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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. Mercury, which could harm the developing fetus if eaten in large amounts. B. Excess folic acid, which could increase the risk for neural tube defects. C. Low-quality protein that does not meet the woman's requirements. D. Lactose, which leads to abdominal discomfort, gas, and diarrhea.

Correct Answer is A

Explanation

Choice A rationale:

Mercury, which could harm the developing fetus if eaten in large amounts, is indeed found in high levels in swordfish and tilefish. Pregnant women are advised to avoid these types of fish due to the risk of mercury poisoning.

Choice B rationale:

Excess folic acid, which could increase the risk for neural tube defects, is not typically associated with swordfish and tilefish. Folic acid is a nutrient that is actually beneficial for pregnant women.

Choice C rationale:

Low-quality protein that does not meet the woman’s requirements is not a concern with swordfish and tilefish. These fish are actually high in quality protein.

Choice D rationale:

Lactose, which leads to abdominal discomfort, gas, and diarrhea, is not found in swordfish and tilefish. Lactose is a sugar found in milk and dairy products.

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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

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

A nurse strongly encourages a pregnant client to avoid eating swordfish and tilefish because these fish contain which component?.

Correct Answer is A

Explanation

During a follow-up prenatal visit, a pregnant woman asks the nurse, "How long do you think I will be in labor?" Which response by the nurse would be most appropriate?.

A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?

A nurse is preparing a presentation for a group of pregnant women about the labor experience. Which factors would the nurse include when discussing measures to promote coping for a positive labor experience? Select all that apply.

When teaching a group of postmenopausal women about hot flashes and night sweats, the nurse would address which primary cause?.

Upon entering the room of a client who has had a spontaneous abortion, the nurse observes the client crying. Which response by the nurse would be most appropriate?.

A woman in labor who received an opioid for pain relief develops respiratory depression. The nurse would expect which agent to be administered?.

A nurse palpates a woman's fundus to determine contraction intensity. What would be most appropriate for the nurse to use for palpation?.

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