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NUR 126 EXAM 3 PRACTICE TEST| questions and answers verified A+

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NUR 126 EXAM 3 PRACTICE TEST| questions and answers verified A+NUR 126 EXAM 3 PRACTICE TEST| questions and answers verified A+ The woman complains that the afterpains are worse after this baby than after her first child. The nurse's best response would be that - correct answer-Afterbirth pains increase in intensity with each pregnancy The nurse should include in patient teaching that around day four the lochia should be? - correct answer-Pinkish. A woman is 2 days postpartum. Her current lab work shows a WBC level of 17,000/mm3. The nurse's next action should be - correct answer-Nothing—this is in the acceptable range A postpartum woman overhears the nurse tell the obstetrics clinician that she has a positive Homans' sign and asks what it means. The nurse's best response is - correct answer-"You have calf pain when the nurse flexes your foot." Which maternal event is abnormal in the early postpartal period? - correct answer-Lochial color changes from rubra to alba A postpartum woman asks, "Will these stretch marks go away?" The nurse's best response is? - correct answer-"They will fade to silvery lines but won't disappear completely." A woman weighs herself the day after delivery and is upset because she just lost 14 pounds. The nurse's best response is based on knowledge that - correct answer-Prepregnancy weight should be reached at about 6 months Rh immune globulin will be ordered postpartum if which situation occurs? - correct answer-Mother is Rh negative, baby is Rh positive. Which nursing action is most appropriate to correct a boggy uterus that is displaced above and to the right of the umbilicus? - correct answer-Assist the woman in emptying her bladder. The best measure to prevent abdominal distention following a cesarean birth is - correct answer-Early and frequent ambulation Reciprocal attachment behavior refers to? - correct answer-The positive feedback an infant exhibits toward parents during the attachment process The phase of maternal adjustment in which the mother relinquishes the baby of her fantasies and accepts the real baby is called? - correct answer-Letting go Which of these conditions may cause the fetal heart rate to be lower during labor? (Choose all that apply.) - correct answer-A)Stimulation of the parasympathetic nervous system: B)Prolonged hypoxia, hypercapnia, and acidosis: C)Stimulation of the baroreceptors, which in turn stimulates the vagus nerve The nurse is monitoring the fetal heart rate periodically with Doppler auscultation. At the end of a contraction, the fetal heart rate is 100 and gradually increases to 140 within 30 seconds. The nurse would need to assess the rate further, because this is an indication of? - correct answer-Late deceleration A woman is admitted to the birthing unit in labor. Upon assessment, it is noted that she is 3 cm dilated, 80% effaced with intact membranes. The nurse understands that her fetal monitoring will be done by? - correct answer-External electrodes The nurse sees a pattern on the fetal monitor that looks similar to early decelerations, but the deceleration begins near the acme of the contraction and continues well beyond the end of the contraction. Which nursing action indicates the proper evaluation of this situation? - correct answer-This deceleration pattern is associated with uteroplacental insufficiency, so the nurse acts quickly to improve placental blood flow and fetal oxygen supply Proper placement of the tocotransducer for electronic fetal monitoring is - correct answer-Over the uterine fundus After monitoring the fetal heart rate for 10 minutes, the nurse notices the rate is staying at 175 bpm. The nurse is correct in classifying this baseline rate as - correct answer-Tachycardia What can be determined only by electronic fetal monitoring? - correct answer-Variability Why should continuous electronic fetal monitoring be used when oxytocin is administered? - correct answer-Uteroplacental exchange may be compromised. The physician obtains a sample of fetal scalp blood to evaluate the pH. The results of the pH were 7.35. The nurse knows the next action will be - correct answer-Nothing—this is a normal pH The nurse has just started a new shift and is reviewing the chart for her assigned patient. The patient is 6 cm dilated, 100% effaced, -4 station with intact membranes. Ten minutes later, the patient informs the nurse that her membranes have just ruptured. The nurse notices variable decelerations on the monitor. The nurse's next action should be to - correct answer-Assess for a prolapsed cord The nurse is timing her patient's contractions. The following pattern occurs: Contraction starts: 7:32, Contraction ends: 7:32 (lasts 30 seconds), Contraction starts: 7:37, Contraction ends: 7:38 (lasts 30 seconds), Contraction starts: 7:42, Contraction ends: 7:42 (lasts 30 seconds). The nurse records the frequency of the contractio

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NUR 126 EXAM 3 PRACTICE TEST| quest
hk hk hk hk hk hk




ions and answers verified A+
hk hk hk hk




Thehkwomanhkcomplainshkthathkthehkafterpainshkarehkworsehkafterhkthishkbabyhkthanhkafterhkherhkfirsthkchild.hkThe
hknurse'shkbesthkresponsehkwouldhkbehkthathk-hkcorrecthkanswer-

Afterbirthhkpainshkincreasehkinhkintensityhkwithhkeachhkpregnancy

Thehknursehkshouldhkincludehkinhkpatienthkteachinghkthathkaroundhkdayhkfourhkthehklochiahkshouldhkbe?hk-
hkcorrecthkanswer-Pinkish.



