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 D

Explanation

A. Keeping state records updated is a procedural part of newborn screening, but it is not the primary reason for the test.

B. ABO incompatibilities are a separate issue and are not the focus of newborn screening tests like PKU.

C. Hypoglycemia is not detected by the newborn screening tests, which focus on metabolic and genetic disorders, not immediate blood glucose levels.

D. The primary goal of newborn screening is to detect various genetic or metabolic disorders early. Early identification allows for timely treatment that can prevent serious health complications, including developmental delays or death.

A. Place the client in a knee chest position. B. Place 8L of 02 by mask, on the patient. C. With your hand, during the vaginal exam, keep the fetal head from compressing the cord. D. Obtain a consent for an immediate C-Section

Correct Answer is C

Explanation

A. While positioning the patient in a knee-chest position may help, the immediate priority is to relieve pressure on the cord.

B. Administering oxygen is important but does not address the primary issue of cord compression.

C. The number one priority in managing a prolapsed cord is to relieve pressure on the cord and prevent fetal hypoxia. The nurse should manually elevate the presenting part of the fetus to reduce cord compression.

D. Obtaining consent for a C-section is important but not the immediate priority in managing a prolapsed cord.

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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)

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Naxlex Comprehensive Predictor Exams

When teaching parents about mandatory newborn screening, which of the following is the most important rationale for why the newborn screening test is given (often called PKU because this was the test mandated)?

Correct Answer is D

Explanation

You do a vaginal examination and you detect a prolapsed cord. Your number one nursing priority would be to:

Correct Answer is C

Explanation

The nurse is evaluating the effectiveness of breastfeeding of a neonate prior to discharge. Which of the following would be included in the LATCH score? (Select all that apply).

Place the cursor at where step #3 of Leopold's maneuver is performed.

A patient is being taught about tests for gestational diabetes. Teaching was effective when the patient states the following

partner have been trying to conceive for the past 6 months. The client's medical history is significant for diabetes migraine headaches, fibromyalgia, and pelvic inflammatory disease (PID). Which reason is most likely causing the client's infertility?

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Select the four criteria below that would indicate a category 3 fetal monitor strip.

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