A multiparous woman has been in labor for 8 hours. Her membranes have just ruptured spontaneously. The nurse's priority must be to:
Select one:
Prepare the woman for imminent birth
Assess the fetal heart rate and pattern
Notify the woman's primary health care provider
Document the characteristics of the fluid.
The Correct Answer is B
a. This may be necessary once fetal heart rate and pattern have been assessed, but it is not the initial priority.
b. This is the priority as it will help determine the next steps in the management of labor.
c. This may be necessary once fetal heart rate and pattern have been assessed, but it is not the initial priority.
d. This may be done after assessing the fetal heart rate and pattern, but it is not the initial priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. The second stage of labor begins when the cervix is fully dilated and ends with the birth of the baby. The latent phase is the early part of the second stage when the woman may be resting between contractions.
b. The first stage, transition phase is from 8 to 10 cm dilation, with strong and frequent contractions.
c. The first stage, latent phase is the early part of the first stage of labor when the cervix is dilated from 0 to 4 cm and contractions are mild and irregular.
d. The first stage, active phase is from 4 to 7 cm dilation, with moderate and regular contractions.
Correct Answer is A
Explanation
a. The vaginal sponge has been associated with an increased risk of toxic shock syndrome (TSS), so it should be avoided in women with a history of TSS.
b. Abstinence is a highly effective contraceptive method but may not be practical for all couples.
c. This method is not as effective as other contraceptive methods and may not be practical for all couples.
d. Hormonal contraceptives are generally safe for women with a history of TSS and are an effective method of contraception.
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