NSG 504 Questions WITH VERIFED ANSWERS

NSG 504 Questions WITH VERIFED
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ANSWERS


The nurse is caring for a woman who gave birth to a daughter
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yesterdaybut greatly desired a son. Today she seems withdrawn,
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staying in bed and staring at a wall. What is the most appropriate
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intervention?


A. Monitor this normal response after delivery.
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B. Refer the client for a psychiatric consultation.
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C. Tell the client she should be thankful her baby is healthy.
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D. Encourage the mother to verbalize her disappointment. -
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CORRECT ANSWERS ✔✔D. Encourage the mother to verbalize her
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disappointment.
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A client is to be discharged 12 hours after deliver. The nurse
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should delay the discharge and notify the physician if which of the
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following is observed?
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A. Moderate lochia rubra.
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B. Fundus firm at umbilicus.
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C. Pulse 62 beats per minute.
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,D. Three voidings totaling 240cc in 12 hours. - CORRECT
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ANSWERS ✔✔D. Three voidings totaling 240cc in 12 hours.
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The primary difference between the labor of a nullipara and that
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of a multipara is the:
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A. amount of cervical dilation.
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B. level of pain experienced.
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C. sequence of labor mechanisms.
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D. total duration of labor. - CORRECT ANSWERS ✔✔D. total
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duration of labor. |\ |\




Why is continuous electronic fetal monitoring usually used when
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oxytocin is administered? |\ |\




A. Fetal chemoreceptors are stimulated.
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B. Maternal fluid volume deficit may occur.
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C. The mother may become hypotensive.
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D. Uteroplacental exchange may be compromised. - CORRECT
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ANSWERS ✔✔D. Uteroplacental exchange may be compromised.
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When auscultating the fetal heart rate, the nurse notes a rate of
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86 and a soft sound. The appropriate nursing action is to:
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,A. chart this expectes fetal heart rate.
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B. notify the physician of the abnormal fetal heart rate.
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C. determine the woman's current labor status.
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D. assess the mother's radial pulse. - CORRECT ANSWERS ✔✔D.
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assess the mother's radial pulse.
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You are assessing a client's fundus and find it firm, 2 cm above
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the umbilicus, and displaced to the right. What is the most
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appropriate intervention? |\




A. Massage the fundus until firm.
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B. Have client void and reassess the fundus.
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C. Notify the physician.
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D. Start a pad count. - CORRECT ANSWERS ✔✔B. Have client void
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and reassess the fundus.
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The nurse notes a pattern of late decelerations on the fetal
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monitor. The most appropriate first action is to:
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A. give the woman oxygen by facemask.
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B. continue observation of this reassuring pattern.
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C. notify the physician or nurse-midwife.
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, D. place the woman in a Trendelenburg position. - CORRECT
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ANSWERS ✔✔A. give the woman oxygen by facemask.
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The nurse-midwife is concerned that a woman's uterine activity is
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too intense and that her obesity is preventing accurate
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assessment of the actual intrauterine pressure. On the basis of this
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information, the nurse should obtain:
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A. a tocotransducer.
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B. an intrauterine pressure catheter.
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C. a scalp electrode.
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D. a Doppler transducer. - CORRECT ANSWERS ✔✔B. an
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intrauterine pressure catheter. |\ |\




After a forceps-assisted birth, the mother is observed to have
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continuous bright red lochia but a firm fundus. What other data
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would indicate the presence of a potential vaginal wall hematoma?
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A. Mild, intermittent perineal pain
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B. Edema and discoloration of the labia and perineum
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C. Lack of an episiotomy
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D. Lack of pain in the perineal area - CORRECT ANSWERS ✔✔B.
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Edema and discoloration of the labia and perineum
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