NUR 106 MODULE C PRACTICE QUIZ
QUESTIONS AND ANSWERS WIT
COMPLETE SOLUTIONS 100%
CORRECT !!!
Action Breakdown Table
Planned Action Classification Clinical Rationale
Evaluates cervical readiness
prior to labor induction
Assign a Bishop Score Anticipated (e.g., dilation, effacement,
station, consistency,
position).
Necessary to determine
baseline cervical dilation,
Perform a Sterile
Anticipated effacement, and station, and
Vaginal Exam
to monitor labor
progression.
Maintains maternal
Initiate hydration and adequate
Mainstream/Primary Anticipated uteroplacental perfusion,
IV Fluid Bolus especially before or during
oxytocin administration.
Optimizes uteroplacental
Place Client in Side- blood flow, minimizes vena
Anticipated
Lying Position cava compression, and
promotes maternal comfort.
Standard protocol to
Gradually
establish adequate,
Titrate/Increase Anticipated
progressive labor
Oxytocin Infusion
contraction patterns.
, Planned Action Classification Clinical Rationale
May be performed later to
augment labor, but is not
Perform an Amniotomy required if labor is
Nonessential
(AROM) progressing normally or
cervical status is
unfavorable.
Unnecessary if maternal
Apply $\text{O}_2$ at $\text{SpO}_2$, vital signs,
$10\text{ L/min}$ via Nonessential and FHR tracing remain
Venturi Mask reassuring with normal
variability.
Oxytocin must always be
given as a secondary IV
Administer High-Dose piggyback on an infusion
Oxytocin Bolus / Rapid Contraindicated pump; IV bolus push can
Push cause hyperstimulation,
uterine rupture, or severe
hypotension.
Increase the oxytocin infusion to 13 mu/min is contraindicated. This client has a
category 3 fetal heart rate tracing indicating absent baseline variability and either
late, or recurrent variable decelerations. Increasing the oxytocin infusion would
likely cause a further decline in fetal well-being. Therefore, the nurse should stop
the infusion of oxytocin, not increase the rate of infusion.
Place client in a side-lying position is anticipated.
Initiate bolus of primary IV fluids is anticipated. This client has a category 3 fetal
heart rate tracing These findings are consistent with manifestations associated with
fetal hypoxia. Initiating a bolus of the primary IV fluids increases the client's blood
volume which increases their oxygenation and cardiac output, thereby increasing
blood flow and oxygenation to the fetus.
Apply oxygen at 10 L/min via venturi mask is contraindicated. The nurse should
apply oxygen at 10 L/min via a nonrebreather mask, not a venturi mask..
QUESTIONS AND ANSWERS WIT
COMPLETE SOLUTIONS 100%
CORRECT !!!
Action Breakdown Table
Planned Action Classification Clinical Rationale
Evaluates cervical readiness
prior to labor induction
Assign a Bishop Score Anticipated (e.g., dilation, effacement,
station, consistency,
position).
Necessary to determine
baseline cervical dilation,
Perform a Sterile
Anticipated effacement, and station, and
Vaginal Exam
to monitor labor
progression.
Maintains maternal
Initiate hydration and adequate
Mainstream/Primary Anticipated uteroplacental perfusion,
IV Fluid Bolus especially before or during
oxytocin administration.
Optimizes uteroplacental
Place Client in Side- blood flow, minimizes vena
Anticipated
Lying Position cava compression, and
promotes maternal comfort.
Standard protocol to
Gradually
establish adequate,
Titrate/Increase Anticipated
progressive labor
Oxytocin Infusion
contraction patterns.
, Planned Action Classification Clinical Rationale
May be performed later to
augment labor, but is not
Perform an Amniotomy required if labor is
Nonessential
(AROM) progressing normally or
cervical status is
unfavorable.
Unnecessary if maternal
Apply $\text{O}_2$ at $\text{SpO}_2$, vital signs,
$10\text{ L/min}$ via Nonessential and FHR tracing remain
Venturi Mask reassuring with normal
variability.
Oxytocin must always be
given as a secondary IV
Administer High-Dose piggyback on an infusion
Oxytocin Bolus / Rapid Contraindicated pump; IV bolus push can
Push cause hyperstimulation,
uterine rupture, or severe
hypotension.
Increase the oxytocin infusion to 13 mu/min is contraindicated. This client has a
category 3 fetal heart rate tracing indicating absent baseline variability and either
late, or recurrent variable decelerations. Increasing the oxytocin infusion would
likely cause a further decline in fetal well-being. Therefore, the nurse should stop
the infusion of oxytocin, not increase the rate of infusion.
Place client in a side-lying position is anticipated.
Initiate bolus of primary IV fluids is anticipated. This client has a category 3 fetal
heart rate tracing These findings are consistent with manifestations associated with
fetal hypoxia. Initiating a bolus of the primary IV fluids increases the client's blood
volume which increases their oxygenation and cardiac output, thereby increasing
blood flow and oxygenation to the fetus.
Apply oxygen at 10 L/min via venturi mask is contraindicated. The nurse should
apply oxygen at 10 L/min via a nonrebreather mask, not a venturi mask..
