A nurse is evaluating the outcomes of care for a client who had prolonged labor and delivered a newborn with Apgar scores of 6 and 8 at 1 and 5 minutes, respectively.

Which of the following findings indicates a positive outcome?

The client reports adequate pain relief during labor

The newborn has no signs of meconium aspiration

The client has a firm fundus and minimal lochia

The newborn initiates breastfeeding within 1 hour of birth.

Answer and Explanation

The Correct Answer is B

This indicates a positive outcome because meconium aspiration can cause respiratory distress and infection in newborns. Apgar scores are used to assess the health of newborns at 1 and 5 minutes after birth based on five criteria: activity, pulse, grimace, appearance, and respiration. A score of 7 to 10 is considered normal.

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Correct Answer is C

Explanation

Oxytocin is a hormone that stimulates uterine contractions and can be used to induce or augment labor.However, it also increases the risk of uterine rupture, especially in women who have a scarred uterus from a previous cesarean delivery with a vertical uterine incision.A vertical uterine incision is made in the contractile part of the uterus and is more likely to tear under stress than a low transverse incision, which is made in the lower segment of the uterus.

Normal ranges for oxytocin infusion during labor are 0.5 to 20 milliunits per minute, depending on the indication and maternal and fetal status.The infusion rate should be adjusted according to the frequency and strength of uterine contractions and the progress of cervical dilation.

A. Sudden onset of severe abdominal pain B. Loss of uterine contractions or tone C. Vaginal bleeding (may be minimal) D. Shock (hypotension, tachycardia, pallor) E. Fetal distress (bradycardia, decelerations).

Correct Answer is ["A","B","C","D"]

Explanation

A ruptured uterus is a serious complication that can cause severe bleeding, fetal distress and shock in the mother.

The symptoms of a ruptured uterus may include:

• Sudden onset of severe abdominal paindue to the tear in the uterine wall.

• Loss of uterine contractions or tonedue to the disruption of the uterine muscle.

• Vaginal bleeding (may be minimal)due to the blood loss from the uterine vessels.

• Shock (hypotension, tachycardia, pallor)due to the hemorrhage and reduced blood flow to vital organs.

Normal ranges for blood pressure are 90/60 mmHg to 120/80 mmHg, for heart rate are 60 to 100 beats per minute, and for fetal heart rate are 110 to 160 beats per minute.

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A nurse is evaluating the outcomes of care for a client who had prolonged labor and delivered a newborn with Apgar scores of 6 and 8 at 1 and 5 minutes, respectively. Which of the following findings indicates a positive outcome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer oxytocin to a client who has a previous cesarean delivery with a vertical uterine incision. The nurse should be aware that this client has an increased risk for which of the following adverse effects?

Correct Answer is C

Explanation

A nurse is assessing a client who has a ruptured uterus. Which of the following findings should the nurse expect? (Select all that apply.).

Correct Answer is ["A","B","C","D"]

Explanation

A nurse is caring for a client who is in the active phase of labor and has a slow cervical dilation. The nurse should monitor the client for which of the following complications?

A nurse is evaluating the outcomes of care for a client who had prolonged labor and delivered a newborn with Apgar scores of 6 and 8 at 1 and 5 minutes, respectively. Which of the following findings indicates a positive outcome?

A nurse is assessing a client who has been in labor for 14 hours and has a fever of 38.2°C (100.8°F). The nurse notes that the amniotic fluid is foul-smelling. Which of the following actions should the nurse take first?

A nurse is reviewing the electronic fetal monitor (EFM) tracing of a client who has a ruptured uterus. Which of the following findings would the nurse expect to see on the EFM?

A nurse is assisting with an artificial rupture of membranes (AROM) for a client who is in active labor. The nurse should report which of the following findings to the provider immediately?

A nurse is preparing to assist with an emergency cesarean delivery for a client who has obstructed labor and excessive vaginal bleeding. The nurse should anticipate administering which of the following medications to prevent hemorrhage?

A nurse is caring for a client who has a history of previous cesarean delivery with a low transverse incision. The client is in labor and wants to have a vaginal birth after cesarean (VBAC). The nurse should monitor the client closely for signs of which complication?

A nurse is reviewing the electronic fetal monitor (EFM) tracing of a client who is in labor and has a prolonged deceleration of the fetal heart rate to 90/min. The nurse should recognize that this finding indicates which of the following?

A nurse is evaluating the outcomes of care for a client who had prolonged labor and delivered a newborn with Apgar scores of 6 and 8 at 1 and 5 minutes, respectively.

Which of the following findings indicates a positive outcome?