How it Works
Try Naxlex NCLEX-RN (Free-Trial)

Exhibits

The nurse should notify the provider about the

followed by

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}

  • Fetal heart rate: The FHR is elevated at 165–168/min with minimal variability, which may indicate fetal tachycardia and potential distress. Persistent tachycardia requires evaluation for infection, hypoxia, or maternal fever. Early intervention helps prevent complications.
  • Characteristics of the amniotic fluid: The fluid is greenish, suggesting meconium-stained amniotic fluid, which can signal fetal hypoxia or distress. Meconium increases the risk of meconium aspiration syndrome in the newborn. Providers must be alerted for appropriate preparations at delivery.

Rationale for Incorrect Options:

  • Client's blood pressure: The BP is 128/84 mm Hg, which is within normal limits, especially considering her history of chronic hypertension. There are no signs of preeclampsia or hypertensive crisis at this time.
  • Duration of contraction: Contractions lasting 40–60 seconds are expected during active labor. There is no evidence of uterine tachysystole or abnormal contraction pattern requiring provider notification.
  • Maternal pain: The client reports pain as 5/10 and is breathing well through contractions. This pain level is tolerable and expected in labor, so it doesn’t warrant immediate provider notification.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is A

Explanation

A. Abdominal distention: Paralytic ileus is a temporary cessation of bowel motility, often following surgery, especially abdominal or orthopedic procedures. Distention occurs due to accumulation of gas and fluid in the intestines and is a key indicator.

B. Oliguria: Reduced urine output may suggest dehydration or kidney issues but is not specific to paralytic ileus. It does not directly reflect gastrointestinal motility or function.

C. Dizziness: Dizziness can result from various causes like blood loss, medication, or orthostatic hypotension, but it is not a clinical sign of paralytic ileus and does not relate to bowel activity.

D. Watery stool: Watery or loose stools are more characteristic of diarrhea or bowel irritation. In paralytic ileus, bowel movement is typically absent, and stool passage is minimal or stopped.

Correct Answer is C

Explanation

A. Varicella:Varicella (chickenpox) requires airborne and contact precautions due to its high transmissibility via respiratory droplets and contact with skin lesions. While contact precautions are used, the primary precaution is airborne.

B. Pertussis:Pertussis is transmitted through respiratory droplets, so droplet precautions are the appropriate measure. Contact precautions are not necessary unless there are heavy respiratory secretions contaminating surfaces.

C. Clostridium difficile:Contact precautions are essential for clients with C. difficile due to the spore-forming nature of the bacteria, which can survive on surfaces. Gown and gloves are required when entering the room, and hand hygiene with soap and water is necessary after contact.

D. Mycobacterium tuberculosis:TB is transmitted via airborne particles, requiring airborne precautions and a negative pressure room. Contact precautions are not indicated for TB unless there are additional infections with contact-spread pathogens.

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

Register