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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["20"]
Explanation
-
Calculate the total units of insulin in the IV bag:
- The bag contains 150 mL of solution.
- The concentration is 0.456 units/mL.
- Total insulin = 150 mL × 0.456 units/mL = 68.4 units.
-
Determine how long the IV bag will last:
- The ordered rate is 9 units/hour.
- Total duration = 68.4 units ÷ 9 units/hour = 7.6 hours.
-
Calculate the IV pump rate:
- The total volume of the bag is 150 mL.
- Pump rate = 150 mL ÷ 7.6 hours = 19.74 mL/hr.
- Rounded to the nearest whole number: 20 mL/hr.
So the nurse should set the IV pump to 20 mL/hr.
Correct Answer is B
Explanation
Choice A rationale:
Dysuria is not typically associated with lightening.
Choice B rationale:
Urinary frequency can increase when lightening occurs because the baby drops into the pelvis, putting more pressure on the bladder.
Choice C rationale:
Constipation is not typically associated with lightening.
Choice D rationale:
Dyspnea can actually improve when lightening occurs because there is less pressure on the diaphragm.
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