COMPREHENSIVE QUESTIONS AND
VALIDATED ANSWERS.
The uterine contractions of a woman early in the active phase of labor are
assessed by an internal uterine pressure catheter (IUPC). The nurse notes
that the intrauterine pressure at the peak of the contraction ranges from 65
to 70 mm Hg and the resting tone range is 6 to 10 mm Hg. The uterine
contractions occur every 3 to 4 minutes and last an average of 55 to 60
seconds. On the basis of this information, the nurse should: - CorreCt
Answers -Document the findings, because they reflect the expected
contraction pattern for the active phase of labor.
What action should the nurse implement to prevent conductive heat loss in
a newborn? - CorreCt Answers -Placing a blanket on the scale provides a
barrier to prevent conductive heat loss
While monitoring a client in active labor, the nurse observes on the fetal
monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to
20 seconds. Which information should the nurse report during a shift
change? - CorreCt Answers -This is a sign of fetal accelerations; indicating
fetal well being with labor progression
What action should the nurse implement when caring for a newborn
receiving phototherapy?
Reposition every 6 hours.
Limit the intake of formula.
Apply an oil-based lotion to the skin.
, Place an eyeshield over the eyes. - CorreCt Answers -Place an eyeshield over
the eyes.
A 31-year old woman uses an OTC pregnancy test. She is taking phenytoin
(Dilantin) for epilepsy, under stress, and not sleeping well. What could
cause a false-positive result? - CorreCt Answers -anticonvulsants
A client who is breast feeding develops engorged breasts...what does nurse
recommend to relieve? - CorreCt Answers -Continue to breast feed every
two hours
Nonpharmacologic interventions for procedural pain in a newborn? -
CorreCt Answers -Oral sucrose and non-nutritive sucking
Non-dairy sources of calcium - CorreCt Answers -canned sardines
green, leafy vegetables
Infant respiratory distress intervention - CorreCt Answers -place under
humidified oxygen hood
What gastrointestinal finding would be of concern in a pregnant client? -
CorreCt Answers -Pica, can interfere with absorption with nutritive
vitamins & minerals
Priority intervention during 4th stage of labor - CorreCt Answers -Assess
for hemorrhage