1. A primigravida arrives at the observation unit of the maternity unit because
thinks is in labor. The nurse applies the external fetal heart monitor and determines
that the fetal heart rate is 140 beats/minute and the contractions are occurring
irregularly every 10 to 15 minutes. What assessment finding confirms to the nurse
that the client is not labor at this time?:
Answer:
Contractions decrease with walking.
2. A primipara has delivered a stillborn fetus at 30 weeks gestation. To asses
the parents in the grieving process which intervention is most for the nurse
to implement ?
A. explain the possible cause of the fetal demise
B. Provide a time for the parents to hold their infant in privacy
C. Encourage the parents to seek counseling within the next few weeks
D. Assist the couple to request autopsy:
Answer:
B. provide a time for the parents to hold their infant in privacy
3. What is the priority nursing assessment immediately following the birth of
an infant with esophageal atresia and a tracheoesophageal (the) fistula ?
A. body temperature
B. level of pain
C. time of first void
D. number of vessels in the cord:
Answer:
A. body temperature
4. What is the most important assessment for the nurse to conduct following
the administration of epidural anesthesia to a client who is at 40-weeks
gestation?
A. Level of pain sensation
B. Station of presenting part
C. Variability of fetal heart rate
D. Maternal blood pressure:
Answer:
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