A nurse midwife is examining a patient who is at 42 weeks of gestation and believes she is in labor.
Which of the following findings would confirm to the nurse that the patient is in labor?

Amniotic fluid present in the vaginal vault.

Cervical dilation observed.

Brownish vaginal discharge noted.

Patient reports pain above the umbilicus.

Answer and Explanation

The Correct Answer is B

Cervical dilation is a key sign that a patient is in labor. As labor progresses, the cervix dilates to allow the baby to pass through the birth canal. Other signs of labor can include regular contractions, rupture of membranes (amniotic fluid present in the vaginal vault), and changes in vaginal discharge.

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 C

Explanation

Step 1: The order is to administer Morphine 5mg IV once immediately. The available concentration is 2.5 mg/mL. To find out how many mL of morphine the nurse should prepare for administration, we need to divide the ordered dose by the available concentration.

Step 2: Calculation: 5 mg ÷ 2.5 mg/mL = 2 mL So, the nurse should prepare 2 mL of morphine for administration.

A. Assess deep tendon reflexes every hour B. Continuous fetal monitoring C. Ambulate twice daily D. Obtain a daily weight

Correct Answer is C

Explanation

Choice A rationale
Assessing deep tendon reflexes every hour is a common practice in managing severe preeclampsia. Hyperreflexia can be a sign of worsening pre-eclampsia.
Choice B rationale
Continuous fetal monitoring is typically recommended for patients with severe pre-eclampsia. This allows for early detection of fetal distress.
Choice C rationale
Ambulating twice daily may not be appropriate for a patient with severe pre-eclampsia at 35 weeks of gestation. Bed rest is often recommended to help lower blood pressure and reduce the risk of complications.
Choice D rationale
Obtaining a daily weight is a common practice in managing severe pre-eclampsia. Sudden weight gain can be a sign of worsening pre-eclampsia.

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 midwife is examining a patient who is at 42 weeks of gestation and believes she is in labor. Which of the following findings would confirm to the nurse that the patient is in labor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has received an order to administer Morphine 5mg IV once immediately. The available concentration is 2.5 mg/mL. How many mL of morphine should the nurse prepare for administration?

Correct Answer is C

Explanation

A nurse is admitting a patient with severe pre-eclampsia at 35 weeks of gestation and is reviewing the provider’s orders. Which of the following orders requires clarification?

Correct Answer is C

Explanation

Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?

A nurse is preparing to administer methylergonovine IM to a client who has just had a vaginal delivery. The nurse should inform the client that this medication is intended to prevent which of the following conditions?

A nurse on the labor and delivery unit is caring for a patient following a vaginal examination by the provider which is documented as: -1. Which of the following interpretations of this finding should the nurse make?

A nurse is caring for a client who is in the second stage of labor. The nurse observes retraction of the fetal head against the maternal perineum as the head is birthed. Which condition is the client most likely experiencing?

A nurse is attending to a patient in labor who has received an epidural anesthesia block. The patient’s blood pressure reads 80/40 mm Hg and the fetal heart rate is 140/min. What should be the nurse’s immediate course of action?

The nurse caring for the pregnant patient understands that which hormone is essential for maintaining pregnancy?

A nurse midwife is examining a patient who is at 42 weeks of gestation and believes she is in labor.
Which of the following findings would confirm to the nurse that the patient is in labor?