A nurse is reviewing the medical record of a client who is in labor and has cephalopelvic disproportion (CPD).

Which of the following findings should the nurse expect to see in the record?

Gestational diabetes mellitus

Polyhydramnios

Macrosomic fetus

Breech presentation.

Answer and Explanation

The Correct Answer is C

A macrosomic fetus is a fetus that is larger than average, usually weighing more than 4 kg or 8.8 lb at birth. A large fetus can cause cephalopelvic disproportion (CPD), which is a condition where the baby’s head does not fit through the mother’s pelvis during labor. CPD can lead to prolonged or obstructed labor, which can endanger both the mother and the baby.

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Correct Answer is A

Explanation

Crowning is when the fetal head is visible at the vaginal opening and does not slip back in with each contraction.This indicates that the baby is ready to be born and the mother should stop pushing to avoid tearing or the need for an episiotomy.

A. A boggy uterus B. A firm fundus at the umbilicus C. Excessive lochia rubra D. Clots larger than a quarter E. A pulse rate of 110/min

Correct Answer is ["A"]

Explanation

A boggy uterus is a sign of uterine atony, which is the failure of the uterus to contract sufficiently after childbirth.

This can lead to excessive bleeding and postpartum hemorrhage.

A firm fundus at the umbilicus is a normal finding after delivery and indicates that the uterus is contracting well.

Excessive lochia rubra is also a sign of uterine atony and postpartum hemorrhage.Lochia rubra is the vaginal discharge composed of blood, mucus, and tissue from the placenta and the uterus lining that occurs after childbirth.

It is normal for the first 3 to 4 days, but it should gradually decrease in amount and change in color.

Clots larger than a quarter are abnormal and indicate excessive bleeding.

A pulse rate of 110/min is a sign of tachycardia, which can be caused by blood loss, infection, or pain.

A normal pulse rate for an adult is between 60 and 100 beats per minute.

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A nurse is reviewing the medical record of a client who is in labor and has cephalopelvic disproportion (CPD). Which of the following findings should the nurse expect to see in the record?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is in labor and notes that the fetal head is visible at the vaginal opening but does not advance with pushing. The nurse should identify this finding as which of the following?

Correct Answer is A

Explanation

A nurse is assessing a client who had a prolonged labor and is at risk for uterine atony. Which of the following findings should indicate to the nurse that the client has this condition? Select all that apply.

Correct Answer is ["A"]

Explanation

A nurse is reviewing the medical record of a client who is in labor and has cephalopelvic disproportion (CPD). Which of the following findings should the nurse expect to see in the record?

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A nurse is evaluating a client who has prolonged and obstructed labor for signs of postpartum hemorrhage. Which of the following findings is an early indicator of postpartum hemorrhage?

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A nurse is reviewing the medical record of a client who is in labor and has cephalopelvic disproportion (CPD).

Which of the following findings should the nurse expect to see in the record?