A client states "I think my water broke! I felt this gush of fluid between my legs.”. The nurse tests the fluid with nitrazine paper and confirms membrane rupture if the swab turns:.
Olive green.
Pink.
Blue.
Yellow.
The Correct Answer is C
Choice A rationale:
Olive green is not the color nitrazine paper turns when it comes into contact with amniotic fluid.
Choice B rationale:
Pink is not the color nitrazine paper turns when it comes into contact with amniotic fluid.
Choice C rationale:
Blue is the color nitrazine paper turns when it comes into contact with amniotic fluid, indicating likely membrane rupture.
Choice D rationale:
Yellow is not the color nitrazine paper turns when it comes into contact with amniotic fluid.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Answer and explanation
Choice A rationale:
Participating in regular daily exercise, especially weight-bearing exercises, can help maintain bone density and reduce the risk of osteoporosis.
Choice B rationale:
Eating high-fiber, high-calorie foods does not directly contribute to reducing the risk of osteoporosis.
Choice C rationale:
Taking vitamin supplements, particularly Vitamin D and calcium, can help maintain bone health and reduce the risk of osteoporosis.
Choice D rationale:
Restricting fluid to 1,000 mL daily is not recommended for reducing the risk of osteoporosis.
Correct Answer is C
Explanation
Choice A rationale:
Offering fluids is important to prevent dehydration, but it’s not the priority during the fourth stage of labor.
Choice B rationale:
Encouraging the woman to void can help prevent urinary retention, but it’s not the priority.
Choice C rationale:
Assessing the uterine fundus is the priority during the fourth stage of labor. This is to ensure that the uterus is contracting and to prevent postpartum hemorrhage.
Choice D rationale:
Assisting with perineal care is important for comfort and hygiene, but it’s not the priority.
So, the correct answer is C, assessing the uterine fundus.
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