Intrauterine resuscitation for an evolving category II or category III tracing includes (Select all that apply):

Go to break

Apply 100% non-rebreather mask

Give an IV fluid bolus

Reposition the mother

Increase the oxytocin drip

Decrease or stop the oxytocin

Answer and Explanation

Correct Answer : B,C,D,F

Choice A: Go to break is not an appropriate action, as it can delay the necessary interventions and compromise the fetal well-beinG. The nurse should stay with the mother and monitor the fetal heart rate and the uterine activity continuously.

Choice B: Apply 100% non-rebreather mask is an appropriate action, as it can increase the maternal oxygenation and improve the fetal oxygen delivery. The nurse should place a mask with a reservoir bag over the mother's nose and mouth and adjust the flow rate to 10 to 15 L/min.

Choice C: Give an IV fluid bolus is an appropriate action, as it can increase the maternal blood volume and improve the uterine perfusion. The nurse should administer 500 to 1000 mL of isotonic crystalloid solution rapidly through a large-bore IV catheter.

Choice D: Reposition the mother is an appropriate action, as it can relieve the uterine or cord compression and improve the fetal circulation. The nurse should turn the mother to the left or right lateral position or place her in a knee-chest position.

Choice E: Increase the oxytocin drip is not an appropriate action, as it can increase the uterine contractions and reduce the uterine relaxation and blood flow. The nurse should decrease or stop the oxytocin infusion if it is causing tachysystole or hyperstimulation.

Choice F: Decrease or stop the oxytocin is an appropriate action, as it can decrease the uterine contractions and increase the uterine relaxation and blood flow. The nurse should decrease or stop the oxytocin infusion if it is causing tachysystole or hyperstimulation.

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Correct Answer is ["A","C","D"]

Explanation

Choice A: Amniotic fluid in the vaginal vault indicates that the client's membranes have ruptured, which is a sign of labor. The fluid should be clear and odorless. The nurse should assess the fetal heart rate and monitor for signs of infection or cord prolapsE.

Choice B: Pain just above the navel is not a sign of labor. It may indicate other conditions such as gastritis, gallstones, or pancreatitis. The pain of labor is usually felt in the lower back and abdomen and radiates to the thighs.

Choice C: Cervical dilation is a sign of labor. It indicates that the cervix is opening and thinning to allow the passage of the fetus. The nurse should measure the cervical dilation in centimeters and document the progress of labor.

Choice D: Contractions every 3 to 4 minutes are a sign of labor. They indicate that the uterus is contracting and pushing the fetus downwarD. The nurse should assess the frequency, duration, and intensity of the contractions and monitor the fetal responsE.

A. The client is Rh negative. B. The client has had significant blood loss during the procedure. C. The client has previously given birth to an Rh-negative infant. D. The client has expressed a desire to conceive again.

Correct Answer is A

Explanation

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Intrauterine resuscitation for an evolving category II or category III tracing includes (Select all that apply):

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting a nurse midwife in examining a client who is a primigravida at 40 weeks of gestation and states that she thinks she is in labor.Which of the following findings confirm that the client is in labor? (Select all that apply):

Correct Answer is ["A","C","D"]

Explanation

A nurse is caring for a client in the immediate postoperative period following removal of an ectopic pregnancy via salpingostomy. For which of the following indications should the nurse administer Rho(D. immune globulin?

Correct Answer is A

Explanation

A nurse is caring for a client who is 1 day postpartum following a cesarean birtH. To prevent thrombophlebitis, the nurse should include which of the following interventions in the client's plan of care? (Select onE.:

Intrauterine resuscitation for an evolving category II or category III tracing includes (Select all that apply):

A nurse is caring for a client who wants to know if it is possible to have a trial of labor for a vaginal birth after a cesarean birth (TOLAC.. Which of the following statements by the nurse is appropriate?

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Signs and symptoms of preeclampsia with severe features include (Select all that apply):

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