A nurse is caring for a client with irregular uterine contractions that are mild to palpation.
FHR is 130/min with moderate variability and accelerations noted.
The client has been ambulating in the hallway, took a warm shower, and is now resting in bed.
The client rates pain of contractions at 3 on a 0 to 10 scale.
What potential condition does the nurse suspect?

Umbilical cord compression.

Dysfunctional labor.

Chorioamnionitis.

Iron deficiency anemia.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Umbilical cord compression typically results in variable decelerations in the fetal heart rate, not moderate variability or regular accelerations. It can lead to changes in fetal heart rate patterns, but not regular mild contractions.

Choice B rationale

Dysfunctional labor refers to an abnormal labor pattern, including irregular uterine contractions. The described symptoms fit this condition, as they can cause mild pain and be managed by ambulation, showers, and rest.

Choice C rationale

Chorioamnionitis is an infection of the fetal membranes and amniotic fluid, leading to fever, uterine tenderness, and foul-smelling amniotic fluid, not mild contractions and moderate variability in FHR.

Choice D rationale

Iron deficiency anemia in pregnancy can cause fatigue, pallor, and shortness of breath but does not affect uterine contractions or fetal heart rate.

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Free Nursing Study Resources

Correct Answer is ["0724"]

Explanation

Step 1 is: October 17 + 7 days = October 24.

Step 2 is: October 24 - 3 months = July 24.

Step 3 is: July 24 + 1 year = July 24.

Answer: 0724 (July 24)

Correct Answer is ["2"]

Explanation

Step 1 is: 12 mg ÷ 6 mg/ml.

Step 2 is: 12 ÷ 6 = 2 ml. Answer: 2 ml

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Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client's last menstrual period began on October 17. What is the client's EDB? (State the date in MMDD. For example, October 17 is 1017)

Correct Answer is ["0724"]

Explanation

A nurse is preparing to administer betamethasone 12mg IM to a client at 32 weeks gestation at risk for preterm delivery. Betamethasone is available as 6mg/ml. How many ml will the nurse prepare for injection? (Use a leading zero, if it applies. Do not use a trailing zero)

Correct Answer is ["2"]

Explanation

A nurse is caring for a 28-year-old female client in the fourth stage of labor after a vaginal delivery in the labor and delivery unit. Exhibits Which of the following assessment findings require follow-up? Select All That Apply.

A nurse is caring for a newborn who is 4 hours old in the newborn unit. Exhibits Complete the following sentence by using the list of options: The newborn most likely has dropdown as evidenced by dropdown.

A nurse is caring for a client during the second trimester of pregnancy.After reviewing the client's blood work, the nurse notes the client is rubella non-immune.When should the client be offered the rubella immunization?

A nurse is caring for a newborn with hyperbilirubinemia and is being treated with phototherapy. For each of the following nursing actions, specify if it is indicated or contraindicated with phototherapy treatment.

A nurse is caring for a client who is postpartum. The client tells the nurse that the newborn's maternal grandmother was born deaf and asks how to tell if her newborn hears well. Which of the following statements should the nurse make?

A client suspects she is pregnant.The nurse is discussing the probable signs of pregnancy with the client.Which of the following findings should the nurse include?

A nurse is assessing a client who is 4 hours postpartum following a vaginal delivery.Which of the following findings should the nurse identify as the priority?