A nurse is administering a 500 mL bolus of lactated Ringer’s for a client who is in labor and has a prescription for spinal anesthesia.
Which of the following findings indicates that the IV bolus was effective?

Report of perineal pain as 0 on a scale of 0 to 10

Report of relief of pruritus

Increased urinary output

Blood pressure 110/70 mm Hg .

Answer and Explanation

The Correct Answer is D

Choice A rationale
The report of perineal pain as 0 on a scale of 0 to 10 is not directly related to the effectiveness of the IV bolus of lactated Ringer’s. Perineal pain is more associated with the birthing process and not with the administration of IV fluids.
Choice B rationale
Relief of pruritus is not a direct indication of the effectiveness of the IV bolus of lactated Ringer’s. Pruritus, or itching, can be a side effect of certain medications or a symptom of various conditions, but it is not typically associated with the administration of IV fluids.
Choice C rationale

While increased urinary output can be a sign of adequate hydration, it is not the primary indicator of the effectiveness of a bolus of lactated Ringer’s. Urinary output can be influenced by various factors, including kidney function and fluid intake, but a single instance of increased urinary output does not necessarily indicate that the IV bolus was effective.
Choice D rationale
The primary goal of administering a bolus of IV fluids like lactated Ringer’s in a client who is in labor and has a prescription for spinal anesthesia is to maintain or improve the client’s hemodynamic status, which includes maintaining a stable blood pressure. Therefore, a blood pressure reading of 110/70 mm Hg indicates that the IV bolus was effective.

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Correct Answer is C

Explanation

Choice A rationale
Synchronized breathing is not specifically required during hypnosis. Hypnosis involves a state of deep relaxation and focused concentration.
Choice B rationale
While focusing on controlling body functions can be a part of some relaxation and pain management techniques, it is not the primary component of hypnosis. Hypnosis is more about reaching a state of deep relaxation and altering one’s state of consciousness.
Choice C rationale
Hypnosis can indeed be beneficial if practiced during the prenatal period. Regular practice can help enhance the effectiveness of hypnosis during labor by making it easier for the person to reach the hypnotic state.
Choice D rationale

This statement is not entirely accurate. Hypnosis can be an effective method for managing labor pain for some individuals. However, like all pain management techniques, its effectiveness can vary from person to person.

A. Instruct the client not to use donor oocytes. B. Inform the client that sperm will be introduced to the uterus during ovulation. C. Instruct the client to avoid freezing embryos for possible use in the future. D. Inform the client about the possible need for reduction of multiple fetuses.

Correct Answer is D

Explanation

Choice A rationale
An absent Moro reflex is not typically associated with neonatal abstinence syndrome (NAS), a condition that can occur in newborns exposed to opioids in utero.
Choice B rationale
A weak cry is a common symptom of NAS. Newborns with this syndrome often have high- pitched or weak cries.
Choice C rationale
Poor feeding is a symptom of NAS, but it is not the most specific symptom in this context.
Choice D rationale
A respiratory rate of 30/min is within the normal range for a newborn and is not indicative of NAS5.

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A nurse is administering a 500 mL bolus of lactated Ringer’s for a client who is in labor and has a prescription for spinal anesthesia. Which of the following findings indicates that the IV bolus was effective?

Nursing Test Bank

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A nurse is administering a 500 mL bolus of lactated Ringer’s for a client who is in labor and has a prescription for spinal anesthesia.
Which of the following findings indicates that the IV bolus was effective?