NCM 107 FINAL EXAM COMPLETE
QUESTIONS WITH 100% OUTLINED
ANSWERS
\Q\.A nurse is caring for a client in labor. The nurse determines that the client is beginning in the
second stage of labor when which of the following assessments is noted? - ANSWER-✔The
cervix is dilated completely
\Q\.A nurse in the labor room is caring for a client in the active phases of labor. The nurse is
assessing the fetal patterns and notes a late deceleration on the monitor strip. The most
appropriate nursing action is to _______ - ANSWER-✔Administer oxygen via facemask
\Q\.A nurse is performing an assessment of a client who is scheduled for a cesarean delivery.
Which assessment finding would indicate a need to
contact the physician? - ANSWER-✔Fetal heart rate of 180 beats per minute
\Q\.A client in labor is transported to the delivery room and is prepared for a cesarean delivery.
The client is transferred to the delivery room table, and the nurse places the client in the
__________ - ANSWER-✔Supine position with a wedge under the right hip
\Q\.A nurse is caring for a client in labor and prepares to auscultate the fetal heart rate by using
a Doppler ultrasound device. The nurse most accurately determines that the fetal heart sounds
are heard by: - ANSWER-✔Palpating the maternal radial pulse while listening to the fetal heart
rate
, \Q\.A nurse is caring for a client in labor who is receiving Pitocin by IV infusion to stimulate
uterine contractions. Which assessment finding
would indicate to the nurse that the infusion needs to be discontinued? - ANSWER-✔A fetal
heart rate of 90 beats per minute
\Q\.A nurse is beginning to care for a client in labor. The physician has prescribed an IV infusion
of Pitocin. The nurse ensures that which of the
following is implemented before initiating the infusion? - ANSWER-✔Continuous electronic fetal
monitoring
\Q\.A nurse is monitoring a client in active labor and notes that the client is having contractions
every 3 minutes that last 45 seconds. The nurse
notes that the fetal heart rate between contractions is 100 BPM. Which of the following nursing
actions is most appropriate? - ANSWER-✔Notify the physician or nurse midwife
\Q\.A nurse is caring for a client in labor and is monitoring the fetal heart rate
patterns. The nurse notes the presence of episodic accelerations on the electronic fetal monitor
tracing. Which of the following actions is most appropriate? - ANSWER-✔Document the findings
and tell the mother that the monitor indicates fetal well-being
\Q\.A nurse is admitting a pregnant client to the labor room and attaches an external electronic
fetal monitor to the client's abdomen. After attachment of the monitor, the initial nursing
assessment is which of the following? - ANSWER-✔Assessing the baseline fetal heart rate
\Q\.A nurse is reviewing the record of a client in the labor room and notes
that the nurse midwife has documented that the fetus is at (-1) station. The nurse determines
that the fetal presenting part is: - ANSWER-✔1 cm above the ischial spine
QUESTIONS WITH 100% OUTLINED
ANSWERS
\Q\.A nurse is caring for a client in labor. The nurse determines that the client is beginning in the
second stage of labor when which of the following assessments is noted? - ANSWER-✔The
cervix is dilated completely
\Q\.A nurse in the labor room is caring for a client in the active phases of labor. The nurse is
assessing the fetal patterns and notes a late deceleration on the monitor strip. The most
appropriate nursing action is to _______ - ANSWER-✔Administer oxygen via facemask
\Q\.A nurse is performing an assessment of a client who is scheduled for a cesarean delivery.
Which assessment finding would indicate a need to
contact the physician? - ANSWER-✔Fetal heart rate of 180 beats per minute
\Q\.A client in labor is transported to the delivery room and is prepared for a cesarean delivery.
The client is transferred to the delivery room table, and the nurse places the client in the
__________ - ANSWER-✔Supine position with a wedge under the right hip
\Q\.A nurse is caring for a client in labor and prepares to auscultate the fetal heart rate by using
a Doppler ultrasound device. The nurse most accurately determines that the fetal heart sounds
are heard by: - ANSWER-✔Palpating the maternal radial pulse while listening to the fetal heart
rate
, \Q\.A nurse is caring for a client in labor who is receiving Pitocin by IV infusion to stimulate
uterine contractions. Which assessment finding
would indicate to the nurse that the infusion needs to be discontinued? - ANSWER-✔A fetal
heart rate of 90 beats per minute
\Q\.A nurse is beginning to care for a client in labor. The physician has prescribed an IV infusion
of Pitocin. The nurse ensures that which of the
following is implemented before initiating the infusion? - ANSWER-✔Continuous electronic fetal
monitoring
\Q\.A nurse is monitoring a client in active labor and notes that the client is having contractions
every 3 minutes that last 45 seconds. The nurse
notes that the fetal heart rate between contractions is 100 BPM. Which of the following nursing
actions is most appropriate? - ANSWER-✔Notify the physician or nurse midwife
\Q\.A nurse is caring for a client in labor and is monitoring the fetal heart rate
patterns. The nurse notes the presence of episodic accelerations on the electronic fetal monitor
tracing. Which of the following actions is most appropriate? - ANSWER-✔Document the findings
and tell the mother that the monitor indicates fetal well-being
\Q\.A nurse is admitting a pregnant client to the labor room and attaches an external electronic
fetal monitor to the client's abdomen. After attachment of the monitor, the initial nursing
assessment is which of the following? - ANSWER-✔Assessing the baseline fetal heart rate
\Q\.A nurse is reviewing the record of a client in the labor room and notes
that the nurse midwife has documented that the fetus is at (-1) station. The nurse determines
that the fetal presenting part is: - ANSWER-✔1 cm above the ischial spine
