10-weeks gestation, a high-risk multiparous client with a family history of Down
syndrome is admitted for observation following a chorionic villi sampling (CVS)
procedure. What assessment finding requires immediate intervention?
@ (O Uterine cramping.
O Abdominal tenderness.
€ (@ Systolic blood pressure < 100 mmHg.
O Intermittent nausea.
Rationale
The client should be monitored for 1 to 2 hours following the procedure for the occurrence of uterine cramping (A) so that
immediate intervention to decrease the risk of miscarriage can be initiated. This procedure (removal of a small piece of tissue
from the fetal portion of the placenta) may cause initiation of labor. (B) may occur at the puncture site if the procedure was
done transabdominally. (C and D) are normal findings during in the first trimester.
An infant born at 37-weeks gestation, weighing 4.1 kg (9.02 pounds) is 2 hours old and
appears large for gestational age, flushed, and tremulous. What procedure should the
nurse follow to implement a glucose screening? (Arrange the examination process from
first on top to last on the bottom.)
Practice Test Assessment Performance
oa% Awesome!
Correct Let's review your results from 11/25/2024 at 6:07 pm EST
Incorrect Correct
A client in the first stage of active labor is using a shallow pattern of rapid breaths that
is twice the normal adult breathing rate. The client complains of feeling light-headed,
dizzy, and states that her fingers are tingling. What action should the nurse implement?
(O Notify the healthcare provider.
@ (O Help her breathe into a paper bag.
(O Administer oxygen via nasal cannula.
° @ Tell the client to slow her breathing.
Rationale
Hyperventilation can precipitate respiratory alkalosis and cause light-headedness, dizziness, tingling of the fingers, and
circumoral numbness. Breathing into a paper bag held tightly around the mouth and nose (B) enables the client to rebreathe
carbon dioxide, which reduces depletion of carbonic acid. and compensates for the respiratory alkalosis. (A) is unnecessary,
and (C and D) are less effective than (B).
At 10-weeks gestation, a high-risk multiparous client with a family history of Down
syndrome is admitted for observation following a chorionic villi sampling (CVS)
procedure. What assessment finding requires immediate intervention?
@ (O Uterine cramping.
O Abdominal tenderness.
€ (@ Systolic blood pressure < 100 mmHg.
O Intermittent nausea.
Rationale
The client should be monitored for 1 to 2 hours following the procedure for the occurrence of uterine cramping (A) so that
immediate intervention to decrease the risk of miscarriage can be initiated. This procedure (removal of a small piece of tissue
from the fetal portion of the placenta) may cause initiation of labor. (B) may occur at the puncture site if the procedure was
done transabdominally. (C and D) are normal findings during in the first trimester.
An infant born at 37-weeks gestation, weighing 4.1 kg (9.02 pounds) is 2 hours old and
appears large for gestational age, flushed, and tremulous. What procedure should the
nurse follow to implement a glucose screening? (Arrange the examination process from
first on top to last on the bottom.)
