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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The nurse should report the findings of a fever and foul-smelling amniotic fluid to the provider as soon as possible, as they may indicate an infection of the amniotic sac and fluid (chorioamnionitis).Chorioamnionitis can cause serious complications for both the mother and the baby, such as sepsis, preterm birth, and neonatal pneumonia.
Therefore, notifying the provider is the priority action.
Correct Answer is A
Explanation
A prolonged deceleration of the fetal heart rate to 90/min indicates acute fetal hypoxia/acidosis, which is a decrease in the blood flow to the placenta that reduces the amount of oxygen and nutrients transferred to the fetus.Fetal pH drops at a rate of 0.01/min during the deceleration.Causes of acute hypoxia include low maternal blood pressure, dehydration, anemia, rapid uterine contractions, placental abruption, and fetal hypoxia.
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