Temp 98.6 (0)

Sp02 98% on RA

Exhibits

What three priority assessments will you make for this patient?

Abdominal girth q 2 hours.

Assess amount of bleeding

Pelvic exam for cervical dilation.

Fetal heart rate patterns

Maternal vital signs

Attach internal fetal scalp electrode.

Answer and Explanation

Correct Answer : B,D,E

A. Abdominal girth is not a primary concern for this patient. Monitoring for signs of abdominal distention and changes in the uterus is more relevant for conditions like preeclampsia or uterine rupture.

B. Assessing the amount of bleeding is essential as vaginal bleeding can indicate serious complications like placental abruption or previa.

C. A pelvic exam is not indicated without signs of cervical change or labor. The priority is to assess for active bleeding and fetal well-being.

D. Fetal heart rate patterns are crucial to assess the status of the fetus, particularly with the concern of placental issues.

E. Maternal vital signs are important to monitor to detect signs of shock or bleeding complications that may not be immediately obvious.

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Correct Answer is B

Explanation

A. The high blood volume and Wharton's jelly content in the umbilical cord help protect it from compression.

B. The umbilical cord normally contains two arteries and one vein. A statement suggesting two veins is incorrect and indicates a need for additional teaching.

C. The fetal heart starts to beat around 4 weeks of gestation.

D. A Doppler can detect fetal heartbeats as early as 8-12 weeks.

A. Keep the state records updated. B. Determine ABO incompatibilities C. Determine if the infant has hypoglycemia D. Recognize and treat multiple genetic or metabolic disorders.

Correct Answer is D

Explanation

A. Keeping state records updated is a procedural part of newborn screening, but it is not the primary reason for the test.

B. ABO incompatibilities are a separate issue and are not the focus of newborn screening tests like PKU.

C. Hypoglycemia is not detected by the newborn screening tests, which focus on metabolic and genetic disorders, not immediate blood glucose levels.

D. The primary goal of newborn screening is to detect various genetic or metabolic disorders early. Early identification allows for timely treatment that can prevent serious health complications, including developmental delays or death.

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Temp 98.6 (0) Sp02 98% on RA Exhibits What three priority assessments will you make for this patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse educator is preparing an educational workshop on fetal development. Which statement from a patient would indicate they need additional teaching or information?

Correct Answer is B

Explanation

When teaching parents about mandatory newborn screening, which of the following is the most important rationale for why the newborn screening test is given (often called PKU because this was the test mandated)?

Correct Answer is D

Explanation

The nurse is assessing a fetal heart rate tracing and notices a FHR of 155 bpm with moderate variability, accelerations, and early decelerations. The nurse will chart this a

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A woman is 12 weeks pregnant. She has a 5 year old son born at 38 weeks and 3 year old twin daughters that were born at 36 weeks gestation. She had one other pregnancy that terminated spontaneously at 8 weeks. You would document this as

A client had an ultrasound as part of an infertility work up. Upon reading the report, the nurse notices the radiology report notes malformation and scaring of the right fallopian tube. The nurse knows this client is most at risk for ______.

When caring for a laboring mother, late decelerations are noted on the fetal heart rate monitor. What actions should the nurse take? (Select all that apply

The nurse is teaching a childbirth preparation class. The nurse discusses options for natural childbirth to control discomfort during labor. Which of the following would be included in this discussion? (Select all that apply).

A patient has a BMI 16 and weighs 96lbs and asks what the appropriate amount of weight she should gain with har pregnancy. Which of the following would be the best answer

Temp 98.6 (0)

Sp02 98% on RA

Exhibits

What three priority assessments will you make for this patient?