Ahkwomanhkishk2hkdayshkpostpartum.hkHerhkcurrenthklabhkworkhkshowshkahkWBChklevelhkofhk17,000/mm3.hkThehkn
urse'shknexthkactionhkshouldhkbehk-hkcorrecthkanswer-Nothing—thishkishkinhkthehkacceptablehkrange

AhkpostpartumhkwomanhkoverhearshkthehknursehktellhkthehkobstetricshkclinicianhkthathkshehkhashkahkpositivehkHo
mans'hksignhkandhkaskshkwhathkithkmeans.hkThehknurse'shkbesthkresponsehkishk-hkcorrecthkanswer-
"Youhkhavehkcalfhkpainhkwhenhkthehknursehkflexeshkyourhkfoot."

Whichhkmaternalhkeventhkishkabnormalhkinhkthehkearlyhkpostpartalhkperiod?hk-hkcorrecthkanswer-
Lochialhkcolorhkchangeshkfromhkrubrahktohkalba

Ahkpostpartumhkwomanhkasks,hk"Willhkthesehkstretchhkmarkshkgohkaway?"hkThehknurse'shkbesthkresponsehkis?hk-
hkcorrecthkanswer-"Theyhkwillhkfadehktohksilveryhklineshkbuthkwon'thkdisappearhkcompletely."



Ahkwomanhkweighshkherselfhkthehkdayhkafterhkdeliveryhkandhkishkupsethkbecausehkshehkjusthklosthk14hkpounds.hkTh
ehknurse'shkbesthkresponsehkishkbasedhkonhkknowledgehkthathk-hkcorrecthkanswer-
Prepregnancyhkweighthkshouldhkbehkreachedhkathkabouthk6hkmonths

Rhhkimmunehkglobulinhkwillhkbehkorderedhkpostpartumhkifhkwhichhksituationhkoccurs?hk-hkcorrecthkanswer-
MotherhkishkRhhknegative,hkbabyhkishkRhhkpositive.

Whichhknursinghkactionhkishkmosthkappropriatehktohkcorrecthkahkboggyhkuterushkthathkishkdisplacedhkabovehkandhkt
ohkthehkrighthkofhkthehkumbilicus?hk-hkcorrecthkanswer-Assisthkthehkwomanhkinhkemptyinghkherhkbladder.

Thehkbesthkmeasurehktohkpreventhkabdominalhkdistentionhkfollowinghkahkcesareanhkbirthhkishk-hkcorrecthkanswer-
Earlyhkandhkfrequenthkambulation

Reciprocalhkattachmenthkbehaviorhkrefershkto?hk-hkcorrecthkanswer-
Thehkpositivehkfeedbackhkanhkinfanthkexhibitshktowardhkparentshkduringhkthehkattachmenthkprocess

Thehkphasehkofhkmaternalhkadjustmenthkinhkwhichhkthehkmotherhkrelinquisheshkthehkbabyhkofhkherhkfantasieshkan
dhkacceptshkthehkrealhkbabyhkishkcalled?hk-hkcorrecthkanswer-Lettinghkgo

Whichhkofhkthesehkconditionshkmayhkcausehkthehkfetalhkhearthkratehktohkbehklowerhkduringhklabor?hk(Choosehkallhkt
hathkapply.)hk-hkcorrecthkanswer-
A)Stimulationhkofhkthehkparasympathetichknervoushksystem:hkB)Prolongedhkhypoxia,hkhypercapnia,hkandhkacid
osis:hkC)Stimulationhkofhkthehkbaroreceptors,hkwhichhkinhkturnhkstimulateshkthehkvagushknerve

, ThehknursehkishkmonitoringhkthehkfetalhkhearthkratehkperiodicallyhkwithhkDopplerhkauscultation.hkAthkthehkendhkofh
kahkcontraction,hkthehkfetalhkhearthkratehkishk100hkandhkgraduallyhkincreaseshktohk140hkwithinhk30hkseconds.hkThehk

nursehkwouldhkneedhktohkassesshkthehkratehkfurther,hkbecausehkthishkishkanhkindicationhkof?hk-hkcorrecthkanswer-
Latehkdeceleration

