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Exam (elaborations)

NCLEX Challenge Test: Maternity and Pregnancy 2024/2025 already passed

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NCLEX Challenge Test: Maternity and PregnancyA laboring client receives an epidural block. Which is the initial priority activity for the nurse to take? 1.Monitor maternal blood pressure every 5 minutes for 30 minutes. 2.Monitor fetal heart rate every 10 minutes until the block wears off. 3.Monitor maternal pulse and respiratory rate every 15 minutes for 1 hour. 4.Monitor the client continuously for 1 hour. - correct answer 1) CORRECT - A drop in maternal blood pressure decreases the placental perfusion and the oxygen supply to the fetus. After 30 minutes, the blood pressure is checked every 15-30 minutes until the block wears off. 2) The fetus should be monitored continuously for changes. 3) The respiratory rate should be monitored every 15 minutes throughout the epidural. However, this is not the initial priority. 4) The client needs to be monitored every 5 minutes for the first 30 minutes after the initial administration and every time additional medication is administered. The nurse teaches a community class to adolescents about cervical cancer. Which question by a participant indicates the need for further teaching? 1."Smoking cigarettes will increase my chances of getting cervical cancer." 2."I can decrease my chances of getting cervical cancer if I have sex with only one partner." 3."Having only one baby will make me less likely to get cervical cancer." 4."I need to protect myself from getting sexually transmitted infections." - correct answer 1) Smoking increases the risk of cervical cancer. 2) The more sex partners, especially those who have had multiple partners, increases the risk of cervical cancer. 3) CORRECT - The number of pregnancies or births is not linked to the risk for cervical cancer. 4) Sexually transmitted infections, especially HVP, increases the risk for cervical cancer. The nurse teaches a new parent about formula feeding. Which information does the nurse include? (Select all that apply.)

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