A nurse is caring for a client who is in active labor. The nurse should notify the provider for which of the following findings?

Moderate variability in the FHR

Prolonged decelerations

Baseline FHR 115/min

Three uterine contractions within 10 min

Answer and Explanation

The Correct Answer is B

A. Moderate variability in the FHR: Incorrect. Moderate variability (6-25 bpm) is a reassuring sign of fetal well-being.

B. Prolonged decelerations: Prolonged decelerations, defined as a decrease in fetal heart rate (FHR) of at least 15 beats per minute lasting 2 to 10 minutes, indicate potential fetal hypoxia or distress and require immediate notification of the provider.

C. Baseline FHR 115/min: Incorrect. A baseline FHR of 115/min is within the normal range of 110-160 bpm.

D. Three uterine contractions within 10 min: Incorrect. This contraction pattern is within the normal range for active labor (normal is 2-5 contractions in 10 minutes).

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Correct Answer is B

Explanation

A. The client takes furosemide twice daily: There is no direct contraindication between furosemide and lavender oil.

B. Lavender oil, especially in aromatherapy, can trigger respiratory issues in some individuals, particularly those with asthma. Essential oils can act as irritants and exacerbate bronchospasms, potentially leading to wheezing, coughing, or an asthma attack. Therefore, the nurse should advise caution when using lavender oil in clients with a history of asthma.

C. The client takes vitamin C daily: There is no significant interaction between lavender oil and vitamin C.

D. While lavender has mild sedative properties, it is not a direct contraindication for clients with a history of alcohol use disorder. However, excessive use of lavender could enhance CNS depression when combined with alcohol, so it should be used with caution.

A. Offer small amounts of clear liquids 6 hr following surgery. B. Administer analgesics on a scheduled basis for the first 24 hr. C. Give cromolyn nebulized solution every 8 hr. D. Apply a warm compress to the operative site once daily.

Correct Answer is B

Explanation

A. Offer small amounts of clear liquids 6 hr following surgery: Typically, clear liquids can be introduced earlier if the child is awake and has no nausea.

B. Administer analgesics on a scheduled basis for the first 24 hr: Scheduled analgesia provides consistent pain relief, improving comfort and facilitating early mobilization, which is essential for preventing complications such as ileus or pneumonia.

C. Give cromolyn nebulized solution every 8 hr: Cromolyn is used for asthma, not postoperative care.

D. Apply a warm compress to the operative site once daily: Heat application to the surgical site is contraindicated as it may promote infection.

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A nurse is caring for a client who is in active labor. The nurse should notify the provider for which of the following findings?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is B

Explanation

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