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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 ["B","C","D","E"]

Explanation

Choice A rationale:

The vagina is not part of the true pelvis. It is the canal that leads from the uterus to the exterior of the body.

Choice B rationale:

The pelvic inlet is the upper part of the lesser pelvis where the baby’s head engages during labor. It is part of the true pelvis.

Choice C rationale:

The pelvic outlet is the lower opening of the pelvis. It is part of the true pelvis.

Choice D rationale:

The mid pelvis is the part of the pelvis where the baby turns to get into the right position for birth. It is part of the true pelvis.

Choice E rationale:

The pelvic floor muscles support the pelvic organs and help in the process of childbirth. They are part of the true pelvis.

Choice F rationale:

The cervix is the lower part of the uterus that opens into the vagina. It is not part of the true pelvis. So, the correct answers are B, C, D, and E.

A. Physiologic anemia due to hemoglobin decrease. B. A 50% increase in blood volume. C. Pressure of the gravid uterus on the vena cava. D. Pressure of the presenting fetal part on the diaphragm.

Correct Answer is A

Explanation

Choice A rationale:

Physiologic anemia due to hemoglobin decrease does not cause dizziness when lying flat.

Choice B rationale:

A 50% increase in blood volume does not directly cause dizziness when lying flat.

Choice C rationale:

The gravid uterus can compress the vena cava when the woman lies flat, reducing blood flow to the heart and causing dizziness.

Choice D rationale:

Pressure of the presenting fetal part on the diaphragm can cause shortness of breath, but not dizziness.

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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?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","C","D","E"]

Explanation

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Correct Answer is A

Explanation

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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?.