A nurse concludes that a woman is in the latent phase of labor. Which of the following signs/symptoms would lead a nurse to that conclusion?
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Question 2 of 83
The physician performs an ultrasound to confirm the pregnancy and also dates the pregnancy at 10 3/7 weeks gestation. While providing client education, the nurse makes sure to include that which symptom is considered a normal finding at this point in pregnancy?
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Question 3 of 83
What is the condition where the umbilical cord vessels branch prior to insertion into the placenta?
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Question 4 of 83
What advantage includes more patient mobility and freedom of movement?
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Question 5 of 83
What should the nurse do after auscultating a fetal heart rate of 152 bpm in early labor?
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Question 6 of 83
What is the primary benefit of the stress of labor to the newborn?
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Question 7 of 83
A woman asks the nurse about the 'new vaginal ring everyone is talking about for birth control.' When counseling the woman about this method of contraception, the nurse should assess for the woman's:
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Question 8 of 83
If the nurse palpates the buttocks above the spines, what is the fetal position and station?
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Question 9 of 83
What can the nurse do to help the laboring person?
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Question 10 of 83
What is a reasonable conclusion by the nurse based on Leopold's maneuvers?
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Question 11 of 83
What provides the best information about the status of labor?
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Question 12 of 83
The nurse is explaining to the nursing student that amniotic fluid helps the fetus to maintain a normal body temperature and: (Select all that apply)
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Question 13 of 83
What should the nurse consider when the birthing person has a decrease in blood pressure after the placenta is delivered?
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Question 14 of 83
What breathing technique is most appropriate during the second stage of labor?
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Question 15 of 83
The nurse is interpreting the results of a fetal blood sampling test. Which of the following reports would the nurse expect to see?
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Question 16 of 83
What complication should the nurse prepare for after pelvic trauma?
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Question 17 of 83
How much blood loss defines postpartum hemorrhage?
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Question 18 of 83
What is the most reliable clinical indicator that the placenta has separated?
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Question 19 of 83
What does the nurse explain about nitrous oxide?
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Question 20 of 83
Which behavior is characteristic of the latent phase of labor?
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Question 21 of 83
What is an effective strategy for teaching teens about childbirth?
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Question 22 of 83
A woman is in the second stage of labor with a strong urge to push. Which of the following actions by the nurse is appropriate at this time?
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Question 23 of 83
What newborn complication does type 1 diabetes mellitus cause?
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Question 24 of 83
What effect will the presence of support people in labor most likely have?
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Question 25 of 83
A pregnant woman is discussing positioning and the use of leg stirrups for delivery with a labor nurse. In which of the following instances should the nurse provide further information to the client?
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Question 26 of 83
Calculate the volume of medication to administer for a dose of 0.5 mg when the available concentration is 2 mg/mL.
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Question 27 of 83
An infant is breastfeeding for the first time. Which statement by the client indicates that she understands how to prevent skin breakdown?
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Question 28 of 83
What is a common reason for cesarean birth?
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Question 29 of 83
What causes decreased FHR baseline variability?
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Question 30 of 83
What signs indicate progression into the second stage of labor? Select all that apply.
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Question 31 of 83
What is a FHR that falls within the normal baseline?
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Question 32 of 83
How will the nurse determine if the person is in the active second stage of labor?
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Question 33 of 83
When are early decelerations commonly seen?
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Question 34 of 83
What action is appropriate for a doula during labor?
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Question 35 of 83
What should the nurse do before administering regional anesthesia?
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Question 36 of 83
What is a complication of footling breech?
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Question 37 of 83
What is the most effective intervention for severe back labor?
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Question 38 of 83
You are the postpartum nurse preparing your client, now G1P1, for discharge home. Your client is tearful and verbalized feeling overwhelmed. The significant other in the room asks the client, 'Why are you so sad? I thought you were happy to have a baby.' What is the best response to the significant other regarding his statement?
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Question 39 of 83
What is the cause of late decelerations?
