Nurs 304 Exam 2 Questions with Correct Answers| Latest Update Guaranteed Success
A nurse is caring for who is using patterned breathing during labor. The client reports numbness
and tingling of the fingers. Which of the following actions should the nurse take?
A. Administer oxygen via nasal cannula at 2 L/min
B. Apply a warm blanket
C. Assist the client to a side-lying position
D. Place an oxygen mask over the clients nose and mouth D. Place an oxygen mask over the
clients nose and mouth
A nurse is caring for a client who is in active labor. The client reports lower back pain. The nurse
suspects that this pain is related to a persistent occiput posterior fetal position. Which of the
following nonpharmacological nursing interventions should the nurse recommend to the client?
A. Abdominal effleurage
B. Sacral Counterpressure
C. Showering if not contraindicated
D. back rub and massage B. Sacral Counterpressure
A nurse is caring for a client who is at 40 weeks of gestation and experiencing contractions
every 3 to 5 min and becoming stronger. A vaginal exam reveals that the cervix is 3 cm dilated,
80% effaced , and -1 station. The client asks for pain medication. Which of the following actions
should the nurse take? ( Select all that apply.)
A. Encourage use of patterned breathing techniques
B. Insert an indwelling urinary catheter
C. Administer opioid analgesic medication
D. Suggest application of cold
E. Provide ice chips A. Encourage use of patterned breathing techniques
C. Administer opioid analgesic medication
D. Suggest application of cold
, A nurse is caring for a client who is in the second stage of labor. The clients labor has been
progressing , and a vaginal birth is expected in 20 min. The provider is preparing to administer
lidocaine for pain relief and perform an episiotomy. The nurse should know that which of the
following types of regional anesthetic block is to be administered?
A. Pudendal
B. Epidural
C. Spinal
D. Paracervical A. Pudendal
A nurse is caring for a client following the administration of an epidural block and is preparing
to administer an IV fluid bolus. The client's partner asks about the purpose of the IV fluids.
Which of the following statements should the nurse make?
A. " It is needed to promote increased urine output."
B. " It is needed to counteract respiratory depression."
C. " It is needed to counteract hypotension."
D. " It is needed to prevent oligohydramnios." C. " It is needed to counteract hypotension."
A nurse is performing leopold maneuvers on a client who is in labor. Which of the following
techniques should the nurse use to identify the fetal lie?
A. Apply palms of both hands to sides of uterus
B. Palpate the fundus of the uterus
C. Grasp lower uterine segment between thumb and fingers
D. Stand facing client's feet with fingertips outlining cephalic prominence. B. Palpate the
fundus of the uterus
A nurse is reviewing the electronic monitor tracing of a client who is in active labor. A fetus
receives more oxygen when which of the following appears on the tracing?
A. Peak of the uterine contraction
B. Moderate variability
C. FHR acceleration
A nurse is caring for who is using patterned breathing during labor. The client reports numbness
and tingling of the fingers. Which of the following actions should the nurse take?
A. Administer oxygen via nasal cannula at 2 L/min
B. Apply a warm blanket
C. Assist the client to a side-lying position
D. Place an oxygen mask over the clients nose and mouth D. Place an oxygen mask over the
clients nose and mouth
A nurse is caring for a client who is in active labor. The client reports lower back pain. The nurse
suspects that this pain is related to a persistent occiput posterior fetal position. Which of the
following nonpharmacological nursing interventions should the nurse recommend to the client?
A. Abdominal effleurage
B. Sacral Counterpressure
C. Showering if not contraindicated
D. back rub and massage B. Sacral Counterpressure
A nurse is caring for a client who is at 40 weeks of gestation and experiencing contractions
every 3 to 5 min and becoming stronger. A vaginal exam reveals that the cervix is 3 cm dilated,
80% effaced , and -1 station. The client asks for pain medication. Which of the following actions
should the nurse take? ( Select all that apply.)
A. Encourage use of patterned breathing techniques
B. Insert an indwelling urinary catheter
C. Administer opioid analgesic medication
D. Suggest application of cold
E. Provide ice chips A. Encourage use of patterned breathing techniques
C. Administer opioid analgesic medication
D. Suggest application of cold
, A nurse is caring for a client who is in the second stage of labor. The clients labor has been
progressing , and a vaginal birth is expected in 20 min. The provider is preparing to administer
lidocaine for pain relief and perform an episiotomy. The nurse should know that which of the
following types of regional anesthetic block is to be administered?
A. Pudendal
B. Epidural
C. Spinal
D. Paracervical A. Pudendal
A nurse is caring for a client following the administration of an epidural block and is preparing
to administer an IV fluid bolus. The client's partner asks about the purpose of the IV fluids.
Which of the following statements should the nurse make?
A. " It is needed to promote increased urine output."
B. " It is needed to counteract respiratory depression."
C. " It is needed to counteract hypotension."
D. " It is needed to prevent oligohydramnios." C. " It is needed to counteract hypotension."
A nurse is performing leopold maneuvers on a client who is in labor. Which of the following
techniques should the nurse use to identify the fetal lie?
A. Apply palms of both hands to sides of uterus
B. Palpate the fundus of the uterus
C. Grasp lower uterine segment between thumb and fingers
D. Stand facing client's feet with fingertips outlining cephalic prominence. B. Palpate the
fundus of the uterus
A nurse is reviewing the electronic monitor tracing of a client who is in active labor. A fetus
receives more oxygen when which of the following appears on the tracing?
A. Peak of the uterine contraction
B. Moderate variability
C. FHR acceleration
