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. Flumazenil: Flumazenil is an antidote for benzodiazepine overdose, not for magnesium toxicity.

B. Calcium gluconate. Calcium gluconate is the antidote for magnesium sulfate toxicity and should be administered when signs of toxicity, such as respiratory depression, occur.

C. Naloxone: Naloxone is an antidote for opioid overdose, not magnesium toxicity.

D. Protamine sulfate: Protamine sulfate is the antidote for heparin overdose, not magnesium toxicity.

A. "In false labor, my contractions can decrease by walking or changing positions" B. "In true labor, my contractions will be painless" C. "When I'm in true labor, my cervix won't dilate." D. "In false labor, I will be able to feel the fetuses presenting part in my pelvis"

Correct Answer is A

Explanation

A. "In false labor, my contractions can decrease by walking or changing positions." In false labor, also called Braxton Hicks contractions, the contractions often decrease with activity such as walking or changing positions. This is a key distinction between false and true labor.

B. "In true labor, my contractions will be painless." Contractions in true labor are usually painful and become more intense and regular as labor progresses.

C. "When I'm in true labor, my cervix won't dilate." In true labor, the cervix will dilate progressively. In false labor, there is no cervical dilation.

D. "In false labor, I will be able to feel the fetus's presenting part in my pelvis." In true labor, the fetus descends, and the presenting part may be felt. This is not a characteristic of false labor.

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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 nurse is assisting with monitoring a client who is admitted for preterm labor and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer?

Correct Answer is B

Explanation

A nurse is reviewing true labor vs false labor with a pregnant client. What statement by the client indicates teaching has been effective?

Correct Answer is A

Explanation

A nurse is assisting in the care of a client who is in active labor. The nurse notes tachycardia on the external fetal monitor tracing. Which of the following conditions should the nurse identify as a potential cause of the heart rate?

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?

A laboring patient reports to the nurse that "I think my water just broke!" The first action the nurse should take is:

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

A disadvantage of internal fetal monitoring is:

The 5 factors that affect and define the labor and birth process are:

What is measured from the beginning of one contraction to the beginning of the next contraction?

A nurse is caring for a client who is at 28 weeks of gestation and has received terbutaline. Which of the following findings should the nurse expect?