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. Abruptio placenta and preeclampsia are risk factors for DIC, a serious complication that can lead to bleeding and clotting issues, including petechiae and oozing from IV sites.
B. A 4100 gm baby (large baby) is not a risk factor for DIC in the immediate postpartum period.
C. Having five children does not increase the risk for DIC.
D. Hyperemesis gravidarum is not related to the development of DIC.
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.
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