NRS 3026 exam questions with correct answers

NRS 3026 exam questions with correct
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answers

Which patient would be most likely to have severe afterbirth
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pains an request a narcotic analgesic?
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a. gravida 5, para 5
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b. primipara who delivered a 7lb boy
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c. patient who is bottle feeding her child
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d. patient who is breastfeeding h her second child - CORRECT
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ANSWERS ✔✔gravida 5, para 5 |\ |\ |\ |\




Which mechanism of labor occurs when the largest diameter of
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the fetal presenting part passes the pelvic inlet?
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a. External Rotation
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b. Engagement
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c. Extension
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d. Internal rotation - CORRECT ANSWERS ✔✔Engagement
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Uncontrolled maternal hyperventilation during labor results in
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a. metabolic acidosis
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b. metabolic alkalosis
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c.respiratory acidosis |\




d. respiratory alkalosis - CORRECT ANSWERS ✔✔respiratory
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alkalosis

,Which physiologic event is the key indicator of the
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commencement of true labor? |\ |\ |\




a. bloody show
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B. Cervical dilation and effacement
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C. fetal descent into the pelvic inlet
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d. Uterine contractions every 7 minutes - CORRECT ANSWERS
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✔✔Cervical dilation and effacement |\ |\ |\




Which factor ensures that the smallest anterior-posterior
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diameter of the fetal head enters the pelvis?
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a. station
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b. flexion
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c. descent
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d. engagement - CORRECT ANSWERS ✔✔flexion
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An increase of urinary frequency and leg cramps after the 36th
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week of pregnancy are indication of
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a. lightening
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b. breech presentation
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c. urinary tract infection
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d. onset of Braxton-Hicks contractions - CORRECT ANSWERS
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✔✔Lightening


A patient whose cervix is dilated to 6 cm is considered to be in
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which phase of labor?|\ |\ |\

,a. latent phase
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b. active phase
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c. second stage
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d. third stage - CORRECT ANSWERS ✔✔active phase
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A patient in labor presents with a breech presentation. The nurse
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understands that this is associated with |\ |\ |\ |\ |\




a. more rapid labor
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b. a high risk of infection
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c. maternal perineal trauma
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d. umbilical cord compression - CORRECT ANSWERS ✔✔umbilical
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cord compression|\




The primary difference between labor of a nullipara and that of a
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multipara is |\




a. total duration of labor
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b. level pain experienced
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c. amount of cervical dialation
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d. sequence of labor mechanisms - CORRECT ANSWERS ✔✔total
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duration of labor |\ |\




Which maternal event is abnormal in the early postpartal period?
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a. diuresis and diaphoresis
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b. flatulence and constipation
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c. extreme hunger and thirst
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, d. lochial color cchanges from rubra to alba - CORRECT ANSWERS
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✔✔lochial changes from rubra to alba
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Which fundal assessment findings at 12 hours after birth requires
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further assessment?
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a. The fundus is palpable at the level of the umbilicus
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b. The fundus is palpable two fingerbreadths above the umbilicus
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c. The fundus is palpable one fingerbreadth below the umbilicus
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d. The fundus is palpable two finger breaths below the umbilicus
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- CORRECT ANSWERS ✔✔The fundus is palpable two
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fingerbreadths above the umbilicus |\ |\ |\




If the patient's white blood cell count is 25,000 on her second
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postpartum day, which action should the nurse take? |\ |\ |\ |\ |\ |\ |\




a. document the findings
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b. inform the health care provider
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c. begin antibiotic therapy
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d. have the lab draw blood for reanalysis - CORRECT ANSWERS
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✔✔document the findings |\ |\




Postpartal overdistention of the bladder and urinary retention can
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lead to which complication?
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a. fever and increased blood pressure
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b. postpartum hemorrhage and eclampsia
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c. urinary tract infection and uterine rupture
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d. postpartum hemorrhage and urinary tract infection - CORRECT
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ANSWERS ✔✔postpartum hemorrhage and urinary tract infection
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