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OB Chapter 8 NCLEX with complete answers

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ANSWER- Stop the oxytocin infusion The nursing care of a woman with a third-degree laceration immediately after delivery would include: -ANSWER- Cold pack to the perineum After several hours of labor, a nursing assessment reveals that a woman's cervix is 5 cm dilated but contractions are becoming shorter and less frequent. The nurse know that this labor pattern is described as: -ANSWER- Hypotonic When a hypotonic labor dysfunction occurs in a patient who is dilated to 5 cm with membranes intact, the nurse informs the patient that the physician most likely will: -ANSWER- Perform an amniotomy The nurse would assess an infant delivered with the use of forceps for: -ANSWER- Facial asymmetry The new mother is distressed and tearful about the elevated dome over her baby's posterior fontanel. The nurse's best response is, "This condition will resolve itself in a few days. It is caused by: -ANSWER- The effect of the vacuum extractor. The frustrated patient in hypotonic labor complains "My doctor won't induce my labor because of some silly Bishop score. He said I was a 4. What kind of magic number do I need?" The nurse explains that prior to induction the patient should be a Bishop score of at least: -ANSWER- 6 A woman is having a difficult labor because the fetus is presenting in the right occipital position (ROP). To encourage fetal rotation and pain relief the nurse would position the patient? -ANSWER- Sitting

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