A nurse is caring for a client who is in active labor and requesting an epidural. Which of the following actions should the nurse take?

Give ondansetron IV to the client.

Administer IV fluid bolus to the client.

Delay the epidural until the client is dilated to 7 cm.

Initiate oxygen via nonrebreather to support patterned breathing

Answer and Explanation

The Correct Answer is B

A. Ondansetron is used to treat nausea but is not a routine pre-epidural intervention.
B. Administering an IV fluid bolus before epidural anesthesia helps prevent hypotension caused by sympathetic blockade.
C. Epidurals can be administered earlier than 7 cm dilation based on maternal request and clinical assessment.
D. Oxygen administration is not routinely required before an epidural unless fetal distress or maternal hypoxia is present.

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

Explanation

B. Hand-to-mouth movements are an early hunger cue as the newborn tries to self-soothe or indicate readiness to feed.

C. Rooting reflex is a classic early sign where the newborn turns their head toward the stimulus (like a nipple) indicating hunger.

D. Sucking motions suggest the newborn is preparing or ready to feed.

A. Consistent crying is a late hunger cue and can indicate distress if earlier cues are missed.

E. The Babinski reflex is a neurological reflex unrelated to hunger cues.

A. A newborn who has subconjunctival hemorrhage of the left eye B. A newborn who has overlapping suture lines C. A newborn who has nasal flaring D. A newborn who has rust stained urine

Correct Answer is C

Explanation

A. Subconjunctival hemorrhage is common after vaginal delivery and usually harmless.
B. Overlapping suture lines are normal in newborns due to molding during birth.
C. Nasal flaring is a sign of respiratory distress and requires immediate assessment.
D. Rust-stained urine can be due to urate crystals and is usually benign in newborns.

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A nurse is caring for a client who is in active labor and requesting an epidural. Which of the following actions should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a new guardian about hunger cues in their newborn. Which of the following manifestations should the nurse include as early indication of hunger in newborns? (Select all that apply.)

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

Explanation

A nurse is caring for four newborns. Which of the following newborns should the nurse assess first?

Correct Answer is C

Explanation

A nurse is caring for a newborn Exhibits Complete the sentence below using the list of options The newborn is at highest risk of developing dropdown as evidenced by the newborn’s Blank 2 dropdown

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A nurse is planning care for a client who is scheduled for a cesarean birth. Which of the following interventions should the nurse include in the plan of care?

A nurse is teaching a client who is at 14 weeks of gestation about expected body changes during pregnancy. Which of the following manifestations should the nurse include in the teaching?

A nurse in a clinic is preparing to measure the fundal height of a client who is pregnant. Which of the following actions should the nurse take?

A nurse is caring for a full term client in labor who is prescribed continuous fetal monitoring. On examination, the nurse determines the client's membranes are intact. Which of the following assessment methods should the nurse implement?

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