A nurse is reinforcing teaching with a client who is in labor about an episiotomy. Which of the following information should the nurse include?

An episiotomy is an incision that is made by the provider to facilitate delivery of the fetus.

An episiotomy is a perineal tear that is created while pushing during labor.

A mediolateral episiotomy is easier to repair than a median episiotomy

A fourth-degree episiotomy is always needed.

Answer and Explanation

The Correct Answer is A

A. An episiotomy is an incision that is made by the provider to facilitate delivery of the fetus. An episiotomy is a surgical incision made in the perineum to enlarge the vaginal opening for delivery and reduce the risk of severe perineal tearing.

B. An episiotomy is a perineal tear that is created while pushing during labor. An episiotomy is an intentional incision, while a perineal tear is an unplanned, spontaneous laceration that occurs during pushing.

C. A mediolateral episiotomy is easier to repair than a median episiotomy. A median episiotomy is typically easier to repair and has less associated pain than a mediolateral incision, which is made at an angle.

D. A fourth-degree episiotomy is always needed. A fourth-degree episiotomy, which extends through the rectal mucosa, is rarely performed and is not always needed. Most episiotomies are less severe.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. "Count the fetal heart rate for 15 seconds to determine the baseline." The fetal heart rate (FHR) should be counted for a full minute to determine the baseline, not just for 15 seconds.

B. "Auscultate the fetal heart rate every 5 minutes during the active phase of the first stage of labor." The fetal heart rate is typically auscultated every 30 minutes in low-risk clients during the first stage of labor.

C. "Auscultate the fetal heart rate every 30 minutes during the second stage of labor." The fetal heart rate should be auscultated every 15 minutes during the second stage of labor, not every 30 minutes.

D. "Count the fetal heart rate after a contraction to determine baseline changes." It is important to assess the fetal heart rate after a contraction to determine if there are any decelerations or baseline changes that may indicate fetal distress.

A. "In false labor, my contractions can decrease by walking or changing positions" B. "In true labor, my contractions will be painless" C. "When I'm in true labor, my cervix won't dilate." D. "In false labor, I will be able to feel the fetuses presenting part in my pelvis"

Correct Answer is A

Explanation

A. "In false labor, my contractions can decrease by walking or changing positions." In false labor, also called Braxton Hicks contractions, the contractions often decrease with activity such as walking or changing positions. This is a key distinction between false and true labor.

B. "In true labor, my contractions will be painless." Contractions in true labor are usually painful and become more intense and regular as labor progresses.

C. "When I'm in true labor, my cervix won't dilate." In true labor, the cervix will dilate progressively. In false labor, there is no cervical dilation.

D. "In false labor, I will be able to feel the fetus's presenting part in my pelvis." In true labor, the fetus descends, and the presenting part may be felt. This is not a characteristic of false labor.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reinforcing teaching with a client who is in labor about an episiotomy. Which of the following information should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is discussing intermittent fetal heart monitoring with a newly licensed nurse. Which of the following statements should the nurse include?

Correct Answer is D

Explanation

A nurse is reviewing true labor vs false labor with a pregnant client. What statement by the client indicates teaching has been effective?

Correct Answer is A

Explanation

A nurse is assisting a nurse midwife in examining a client who is a primigravida at 42 weeks of gestation and states that she thinks she is in labor. Which of the following findings confirm that the client is in labor?

A laboring patient reports to the nurse that "I think my water just broke!" The first action the nurse should take is:

Leopold's maneuvers are performed to:

A nurse is preparing to administer indomethacin 50 mg PO. Available is indomethacin oral suspension 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

A nurse is caring for a client who is at 28 weeks of gestation and has received terbutaline. Which of the following findings should the nurse expect?

An injection of local anesthetic drug into epidural space, which blocks transmission of pain impulses to brain and is given when cervix is in active labor at least 4cm dilated is called what?

A nurse is reading a Fetal monitor strip and notes accelerations. What interventions would the nurse anticipate to do next?

A nurse is reinforcing teaching with a client who has premature rupture of membranes at 26 weeks of gestation. Which of the following instructions should the nurse include?