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A patient is being induced and is at an oxytocin level of 20 mU/min. She reports nausea and
vomiting, feels her heart beating rapidly, feeling faint and has a headache. She most likely is
experiencing... - Answer>>> water intoxication.
On a vaginal exam the nurse determines the patient is 7cm dilated. She also notes the cervix is
well applied posteriorly but that the cervix is not well applied anteriorly with a slight gap along
the vertex. She should suspect that the fetal position is... - Answer>>> OP (occiput posterior)
A woman at 28 weeks gestation reports to L&D with painless vaginal bleeding that started this
morning. The nurse's first step in caring for this woman is to determine... - Answer>>> placental
location.
Ten minutes after placement of an epidural, maternal blood pressure decreases by 20%. After
performing IV hydration and lateral positioning, what should be the nurses next intervention? -
Answer>>> Administer ephedrine.
In the low risk patient who is being monitored in the active stage of labor using auscultation, the
fetal heart rate should be assessed every... - Answer>>> 15 minutes
Following PROM, a woman at 33 weeks gestation is placed on a fetal heart rate monitor. The
fetal heart rate is persistently 175 bpm. This is most likely consistent with... - Answer>>>
Uterine infection.
Forty eight hours after a woman's CS birth, the nurse notes that the woman's left calf and foot are
cool and pale. The left pedal pulse is diminished and there is a decreased capillary refill. The
Homan's sign is negative bilaterally. She reports some tenderness in her left calf. The most
appropriate initial response to these finding would be to... - Answer>>> Place on bedrest with
elevation of the left leg.
A G2P1 at 34 weeks gestation with a history of lupus was in for a routine prenatal visit. FHT's
were auscultated at 60. She was sent to labor and delivery for further evaluation. A complete flat
, tracing suggests the fetus has... - Answer>>> A complete heart block, which can be a
complication of lupus.
A woman at term is in labor and exhibits recurrent variable decelerations with moderate
variability and meconium stained amniotic fluid. An amnioinfusion is ordered with the goal of...
- Answer>>> Relieving cord compression.
A postpartum mother who would like to breastfeed her baby is diagnosed with Hepatitis B
surface-antigen positive. What is the recommendation regarding breastfeeding for this mother? -
Answer>>> Administer HBIG and hepatitis vaccine to the newborn and then allow
breastfeeding.
A neonate born to a mother whose HBsAg status is unknown should have... - Answer>>> the
first dose of hep B within 12 hours after birth.
Baroreceptors respond mainly to changes in... - Answer>>> Blood pressure.
Stimulation of the sympathetic nervous system causes the fetal heart rate to... - Answer>>>
increase.
According to the NICHD definitions, which deceleration much drop at least 15 beats per
minutes... - Answer>>> Prolonged.
Normal uterine activity... - Answer>>> Resting tone less than 20-25 mmHg.
The most common side effect of prostaglandin administration for cervical ripening is... -
Answer>>> Tachysystole.
The NICHD definition of uterine tachysystole is a contraction frequency averaged over 30
minutes of greater than... - Answer>>> 5 contractions in 10 minutes.
When fetal heart tones are heard about the umbilicus and the fetal head is palpated in the upper
part of uterus, this is consistent with... - Answer>>> Breech presentation.
During auscultation of the fetal heart rate, the nurse notes a gradual decrease in the fetal heart
rate after a contraction that lasts 60 seconds. The appropriate documentation of this finding is
that after a contraction, there is a... - Answer>>> decrease in the fetal heart rate after contraction.