A laboring woman asks for IV pain medication. Which of the following patients would be a candidate for IV pain medication in labor? (Select all that apply)

A G3 P2 laboring patient with a current vaginal exam of 8/100%/0.

A G1 P0 laboring patient with a Category 1 strip and a current vaginal exam of 4/80 %/-1.

A G1 P0 laboring patient with the FHT showing no variability and late decelerations.

A G1 P0 laboring patient who has a vaginal exam of 5/100%/0 and contractions every 4 minutes. FHT's are 135 with moderate variability and no decelerations present

Fertilization

Blastosis

Answer and Explanation

Correct Answer : B,D

A. A G3 P2 laboring patient with a current vaginal exam of 8/100%/0: This patient is in advanced labor (transition phase) and IV pain medication is typically avoided due to the proximity to delivery, which could affect the newborn.

B. A G1 P0 laboring patient with a Category 1 strip and a current vaginal exam of 4/80%/-1: This patient is in active labor with normal fetal heart tracing, making her a suitable candidate for IV pain medication.

C. A G1 P0 laboring patient with the FHT showing no variability and late decelerations: This patient has non-reassuring fetal heart tracings, indicating potential fetal distress, making IV pain medication inappropriate as it could further compromise the fetus.

D. A G1 P0 laboring patient who has a vaginal exam of 5/100%/0 and contractions every 4 minutes: This patient is also in active labor with normal fetal heart tracings, making her a suitable candidate for IV pain medication.

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Correct Answer is C

Explanation

A. Genetic testing is not necessary to determine if the twins are identical. Identical twins come from the same egg, while fraternal twins come from separate eggs.

B. The size difference alone does not determine whether twins are identical or fraternal.

C. Dizygotic twins (fraternal twins) are always of different sexes. This is because they are fertilized by two separate sperm and develop from two separate eggs.

D. Monozygotic twins (identical twins) occur when one fertilized egg splits into two embryos. The fact that they are different sexes rules out the possibility of monozygotic twins.

A. "A cerclage is a suture placed on the cervix" B. "A cerclage will prevent preterm labor C. “'A cerclage is done to help prevent the cervix from dilating too early." D. "A cerclage is done because I have had spontaneous abortions in the past because my cervix opened too early"

Correct Answer is B

Explanation

A. A cerclage is a surgical procedure in which a suture is placed around the cervix to prevent it from dilating prematurely, typically done in women with a history of cervical insufficiency or preterm labor.

B. A cerclage does not prevent preterm labor itself but helps to prevent early cervical dilation, which could lead to preterm labor.

C. A cerclage is done to prevent cervical dilation that occurs too early in pregnancy, especially in women with a history of spontaneous abortions due to cervical insufficiency.

D. Cerclage is often recommended for women with a history of spontaneous abortions, particularly those caused by cervical incompetence or early dilation.

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A laboring woman asks for IV pain medication. Which of the following patients would be a candidate for IV pain medication in labor? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A woman is 28 weeks pregnant with twins. The ultrasound reveals that one twin is a boy and the other is a girl. The woman asks if her babies will be identical. The nurse will base her answer upon which of the following information.

Correct Answer is C

Explanation

A client tells the nurse she is to have a cerclage and wants to know why the doctor is going to do this. The nurse provides education about a cerclage. Which statement indicates teaching needs to be reinforced?

Correct Answer is B

Explanation

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