A nurse is admitting a patient to the birthing unit who reports her contractions started 1 hour ago. The nurse determines the patient is 80% effaced and 8 cm dilated.The nurse realizes that the patient is at risk for which of the following conditions?

Incompetent cervix

Hyperemesis gravidarum

Ectopic pregnancy

Postpartum hemorrhage

Answer and Explanation

The Correct Answer is D

Choice A rationale
An incompetent cervix is a condition that occurs when weak cervical tissue causes or contributes to premature birth or the loss of an otherwise healthy pregnancy. This is not typically associated with rapid labor progression.
Choice B rationale
Hyperemesis gravidarum is a condition characterized by severe nausea, vomiting, weight loss, and electrolyte disturbance. Mild cases are treated with dietary changes, rest, and antacids. It’s not related to the speed of labor progression.
Choice C rationale

An ectopic pregnancy occurs when a fertilized egg implants and grows outside the main cavity of the uterus. It’s not related to the speed of labor progression.
Choice D rationale
Postpartum hemorrhage is the correct answer. Rapid labor progression can lead to a higher risk of postpartum hemorrhage due to uterine atony, where the uterus fails to contract after the delivery.

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Correct Answer is A

Explanation

Choice A rationale
Hypotension is a known adverse effect of epidural analgesia. The epidural can block sympathetic nerve fibers, which can lead to vasodilation and a drop in blood pressure.
Choice B rationale
A maternal temperature of 37.4 C (99.4 F) is within the normal range and is not typically a cause for concern. While epidural analgesia can potentially cause a slight increase in body temperature, a significant fever is not a common side effect.
Choice C rationale

Polyuria, or excessive urination, is not a typical side effect of epidural analgesia. While the epidural can affect nerve signals to the bladder, it does not typically cause the kidneys to produce more urine.
Choice D rationale
A fetal heart rate of 152/min is within the normal range for a fetus (110-160 beats per minute). While epidural analgesia can potentially affect the baby’s heart rate if it causes significant maternal hypotension, a heart rate of 152/min is not indicative of a problem. CytomegalovirusCytomegalovirus Explore

A. Lentils B. Oatmeal C. Cabbage D. Asparagus

Correct Answer is A

Explanation

Choice A rationale
Lentils are a great source of dietary fiber. A cup of cooked lentils contains approximately 15.6 grams of fiber, which is higher than the other options listed.
Choice B rationale
A cup of cooked oatmeal contains about 4 grams of fiber, which is less than lentils.
Choice C rationale
A cup of raw cabbage contains about 2.2 grams of fiber, which is less than lentils.
Choice D rationale
A cup of cooked asparagus contains about 3.7 grams of fiber, which is less than lentils.

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A nurse is admitting a patient to the birthing unit who reports her contractions started 1 hour ago. The nurse determines the patient is 80% effaced and 8 cm dilated.The nurse realizes that the patient is at risk for which of the following conditions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is in labor and has received epidural analgesia. What findings should the nurse recognize and document as an adverse effect of epidural analgesia?

Correct Answer is A

Explanation

A nurse is providing teaching about increasing dietary fiber to an antepartum client who reports constipation. Which food selection has the highest fiber content per cup?

Correct Answer is A

Explanation

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