A woman who is gravida 3 para 2 enters the intrapartum unit. The most important initial nursing assessments are:
If she has had prenatal care.
Membrane status and her EDD/EDC.
Time of last food intake and fasting blood sugar.
Pain level and birth plan.
The Correct Answer is B
A. Prenatal care history is important but not as urgent as membrane status and estimated delivery date.
B. Membrane status and estimated delivery date are critical for assessing the stage of labor and planning care.
C. Fasting blood sugar is relevant in diabetic patients but not an immediate priority.
D. Pain level and birth plan are important but secondary to assessing labor progress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. A Category 1 fetal heart rate tracing is considered normal, with a baseline FHR between 110-160 bpm, moderate variability, accelerations, and early decelerations, all of which are reassuring signs.
B. Category 2 tracings are indeterminate and would show a pattern of abnormal FHR, but not severe enough to be classified as Category 3.
C. Category 3 tracings are abnormal, characterized by absent variability and significant decelerations, suggesting fetal distress or other severe issues.
D. Category 4 is not a recognized category in fetal heart rate classification.
Correct Answer is ["65 to 70"]
Explanation
The interval between the vertical lines represents 1 minute (60 seconds). Therefore, one small square equals to 10 seconds (60/6). The uterine contractions range between 6.5 to 7 small boxes which equals 65 to 70 seconds.
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