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A nurse is caring for several women in labor.
The nurse determines that which woman is in the latent phase of labor?.

Contractions every 1 minute, cervical dilation 9 cm.

Contractions every 2 1/2 minutes, cervical dilation 8 cm.

Contractions every 5 minutes, cervical dilation 3 cm.

Contractions every 3 minutes, cervical dilation 6 cm. .

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Contractions every 1 minute and cervical dilation of 9 cm are indicative of the transition phase of labor.

Choice B rationale:

Contractions every 2 1/2 minutes and cervical dilation of 8 cm are indicative of the active phase of labor.

Choice C rationale:

Contractions every 5 minutes and cervical dilation of 3 cm are indicative of the latent phase of labor.

Choice D rationale:

Contractions every 3 minutes and cervical dilation of 6 cm are indicative of the active phase of labor.

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Correct Answer is C

Explanation

Choice A rationale:

Offering fluids is important to prevent dehydration, but it’s not the priority during the fourth stage of labor.

Choice B rationale:

Encouraging the woman to void can help prevent urinary retention, but it’s not the priority.

Choice C rationale:

Assessing the uterine fundus is the priority during the fourth stage of labor. This is to ensure that the uterus is contracting and to prevent postpartum hemorrhage.

Choice D rationale:

Assisting with perineal care is important for comfort and hygiene, but it’s not the priority.

So, the correct answer is C, assessing the uterine fundus.

Correct Answer is ["mLs\/hr."]

Explanation

Answer and explanation

Step 1 is to calculate the total units of Heparin in 1 mL of the solution. This is done by dividing the total units of Heparin in the bag (40,000 units) by the total volume of the bag (500 mL). So, 40,000 units ÷ 500 mL = 80 units/mL. Step 2 is to calculate the rate at which the IV pump should be set. This is done by dividing the ordered amount of Heparin per hour (1600 units) by the units of Heparin per mL (80 units/mL). So, 1600 units/hr ÷ 80 units/mL = 20 mL/hr.

So, the correct answer is 20 mL/hr.

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A nurse is caring for several women in labor. The nurse determines that which woman is in the latent phase of labor?.

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Naxlex Comprehensive Predictor Exams

Which action is a priority when caring for a woman during the fourth stage of labor?.

Correct Answer is C

Explanation

Your patient is receiving Heparin via a continuous IV infusion at a rate of 1600 units per hour. The bag is labeled N/S 500 mLs and contains Heparin 40,000 units. What rate should the IV pump be set at to deliver this ordered amount of Heparin? mLs/hr.

Correct Answer is ["mLs\/hr."]

Explanation

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A nurse is caring for several women in labor.
The nurse determines that which woman is in the latent phase of labor?.