A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction.

What would the nurse do next?

Notify the primary care provider immediately.

Perform a vaginal exam.

Change the linen saver pad.

Check the fetal heart rate.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Notifying the primary care provider is important but not the immediate next step. The nurse has other immediate responsibilities to ensure the safety of the mother and baby.

Choice B rationale:

A vaginal exam could introduce bacteria into the uterus and is not the immediate next step after rupture of membranes.

Choice C rationale:

Changing the linen saver pad is not the immediate next step. While it might be necessary for the comfort of the mother, it does not address the potential risks associated with rupture of membranes.

Choice D rationale:

Checking the fetal heart rate is the correct next step. This ensures that the baby is not in distress following the rupture of membranes.

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Correct Answer is B

Explanation

Choice A rationale:

While placental abruption is a serious condition, it is not directly linked to high HbA1c levels in early pregnancy.

Choice B rationale:

Congenital anomalies are a significant concern for pregnancies with high HbA1c levels, as high blood sugar around the time of conception increases the risk of birth defects.

Choice C rationale:

Placenta previa is not directly associated with high HbA1c levels in early pregnancy.

Choice D rationale:

An incompetent cervix is not directly linked to high HbA1c levels in early pregnancy.

A. "Time isn't important; your health and the baby's health are key.”. B. "It will depend on how big the baby is when you go into labor.”. C. "It's difficult to predict how your labor will progress, but we'll be there for you the entire time.”. D. "Since this is your first pregnancy, you can estimate it will be about 10 hours.”.

Correct Answer is C

Explanation

Choice A rationale:

This statement emphasizes the importance of health over time, which is true. However, it doesn’t directly answer the woman’s question about the duration of labor.

Choice B rationale:

The size of the baby can influence labor duration, but it’s not the only factor. Other factors like the woman’s health, age, and labor progression also matter.

Choice C rationale:

This response is supportive and honest. It acknowledges the unpredictability of labor while assuring the woman of continuous support.

Choice D rationale:

While it’s true that first-time mothers may have longer labors, predicting a specific duration like 10 hours isn’t accurate or helpful.

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A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A pregnant woman with diabetes at 10 weeks' gestation has a glycosylated hemoglobin (HbA1c) level of 13%. At this time the nurse should be most concerned about which possible fetal outcome?.

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction.

What would the nurse do next?