NACE Nursing of the Childbearing Family Exam| Questions
and Verified Answers | 100% Correct | Grade A+
What nursing interventions would you preform with a client in the second stage of labor? -
Answer Monitor FHR
Monitor uterine contractions
Prepare for birth
Provide encouragement/praise
Encourage rest in-between contractions
Maintain privacy
Provide ice chips
Monitor for signs of approaching birth
35-week G3P2 client comes into the clinic complaining of headache unrelieved by
acetaminophen. She has 3+ pitting edema, 3+ patellar reflexes, elevated liver enzymes and BP
140/94. She started on MgSO4? What interventions will be preformed? - Answer Baseline
FHR (before/during therapy)
Calcium gluconate at the beside (suction, oxygen)
Monitor VS (reparations) every 30-60 min
Monitor lab values
Monitor I&O (hourly)
Assess for Mg toxicity
Monitor DTR and clonus (hourly)
Medication education
, What nursing Intervention would you preform with client on oxytocin? (Going above [like hills]
above baseline) - Answer Discontinue oxytocin
Assess client to lateral (side-lying) position
Administer oxygen
Increased rate of IVF
Notify provider
Correct maternal hypotension
Palpate uterus to assess tachystole
Consider internal monitoring
Your clients membranes have just ruptured spontaneously, and you see the umbilical cord
protruding from the vagina. What do you need to do? - Answer Call for help
Monitor FHR
Prepare for C-section
Adminiter oxygen
Preform vaginal exam/elevate the presenting part
Reposition the client/mother
Wrap the cord in a sterile towel with warm normal saline
Initiate/Increase IVF
What nursing intervention would you preform on this client on oxytocin? (going low [like a hole]
below baseline) - Answer Decrease or discontinue oxytocin
Notify provider
Amnioinfusion
Change maternal position
Preform SVE to assess for cord prolapse
and Verified Answers | 100% Correct | Grade A+
What nursing interventions would you preform with a client in the second stage of labor? -
Answer Monitor FHR
Monitor uterine contractions
Prepare for birth
Provide encouragement/praise
Encourage rest in-between contractions
Maintain privacy
Provide ice chips
Monitor for signs of approaching birth
35-week G3P2 client comes into the clinic complaining of headache unrelieved by
acetaminophen. She has 3+ pitting edema, 3+ patellar reflexes, elevated liver enzymes and BP
140/94. She started on MgSO4? What interventions will be preformed? - Answer Baseline
FHR (before/during therapy)
Calcium gluconate at the beside (suction, oxygen)
Monitor VS (reparations) every 30-60 min
Monitor lab values
Monitor I&O (hourly)
Assess for Mg toxicity
Monitor DTR and clonus (hourly)
Medication education
, What nursing Intervention would you preform with client on oxytocin? (Going above [like hills]
above baseline) - Answer Discontinue oxytocin
Assess client to lateral (side-lying) position
Administer oxygen
Increased rate of IVF
Notify provider
Correct maternal hypotension
Palpate uterus to assess tachystole
Consider internal monitoring
Your clients membranes have just ruptured spontaneously, and you see the umbilical cord
protruding from the vagina. What do you need to do? - Answer Call for help
Monitor FHR
Prepare for C-section
Adminiter oxygen
Preform vaginal exam/elevate the presenting part
Reposition the client/mother
Wrap the cord in a sterile towel with warm normal saline
Initiate/Increase IVF
What nursing intervention would you preform on this client on oxytocin? (going low [like a hole]
below baseline) - Answer Decrease or discontinue oxytocin
Notify provider
Amnioinfusion
Change maternal position
Preform SVE to assess for cord prolapse
