NURS 1102 PASSPOINT-INTRAPARTUM

Passpoint-Intrapartum Question 1 A nurse is caring for a client with mild active bleeding from placenta previa. Which assessment factor indicates that an emergency cesarean birth may be necessary? You Selected:  Maternal heart rate of 65 beats/minute Correct response:  Fetal heart rate of 80 beats/minute Explanation: Remediation: Question 2 See full question A client with hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is admitted to the labor and delivery unit. The client's condition rapidly deteriorates and despite efforts by the staff, the client dies. After the client's death, the nursing staff displays many emotions. With whom should the nurse-manager consult to help the staff cope with this unexpected death? You Selected:  The social worker, so she can contact the family about funeral arrangements and pass along the information to the nursing staff Correct response:  The chaplain, because his educational background includes strategies for handling grief Explanation: Remediation: Question 3 See full question A 31-year-old multigravid client at 39 weeks' gestation admitted to the hospital in active labor is receiving intravenous lactated Ringer's solution and a continuous epidural anesthetic. During the first hour after administration of the anesthetic, the nurse should monitor the client for: You Selected:  hypotension. Correct response:  hypotension. Explanation: Remediation: Question 4 See full question The nurse is caring for a multigravid client in active labor when the nurse detects variable fetal heart rate decelerations on the electronic monitor. The nurse interprets this as the compression of which structure? You Selected:  umbilical cord Correct response:  umbilical cord Explanation: Remediation: Question 5 See full question The membranes of a multigravid client in active labor rupture spontaneously, revealing greenish-colored amniotic fluid. How does the nurse interpret this finding? You Selected:  maternal intrauterine infection Correct response:  passage of meconium by the fetus Explanation: Remediation: Question 6 See full question Having had only one prenatal visit, a 16-year-old primigravida at 37 weeks’ gestation is admitted to the hospital in active labor. Her cervix is 7 cm dilated with the presenting part at +1 station. Soon after admission, the nurse observes that the client is hyperventilating. Which action would be mostappropriate? You Selected:  Give the client a paper bag and have her breathe into it. Correct response:  Give the client a paper bag and have her breathe into it. Explanation: Remediation: Question 7 See full question A client had a cesarean section with her first pregnancy and is hoping to have a vaginal birth with this pregnancy. She begins to cry at her 38-week visit when she realizes that her baby is a breech presentation. She says, “I just know it’s going to be horrible again. I won’t be able to breastfeed my baby. It will be painful.” Which of the following responses from the nurse is appropriate? You Selected:  “Tell me about your previous baby’s birth.” Correct response:  “Tell me about your previous baby’s birth.” Explanation: Remediation: Question 8 See full question The nurse is caring for a pregnant client. The nurse notes hypotension and a nonreassuring fetal heart tracing. Which of the following would the nurse include in the client’s plan of care? You Selected:  Call the healthcare provider Correct response:  Position the client on her left side Explanation: Remediation: Question 9 See full question A nurse is evaluating the external fetal monitoring strip (see image) of a client who is in labor. Which nursing interventions would the nurse implement? You Selected:  Reassure the client and continue to monitor the fetal heart rate. Correct response:  Reassure the client and continue to monitor the fetal heart rate. Explanation: Remediation: Question 10 See full question The nurse is performing Leopold’s maneuvers to determine fetal presentation and position. Which illustration shows the third maneuver? You Selected:  Correct response ....Continued....