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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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Ignoring the mood swings is not an appropriate response because it may be a sign of postpartum mood changes that need to be monitored.

B. Mood swings in the postpartum period are common and often due to hormonal changes. This is normal unless it persists beyond two weeks, at which point it may indicate postpartum depression.

C. Suggesting antidepressants immediately is premature; mood swings are common in the postpartum period, and treatment is not necessary unless they persist or worsen.

D. Advising the husband to leave the wife unattended is unsafe and inappropriate. Ensuring the wife has support during this time is important.

Correct Answer is ["1"]

Explanation

The fetal heart rate is within normal ranges between 110 to 160 beats/minute. It also shows moderate variability with the amplitude ranging between 6 to 25 bmp. Both late and variable decelerations are absent. Therefore, based on the above findings this is a category 1 tracing.

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A woman who is gravida 3 para 2 enters the intrapartum unit. The most important initial nursing assessments are:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A man calls the nurses’ station stating that his wife, who delivered four days ago, is happy one minute and crying the next. The man says, "She was never like this before the baby was born. What would be the best response by the nurse?

Correct Answer is B

Explanation

This is a category _______ (answer numerically i.e 1, 2, 3, 4 etc.).

Correct Answer is ["1"]

Explanation

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