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Question 40 of 83
What is the station of the fetal head if it is engaged?
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Question 41 of 83
What is the recommended frequency for assessing the fetal heart rate during the second stage of labor?
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Question 42 of 83
What intervention manages failure to descend?
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Question 43 of 83
What indicates that a woman is in true labor?
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Question 44 of 83
How does the nurse monitor for decreased perfusion?
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Question 45 of 83
What procedure might the nurse perform to determine the presentation of the fetus?
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Question 46 of 83
What intervention should the nurse perform first if shoulder and face muscles tense during contractions?
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Question 47 of 83
What should the nurse report about a primipara in active labor who is ROA, 7 cm dilated, and at +3 station?
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Question 48 of 83
What condition involves excessive amniotic fluid?
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Question 49 of 83
What finding indicates normal uterine involution?
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Question 50 of 83
What is the laboring person instructed to do during open glottis pushing?
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Question 51 of 83
What is achieved when the baby's presenting part reaches the ischial spines?
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Question 52 of 83
What is a normal fetal oxygen saturation level?
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Question 53 of 83
What is the correct order of cardinal moves of labor?
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Question 54 of 83
How does the FHR baseline change as the fetal nervous system matures?
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Question 55 of 83
The health care practitioner orders the following medication for a laboring client: Stadol 0.5 mg IV stat for pain. The drug is on hand in the following concentration: Stadol 2 mg/mL. How many mL of medication will the nurse administer?
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Question 56 of 83
Which delivery position is commonly used by midwives?
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Question 57 of 83
Which cardinal move occurs while the baby is still in utero?
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Question 58 of 83
How often should the nurse assess vital signs during the first hour of the fourth stage?
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Question 59 of 83
When should the nurse assess the fetal heart rate during labor?
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Question 60 of 83
What nursing intervention can reduce hypotension prior to epidural placement?
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Question 61 of 83
How does the nurse document this finding?
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Question 62 of 83
When is terbutaline appropriate during intrauterine resuscitation?
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Question 63 of 83
The most appropriate time for the nurse to assist a laboring woman to push is:
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Question 64 of 83
Which maternal behavior is consistent with the transition phase of labor?
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Question 65 of 83
Which of the following actions would the nurse expect to perform immediately before a woman is to have regional anesthesia? Select all that apply.
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Question 66 of 83
Which scenario indicates that the woman is in the second stage of labor?
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Question 67 of 83
How does the nurse explain how losing the mucus plug could be a sign of impending labor?
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Question 68 of 83
What response should the nurse make first to a client reporting bleeding at term?
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Question 69 of 83
A woman is in the transition phase of labor. Which of the following comments should the nurse expect to hear?
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Question 70 of 83
What indicates true labor?
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Question 71 of 83
What data are collected during the second stage of labor?
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Question 72 of 83
Which nonpharmacological methods are sometimes recommended to induce labor?
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Question 73 of 83
The nurse has taught a new admission to the postpartum floor about pericare. Which statement indicates the client understands the procedure?
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Question 74 of 83
What is an abnormal finding during the first stage of labor?
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Question 75 of 83
What information should the nurse note from the prenatal record before proceeding with the physical assessment? Select all that apply.
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Question 76 of 83
A nurse is teaching a client who is at 6 weeks of gestation about common discomforts of pregnancy. Which findings should the nurse include? (Select all that apply.)
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Question 77 of 83
What medication is used for cervical ripening?
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Question 78 of 83
What is the priority assessment after an amniotomy?
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Question 79 of 83
Which of the following nonpharmacological interventions recommended by nurse midwives may help a client at full term to go into labor? Select all that apply.
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Question 80 of 83
Which action supports a laboring woman's breathing?
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Question 81 of 83
How frequently should intermittent auscultation be performed during labor?
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Question 82 of 83
What is the term for a slow, deep inhalation through the nose and exhalation through the mouth?
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Question 83 of 83
What is a complication of uterine rupture?
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