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 D

Explanation

A. "Count the fetal heart rate for 15 seconds to determine the baseline." The fetal heart rate (FHR) should be counted for a full minute to determine the baseline, not just for 15 seconds.

B. "Auscultate the fetal heart rate every 5 minutes during the active phase of the first stage of labor." The fetal heart rate is typically auscultated every 30 minutes in low-risk clients during the first stage of labor.

C. "Auscultate the fetal heart rate every 30 minutes during the second stage of labor." The fetal heart rate should be auscultated every 15 minutes during the second stage of labor, not every 30 minutes.

D. "Count the fetal heart rate after a contraction to determine baseline changes." It is important to assess the fetal heart rate after a contraction to determine if there are any decelerations or baseline changes that may indicate fetal distress.

A. First stage B. Third stage C. Fourth stage D. Second Stage

Correct Answer is D

Explanation

A. First stage: The first stage of labor begins with the onset of regular contractions and ends with full dilation (10 cm) of the cervix.

B. Third stage: The third stage of labor begins after the birth of the baby and ends with the delivery of the placenta.

C. Fourth stage: The fourth stage of labor involves the immediate postpartum period after the placenta is delivered, focusing on stabilization of the mother.

D. Second Stage: The second stage of labor begins with complete cervical dilation (10 cm) and ends with the birth of the baby.

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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)

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Naxlex Comprehensive Predictor Exams

A nurse is discussing intermittent fetal heart monitoring with a newly licensed nurse. Which of the following statements should the nurse include?

Correct Answer is D

Explanation

What stage of labor begins with full 10cm dilation of the cervix to the birth of the baby?

Correct Answer is D

Explanation

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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)

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