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A nurse is assessing a woman in labor.
Which finding would the nurse identify as a cause for concern during a contraction?.

Blood pressure rise from 110/60 mm Hg to 120/74.

White blood cell count of 12,000 cells/mm.

Respiratory rate of 10 breaths/minute.

Heart rate increase from 76 bpm to 90 bpm.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

A slight increase in blood pressure during contractions is normal.

Choice B rationale:

A white blood cell count of 12,000 cells/mm is within the normal range.

Choice C rationale:

A respiratory rate of 10 breaths/minute is low and could indicate respiratory depression.

Choice D rationale:

A heart rate increase from 76 bpm to 90 bpm is within the normal range.

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Correct Answer is ["A","E"]

Explanation

Choice A rationale:

Internal rotation is a movement the fetus makes as it travels through the birth canal.

Choice B rationale:

Flexion is another movement that occurs as the fetus adjusts its position during labor.

Choice C rationale:

Pronation is not typically included in the description of fetal movements during labor and birth.

Choice D rationale:

Abduction is not a movement associated with the fetus’s journey through the birth canal.

Choice E rationale:

Descent is a key movement that occurs as the fetus moves down through the birth canal.

A. Sign of breast development. B. Sexual experience. C. Menstrual period. D. Full hormonal cycle.

Correct Answer is C

Explanation

Choice A rationale:

The first sign of breast development is not menarche. It is a part of puberty, but it is not the definition of menarche.

Choice B rationale:

A woman’s first sexual experience is not menarche. Menarche refers to a specific biological event.

Choice C rationale:

Menarche is defined as a woman’s first menstrual period. This is the correct definition.

Choice D rationale:

A full hormonal cycle is not menarche. While the hormonal cycle is related to menstruation, it is not the definition of menarche.

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A nurse is assessing a woman in labor. Which finding would the nurse identify as a cause for concern during a contraction?.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing a class for pregnant women about labor and birth. When describing the typical movements that the fetus goes through as it travels through the passageway, which movements would the nurse include? Select all that apply.

Correct Answer is ["A","E"]

Explanation

After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a woman's first:.

Correct Answer is C

Explanation

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Your patient is ordered to receive 20 units Pitocin in D5%W 500 mLs at 12 milliunits/minute. What flow rate will you set the IV pump to deliver? Numeric values only.

A nurse is providing care to a woman in labor. The nurse determines that the client is in the active phase based on which assessment findings? Select all that apply.

A nurse is assessing a woman in labor.
Which finding would the nurse identify as a cause for concern during a contraction?.