Passpoint-Intrapartum test bank

Question 1 See full question A nurse is caring for a client with mild active bleeding from placenta previa. Which assessment factor indicates that an emergency cesarean birth may be necessary? You Selected:  Maternal heart rate of 65 beats/minute Correct response:  Fetal heart rate of 80 beats/minute Explanation: Remediation: Question 2 See full question A client with hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is admitted to the labor and delivery unit. The client's condition rapidly deteriorates and despite efforts by the staff, the client dies. After the client's death, the nursing staff displays many emotions. With whom should the nurse-manager consult to help the staff cope with this unexpected death? You Selected:  The social worker, so she can contact the family about funeral arrangements and pass along the information to the nursing staff Correct response:  The chaplain, because his educational background includes strategies for handling grief Explanation: Remediation: Question 3 See full question A 31-year-old multigravid client at 39 weeks' gestation admitted to the hospital in active labor is receiving intravenous lactated Ringer's solution and a continuous epidural anesthetic. During the first hour after administration of the anesthetic, the nurse should monitor the client for: You Selected:  hypotension. Correct response:  hypotension. Explanation: Remediation: Question 4 See full question The nurse is caring for a multigravid client in active labor when the nurse detects variable fetal heart rate decelerations on the electronic monitor. The nurse interprets this as the compression of which structure? You Selected:  umbilical cord Correct response:  umbilical cord Explanation: Remediation: Question 5 See full question The membranes of a multigravid client in active labor rupture spontaneously, revealing greenish-colored amniotic fluid. How does the nurse interpret this finding? You Selected:  maternal intrauterine infection Correct response:  passage of meconium by the fetus Explanation: Remediation