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

Explanation

A. A grade 2 placental abruption typically presents with a firm or rigid abdomen due to concealed bleeding, not a soft one.
B. Maternal tachycardia (heart rate 120/min) is expected due to blood loss and compensatory response to hypovolemia.
C. A fetal heart rate of 150/min with moderate variability is a reassuring sign and would not typically be expected in a significant abruption, where fetal distress is more common.
D. Vaginal bleeding from placental abruption is typically painful, and may be concealed. Painless bleeding is more characteristic of placenta previa.

A. Constipation B. Ketonuria C. Hypertension D. Polyhydramnios

Correct Answer is B

Explanation

A. Constipation is not directly associated with hyperemesis gravidarum.
B. Ketonuria occurs due to prolonged vomiting and starvation, indicating fat breakdown for energy.
C. Hypertension is unrelated to hyperemesis gravidarum.
D. Polyhydramnios refers to excessive amniotic fluid and is not a feature of hyperemesis gravidarum.

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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 assessing a client who has a grade 2 placental abruption. Which of the following findings should the nurse expect?

Correct Answer is B

Explanation

A nurse is caring for a client who is at 16 weeks of gestation and has hyperemesis gravidarum. Which of the following clinical findings should the nurse expect?

Correct Answer is B

Explanation

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?

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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.)

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