Ahkwomanhkishkadmittedhktohkthehkbirthinghkunithkinhklabor.hkUponhkassessment,hkithkishknotedhkthathkshehkishk3hkc
mhkdilated,hk80%hkeffacedhkwithhkintacthkmembranes.hkThehknursehkunderstandshkthathkherhkfetalhkmonitoringhk
willhkbehkdonehkby?hk-hkcorrecthkanswer-Externalhkelectrodes

Thehknursehkseeshkahkpatternhkonhkthehkfetalhkmonitorhkthathklookshksimilarhktohkearlyhkdecelerations,hkbuthkthehkd
ecelerationhkbeginshknearhkthehkacmehkofhkthehkcontractionhkandhkcontinueshkwellhkbeyondhkthehkendhkofhkthehkc
ontraction.hkWhichhknursinghkactionhkindicateshkthehkproperhkevaluationhkofhkthishksituation?hk-
hkcorrecthkanswer-

Thishkdecelerationhkpatternhkishkassociatedhkwithhkuteroplacentalhkinsufficiency,hksohkthehknursehkactshkquicklyhk
tohkimprovehkplacentalhkbloodhkflowhkandhkfetalhkoxygenhksupply

Properhkplacementhkofhkthehktocotransducerhkforhkelectronichkfetalhkmonitoringhkishk-hkcorrecthkanswer-
Overhkthehkuterinehkfundus

Afterhkmonitoringhkthehkfetalhkhearthkratehkforhk10hkminutes,hkthehknursehknoticeshkthehkratehkishkstayinghkathk175h
kbpm.hkThehknursehkishkcorrecthkinhkclassifyinghkthishkbaselinehkratehkashk-hkcorrecthkanswer-Tachycardia



Whathkcanhkbehkdeterminedhkonlyhkbyhkelectronichkfetalhkmonitoring?hk-hkcorrecthkanswer-Variability

Whyhkshouldhkcontinuoushkelectronichkfetalhkmonitoringhkbehkusedhkwhenhkoxytocinhkishkadministered?hk-
hkcorrecthkanswer-Uteroplacentalhkexchangehkmayhkbehkcompromised.



ThehkphysicianhkobtainshkahksamplehkofhkfetalhkscalphkbloodhktohkevaluatehkthehkpH.hkThehkresultshkofhkthehkpHhkwe
rehk7.35.hkThehknursehkknowshkthehknexthkactionhkwillhkbehk-hkcorrecthkanswer-Nothing—thishkishkahknormalhkpH

Thehknursehkhashkjusthkstartedhkahknewhkshifthkandhkishkreviewinghkthehkcharthkforhkherhkassignedhkpatient.hkThehkp
atienthkishk6hkcmhkdilated,hk100%hkeffaced,hk-
4hkstationhkwithhkintacthkmembranes.hkTenhkminuteshklater,hkthehkpatienthkinformshkthehknursehkthathkherhkmem
braneshkhavehkjusthkruptured.hkThehknursehknoticeshkvariablehkdecelerationshkonhkthehkmonitor.hkThehknurse'shkn
exthkactionhkshouldhkbehktohk-hkcorrecthkanswer-Assesshkforhkahkprolapsedhkcord

Thehknursehkishktiminghkherhkpatient'shkcontractions.hkThehkfollowinghkpatternhkoccurs:hkContractionhkstarts:hk7:
32,hkContractionhkends:hk7:32hk(lastshk30hkseconds),hkContractionhkstarts:hk7:37,hkContractionhkends:hk7:38hk(last
shk30hkseconds),hkContractionhkstarts:hk7:42,hkContractionhkends:hk7:42hk(lastshk30hkseconds).hkThehknursehkrecor
dshkthehkfrequencyhkofhkthehkcontractionhkas?hk-hkcorrecthkanswer-Everyhk5hkminutes

Duringhklabor,hkthehknursehkishkawarehkthathkthehkwoman'shkvitalhksignshkarehkbesthkassessedhkbetweenhkcontract
ions.hkThehkrationalehkforhkthishkishkthathk-hkcorrecthkanswer-
Thehkcontractionshkdecreaseshkbloodhkflowhktohkthehkplacenta,hkthereforehkincreasinghkthehkwoman'shkbloodhkv
olumehkandhkalteringhkherhkvitalhksigns.

Duringhklabor,hkahkwomanhkhashkbeenhkhyperventilating.hkShehkbeginshktohkcomplainhkofhktinglinghkinhkherhkhand
shkandhkdizziness.hkThehknexthkactionhkbyhkthehknursehkshouldhkbehkto:hk-hkcorrecthkanswer-
Helphkthehkwomanhkslowhkherhkbreathinghkandhktohkbreathehkintohkahkpaperhkbag

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