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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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

Based on the provided information:

The client had a vacuum-assisted vaginal delivery with a heavy lochia and small clots noted.
A boggy fundus and the need for oxytocin infusion also indicate an increased risk for excessive bleeding.

Given these observations, the client is at the highest risk for developing Postpartum hemorrhage (Option A) due to Heavy lochia with small clots (Option C).

So, the completed sentence would be:

"The client is at highest risk for developing Postpartum hemorrhage due to Heavy lochia with small clots."

A. This medication is used to increase fetal surfactant production. B. This medication increases the fetal heart rate. C. This medication is used to increase amniotic fluid levels. D. This medication is used to stop preterm labor contractions.

Correct Answer is A

Explanation

Choice A rationale

Betamethasone is a corticosteroid that accelerates fetal lung maturity by increasing the production of surfactant, which reduces respiratory distress syndrome in preterm infants.

Choice B rationale

While betamethasone can cause transient increases in fetal heart rate, its primary purpose is not to increase fetal heart rate. Its role is in enhancing lung maturity.

Choice C rationale

Betamethasone does not directly increase amniotic fluid levels. Its main function is in the maturation of fetal lungs.

Choice D rationale

Betamethasone is not used to stop preterm labor contractions. It is used to accelerate fetal lung development in preterm labor cases.

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Naxlex Comprehensive Predictor Exams

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 Complete the following sentence using the list of options: The client is at highest risk for developing dropdown due to dropdown.

Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"C"}

Explanation

A nurse is caring for a client who was admitted in preterm labor at 33 weeks gestation.The provider has ordered betamethasone 12 mg IM every 24 hours.Before administering the medication, what should the nurse include in client teaching?

Correct Answer is A

Explanation

A nurse is caring for a client who is 6 hours postpartum following a vaginal birth.The client has saturated a perineal pad within 15 minutes.Which of the following actions should the nurse take first?

A nurse is assessing a client's risk of breast cancer.Which of the following would not be included in the education about risks?

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?

A nurse is caring for a postpartum client who arrives at the clinic for her follow-up appointment 4 weeks after delivery.The client is asking about birth control options.What contraception option would you recommend as being the most reliable?

A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation.Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?

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)

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?