Once your client's amniotic membranes have ruptured you need to evaluate the amniotic fluid for the following. (please select all that apply)

(Select All that Apply.)

None of the above

Location

Amount

Odor

Answer and Explanation

Correct Answer : C,D,E

A. None of the above: The evaluation of amniotic fluid is critical for assessing the health of the fetus and potential complications.

B. Location: The location of rupture is not a necessary part of the evaluation. The priority is assessing the fluid characteristics.

C. Amount: The amount of amniotic fluid can indicate whether there is oligohydramnios (low fluid) or polyhydramnios (excess fluid), which can affect labor and fetal health.

D. Odor: The odor of the amniotic fluid can suggest infection if it is foul-smelling, such as with chorioamnionitis.

E. Color: The color of amniotic fluid should be clear. If it is green or yellow, this can indicate the presence of meconium, which may cause complications during delivery.

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Correct Answer is B

Explanation

A. Not satisfied with the nonpharmacological comfort measures. This describes dissatisfaction with pain management but does not specifically indicate a change in labor phase.

B. Active phase of labor. Nausea, irritability, and feelings of helplessness are classic signs of transitioning from the latent phase to the active phase of labor, when contractions become stronger and more intense.

C. Going to require more pain medication: Although the patient may need additional pain relief, the question is asking about labor progression, not pain management.

D. Going to have a long labor. Irritability and nausea are signs of labor progression, not necessarily an indicator of a long labor.

A. Bloody show from the vagina B. Early decelerations in the FHR C. Uterine contraction lasting 2 min D. Pelvic pressure with contractions

Correct Answer is C

Explanation

A. Bloody show from the vagina: Bloody show is a normal sign during the second stage of labor, indicating that the cervix is dilating and the labor is progressing. It does not require immediate reporting.

B. Early decelerations in the FHR: Early decelerations are often a benign finding during labor, typically caused by head compression and do not usually indicate distress.

C. Uterine contraction lasting 2 minutes: A uterine contraction lasting 2 minutes is considered prolonged, and this can lead to decreased blood flow to the fetus, resulting in fetal distress. The provider should be notified.

D. Pelvic pressure with contractions: Pelvic pressure is a normal part of the second stage of labor as the fetus descends into the birth canal. This is an expected finding and does not require immediate reporting.

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Once your client's amniotic membranes have ruptured you need to evaluate the amniotic fluid for the following. (please select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient in the latent phase of labor begins to experience nausea, feelings of helplessness and has become very irritable. The nurse suspects that the patient is now in the

Correct Answer is B

Explanation

A nurse is assisting in the care of a client who is in the second stage of labor. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

. nurse is assisting with the care of a client with PROM and is receiving magnesium sulfate IV at 2 g/hr. Which of the following findings indicates that it is safe for the nurse to continue the infusion?

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