A client who’s admitted to labor and delivery has the following assessment findings: gravida 2 para 1, estimated 40 weeks gestation, contractions 2 minutes apart, lasting 45 seconds, vertex +4 station. Which of the following would be the priority at this time? A. Placing the client in bed to begin fetal monitoring. B.… Read More »
When PROM occurs, which of the following provides evidence of the nurse’s understanding of the client’s immediate needs? A. The chorion and amnion rupture 4 hours before the onset of labor. B. PROM removes the fetus’s most effective defense against infection. C. Nursing care is based on fetal viability and gestational age.… Read More »
Which of the following skills is the most significant one learned during the school-age period? A. Collecting B. Ordering C. Reading D. Sorting Correct Answer: C. Reading The most significant skill learned during the school-age period is reading. During this time the child develops formal adult articulation patterns and… Read More »
To prevent preterm labor from progressing, drugs are usually prescribed to halt the labor. The drugs commonly given are: A. Magnesium sulfate and terbutaline B. Prostaglandin and oxytocin C. Progesterone and estrogen D. Dexamethasone and prostaglandin Correct Answer: A. Magnesium sulfate and terbutaline Magnesium sulfate acts as… Read More »
In a woman who is not breastfeeding, menstruation usually occurs after how many weeks? A. 2-4 weeks B. 6-8 weeks C. 6 months D. 12 months Correct Answer: B. 6-8 weeks When the mother does not breastfeed, the normal menstruation resumes about 6-8 weeks after delivery. This… Read More »
The nurse is caring for a client in labor. The external fetal monitor shows a pattern of variable decelerations in fetal heart rate. What should the nurse do first? A. Change the client’s position. B. Prepare for an emergency cesarean section. C. Check for placenta previa. D. Administer oxygen. … Read More »
Which of the following factors is the underlying cause of dystocia? A. Nutritional B. Mechanical C. Environmental D. Medical Correct Answer: B. Mechanical Dystocia is difficult, painful, prolonged labor due to mechanical factors involving the fetus (passenger), uterus (powers), pelvis (passage), or psyche. Option A: Recognizing the causes… Read More »
A child age 7 was unable to receive the measles, mumps, and rubella (MMR) vaccine at the recommended scheduled time. When would the nurse expect to administer the MMR vaccine? A. In a month from now B. In a year from now C. At age 10 D. At age 13 … Read More »
In placenta previa marginalis, the placenta is found at the: A. Internal cervical os partly covering the opening. B. External cervical os slightly covering the opening. C. Lower segment of the uterus with the edges near the internal cervical os. D. Lower portion of the uterus completely covering the cervix. … Read More »
The following are nursing measures to stimulate lactation, except: A. Frequent regular breastfeeding B. Breast pumping C. Breast massage D. Application of cold compress on the breast Correct Answer: D. Application of cold compress on the breast To stimulate lactation, a warm compress is applied to the breast.… Read More »