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Question 1 of 25
1. Question
A client is admitted to the birthing suite in early active labor. The priority nursing intervention on the admission of this client would be:
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Question 2 of 25
2. Question
A client who is gravida 1, para 0 is admitted in labor. Her cervix is 100% effaced, and she is dilated to 3 cm. Her fetus is at +1 station. The nurse is aware that the fetus’ head is:
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Question 3 of 25
3. Question
After doing Leopold’s maneuvers, the nurse determines that the fetus is in the ROP position. To best auscultate the fetal heart tones, the Doppler is placed:
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Question 4 of 25
4. Question
The physician asks the nurse the frequency of a laboring client’s contractions. The nurse assesses the client’s contractions by timing from the beginning of one contraction:
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Question 5 of 25
5. Question
The nurse observes the client’s amniotic fluid and decides that it appears normal, because it is:
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Question 6 of 25
6. Question
At 38 weeks gestation, a client is having late decelerations. The fetal pulse oximeter shows 75% to 85%. The nurse should:
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Question 7 of 25
7. Question
When examining the fetal monitor strip after the rupture of the membranes in a laboring client, the nurse notes variable decelerations in the fetal heart rate. The nurse should:
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Question 8 of 25
8. Question
When monitoring the fetal heart rate of a client in labor, the nurse identifies an elevation of 15 beats above the baseline rate of 135 beats per minute lasting for 15 seconds. This should be documented as:
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Question 9 of 25
9. Question
A laboring client complains of low back pain. The nurse replies that this pain occurs most when the position of the fetus is:
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Question 10 of 25
10. Question
The breathing technique that the mother should be instructed to use as the fetus’ head is crowning is:
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Question 11 of 25
11. Question
During the period of induction of labor, a client should be observed carefully for signs of:
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Question 12 of 25
12. Question
A client arrives at the hospital in the second stage of labor. The fetus’ head is crowning, the client is bearing down, and the birth appears imminent. The nurse should:
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Question 13 of 25
13. Question
A laboring client is to have a pudendal block. The nurse plans to tell the client that once the block is working, she:
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Question 14 of 25
14. Question
Which of the following observations indicates fetal distress?
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Question 15 of 25
15. Question
Which of the following fetal positions is most favorable for birth?
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Question 16 of 25
16. Question
A laboring client has external electronic fetal monitoring in place. Which of the following assessment data can be determined by examining the fetal heart rate strip produced by the external electronic fetal monitor?
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Question 17 of 25
17. Question
A laboring client is in the first stage of labor and has progressed from 4 to 7 cm in cervical dilation. In which of the following phases of the first stage does cervical dilation occur most rapidly?
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Question 18 of 25
18. Question
A multiparous client who has been in labor for 2 hours states that she feels the urge to move her bowels. How should the nurse respond?
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Question 19 of 25
19. Question
Labor is a series of events affected by the coordination of the five essential factors. One of these is the passenger (fetus). Which are the other four factors?
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Question 20 of 25
20. Question
Fetal presentation refers to which of the following descriptions?
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Question 21 of 25
21. Question
A client is admitted to the L & D suite at 36 weeks’ gestation. She has a history of C-section and complains of severe abdominal pain that started less than 1 hour earlier. When the nurse palpates tetanic contractions, the client again complains of severe pain. After the client vomits, she states that the pain is better and then passes out. Which is the probable cause of her signs and symptoms?
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Question 22 of 25
22. Question
Upon completion of a vaginal examination on a laboring woman, the nurse records 50%, 6 cm, -1. Which of the following is a correct interpretation of the data?
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Question 23 of 25
23. Question
Which of the following findings meets the criteria of a reassuring FHR pattern?
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Question 24 of 25
24. Question
Late deceleration patterns are noted when assessing the monitor tracing of a woman whose labor is being induced with an infusion of Pitocin. The woman is in a side-lying position, and her vital signs are stable and fall within a normal range. Contractions are intense, last 90 seconds, and occur every 1 1/2 to 2 minutes. The nurse’s immediate action would be to:
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Question 25 of 25
25. Question
The nurse should realize that the most common and potentially harmful maternal complication of epidural anesthesia would be:
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