Temp 98.6 (O)

Sp02 98% on RA

FHR 155 with minimal variability

Exhibits

Which of the following will you recommend for this patient? (Select all that apply)

Brethine (Terbutaline)

Pitocin 20 u in 500cc RL to run at125cc per hour

Misoprostol (Cytotec)

Betamethasone

Oxytocin (Pitocin)

IV Fluids

Answer and Explanation

Correct Answer : D,F

A. Brethine (Terbutaline) is typically used for stopping premature labor but is not recommended for all patients as it can have side effects like tachycardia and decreased uterine contractions. The patient does not appear to need to stop labor immediately, and other interventions are more appropriate.

B. Pitocin (Oxytocin) is used to augment labor but is not indicated in a case of early labor unless there is a need to speed up contractions or induce labor after a period of observation.

C. Misoprostol (Cytotec) is a medication used to ripen the cervix, but it’s not appropriate here as the patient is only 2 cm dilated and doesn't show indications for labor induction.

D. Betamethasone is used to promote fetal lung maturity in cases of preterm labor. Given the patient is at 34 weeks, this would be an appropriate intervention.

E. Oxytocin (Pitocin) would only be used for augmentation or induction in a more advanced labor situation, and it's not needed at this stage.

F. IV Fluids are important in this case to maintain hydration and possibly prevent preterm labor, as dehydration can exacerbate contractions.

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Correct Answer is B

Explanation

A. A cerclage is a surgical procedure in which a suture is placed around the cervix to prevent it from dilating prematurely, typically done in women with a history of cervical insufficiency or preterm labor.

B. A cerclage does not prevent preterm labor itself but helps to prevent early cervical dilation, which could lead to preterm labor.

C. A cerclage is done to prevent cervical dilation that occurs too early in pregnancy, especially in women with a history of spontaneous abortions due to cervical insufficiency.

D. Cerclage is often recommended for women with a history of spontaneous abortions, particularly those caused by cervical incompetence or early dilation.

A. Tachysystole B. Tachycardia with minimal variability C. Late decelerations with absent variability D. Sinusoidal Pattern E. Absent variability with no periodic changes F. Bradycardia with absent variability G. Late decelerations with moderate variability H. Variable decelerations with absent variability

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

Explanation

A. Tachysystole refers to excessive uterine contractions, which can cause fetal distress and indicates a category 3 strip.

B. Tachycardia with minimal variability does not qualify as a category 3 pattern; it is concerning but not as severe as category 3.

C. Late decelerations with absent variability are highly concerning for fetal compromise, making the strip category 3.

D. A sinusoidal pattern indicates severe fetal distress and categorizes the strip as category 3.

E. Absent variability with no periodic changes may suggest a non-reassuring pattern but is not categorized as a category 3 strip unless other signs of fetal distress are present.

F. Bradycardia with absent variability is another critical pattern, indicating poor fetal oxygenation and requiring intervention, categorizing it as a category 3 strip.

G. Late decelerations with moderate variability indicate a category 2 strip, not category 3.

H. Variable decelerations with absent variability can be concerning, but it doesn't automatically classify as category 3 without further complications.

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Temp 98.6 (O) Sp02 98% on RA FHR 155 with minimal variability Exhibits Which of the following will you recommend for this patient? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client tells the nurse she is to have a cerclage and wants to know why the doctor is going to do this. The nurse provides education about a cerclage. Which statement indicates teaching needs to be reinforced?

Correct Answer is B

Explanation

Select the four criteria below that would indicate a category 3 fetal monitor strip.

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

Explanation

The nursery nurse is assessing a newborn that was just admitted to the nursery. The nursery nurse notices a cephalohematoma upon assessment of the head. The nurse knows that this infant is at risk for which condition?

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A man calls the nurses’ station stating that his wife, who delivered four days ago, is happy one minute and crying the next. The man says, "She was never like this before the baby was born. What would be the best response by the nurse?

You have just completed an inservice on the high risk neonate which responses of the nurses would indicate teaching was successful or teaching needs to be reinforced?

This is a category _______ (answer numerically i.e 1, 2, 3, 4 etc.).

The nurse is evaluating the effectiveness of breastfeeding of a neonate prior to discharge. Which of the following would be included in the LATCH score? (Select all that apply).

A G1 PO 39 week gestation patient presents in active labor. She is GBS positive at 36 weeks. What medication does the nurse anticipate giving?

The nurse teaches a couple that the diaphragm is an excellent method of contraception providing that the woman does which of the following?

Temp 98.6 (O)

Sp02 98% on RA

FHR 155 with minimal variability

Exhibits

Which of the following will you recommend for this patient? (Select all that apply)