1. A charge nurse is teaching a group of staff nurses about fetal monitoring during

labor. Which of the following findings should the charge nurse instruct the staff

nurses to report to the provider?

A. Contraction durations of 95 to 100 seconds

B. Fetal heart rate is 140/min

C. Absent early deceleration of fetal heart rate

D. Contraction frequency of 2 to 2 min apart

A fetal heart rate is higher than the normal adult people and can lie between 110 to 160 beats

per minute. The fetus might not show signs of early decelerations, or late or variable

decelerations. A normal contraction should lie in between the 45-60 seconds, any contraction

that lasts longer than the 60 seconds or more than 90 seconds puts excess stress on the fetus

and is considered abnormal. The nurses should report if the duration of contraction is 95 to 100

seconds.

2. A nurse is assisting the provider to administer a dinoprostone insert labor for a

client. Which of the following actions should the nurse take?

A. Place the client in semi-lower position for 1hr after administration

B. Verify that informed consent is obtained prior to administration

C. Allow the medication to reach room temperature prior to administration

D. Instruct the client to avoid urinary elimination until after administration

Dinoprostone is administered several hours before administrating oxytocin to induce labor.

It is administered either through a syringe or direct insertion into the vagina of the person.

The patient is asked to remain in the supine or semi-lower position for 1-2 hours after

administration of the drug.

3. A nurse is planning to teach a group of clients who are pregnant about

breastfeeding after returning to work. Which of the following information should the

nurse include in the teaching?

A. "Thawed breast milk can be refrigerated for up to 72 hours."

B. "Breast milk can be stored in a deep freezer for 12 months."

C. "Breast milk can be stored at room temperature for up to 12 hours."

D. "Thawed breast milk that is unused can be refrozen."

Breast milk is pumped and collected in a milk bottle using a breast pump. A freshly pumped

breast milk is fit to store at room temperature for only up to 4 hours, and up to 12 months in the

deep freezer. Breastmilk once thawed after freezing is not fit for consumption and is to be

discarded.

4. A nurse is caring for a 2-day-old newborn who was born at 35 weeks of gestation.

Which of the following actions should the nurse take?

A. Measure the abdominal circumference at the level for the newborn's umbilicus ever 12

hr.