(BRAND NEW!!) TEST BANK 200 QUESTIONS
AND CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS)
A nurse is reinforcing discharge teaching with a client
who has premature rupture of membranes at 26
weeks of gestation. Which of the following
instructions should the nurse include?
A. Use a condom with sexual intercourse
B. Avoid bubble bath solution when take a tub
bath C. Wipe from the back to the front when
performing perineal hygiene
D. Keep a daily record of fetal kick counts -
....ANSWER...Keep a daily record of fetal kick counts
A nurse is assisting with the care for a client who is
in active labor, irritable, and reports the urge to have a
bowel movement. The client vomits and states, "I've
had enough. I can't do this anymore." Which of the
following stages of labor is the client experiencing?
A. Second stage
B. Fourth Stage
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,C. Transition phase
D. Latent Phase - ....ANSWER...Transition phase
A nurse is assisting with the care for a client who is
at 40 weeks of gestation and experiencing contractions
every 3 to 5 min and becoming stronger. A vaginal
exam by the registered nurse reveals that the client's
cervix is 3 cm dilated, 80% effaced, and -1 station. The
client asks for pain medication. Which of the following
actions should the nurse prepare to take? (Select all
that apply)
A. Encourage use of patterned breathing techniques
B. Insert an indwelling urinary catheter
C. Administer opioid analgesic medication
D. Suggest application of cold
E. Provide ice chips - ....ANSWER...1. Encourage use
of patterned breathing techniques
2. Administer opioid analgesic medication
3. Suggest application of cold
A nurse is reinforcing teaching with a client who is in
labor about an episiotomy. Which of the following
information should the nurse include?
A. An episiotomy is a perineal tear that is
created while pushing during labor
B. A fourth degree episiotomy extends into the
rectal area
C. An episiotomy is an incision that is made by
the provider to facilitate delivery of the fetus
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,D. A mediolateral episiotomy is easier to repair than
a median episiotomy - ....ANSWER...An episiotomy is
an incision that is made by the provider to facilitate
delivery of the fetus
A nurse is assisting with the care for a client who is at
42 weeks of gestation and is having an ultrasound.
For which of the following conditions should the nurse
prepare for an autoinfusion? (Select all that apply)
A. Oligohydramnios
B. Hydramnios
C. Fetal cord compression
D. Hydration
E. Fetal immaturity - ....ANSWER 1. Oligohydramnios
2. Fetal cord compression
A nurse is assisting with the care of a client in active
labor. The nurse observes clear fluid and a loop of
pulsating umbilical cord outside the client's vagina.
Which of the following actions should the nurse
perform first?
A. Place the client in the Trendelenburg position
B. Apply finger pressure to the presenting part
C. Administer oxygen at 10 L/min via a
nonrebreather D. Call for assistance -
....ANSWER...Call for assistance
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, A nurse is discussing intermittent fetal heart
monitoring with a newly licensed nurse. Which of
the following statements should the nurse include?
A. "Count the fetal heart rate for 15 seconds to
determine the baseline."
B. "Auscultate the fetal heart rate every 5 minutes
during the active phase of the first stage of
labor." C. "Count the fetal heart rate after a
contraction to determine baseline changes."
D. "Auscultate the fetal heart rate every 30 minutes
during the second stage of labor." -
....ANSWER..."Count the fetal heart rate after
a contraction to determine baseline changes."
A nurse is reinforcing teaching with a client about
the benefits of internal fetal heart monitoring. Which
of the following statements should the nurse include?
(select all that apply)
A. "It is considered a noninvasive procedure."
B. "It can detect abnormal fetal heart tones early."
C. "It can determine the amount of amniotic fluid
you have."
D. "It allows for accurate readings with maternal
movement."
E. "It can measure uterine contraction intensity." -
....ANSWER...1. "It can detect abnormal fetal heart
tones early."
2. "It allows for accurate readings with maternal
movement."
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