The RN interprets the following external fetal monitoring strip as:

Urgent: Maternal fever due to chorioamnionitis.

Non-urgent: Compression due to lack of amniotic fluid.

Urgent: Umbilical cord prolapse due to head not being engaged in the pelvic cavity.

Non-urgent: Progression of the fetal head through the vaginal canal.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Maternal fever due to chorioamnionitis would show maternal signs of infection and not directly indicate fetal heart rate changes typical of umbilical cord prolapse.

Choice B rationale

Compression due to lack of amniotic fluid (oligohydramnios) typically shows variable decelerations on the fetal monitoring strip but is not urgent without other symptoms.

Choice C rationale

Umbilical cord prolapse is an urgent condition where the umbilical cord slips ahead of the fetus and can be indicated by sudden severe variable decelerations on the fetal monitor strip, requiring immediate intervention.

Choice D rationale

Progression of the fetal head through the vaginal canal shows a gradual change in the fetal heart rate and not the sudden pattern seen with cord prolapse.

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Correct Answer is A

Explanation

Choice A rationale

Squatting and pelvic lunges are natural positions and exercises that can help with labor progression, but they are not medically recognized methods for inducing labor. These activities may help move the baby into a better position but do not stimulate contractions effectively for labor induction.

Choice B rationale

Amniotomy involves the intentional rupture of the amniotic sac to release amniotic fluid. This procedure can stimulate uterine contractions and is a common method used to induce labor when conditions are appropriate.

Choice C rationale

Oxytocin is a hormone that stimulates uterine contractions. It is commonly administered intravenously to induce or augment labor, making it an effective and widely used method for labor induction.

Choice D rationale

Dinoprostone is a prostaglandin used to ripen the cervix and induce labor. It is applied either as a vaginal insert or gel and helps soften and dilate the cervix, preparing it for labor.

Correct Answer is ["0.43"]

Explanation

Step 1 is to calculate the total dose required: 4300 g × (2 mg ÷ 1000 g) = 8.6 mg.

Step 2 is to calculate the volume to draw up: 8.6 mg ÷ (20 mg ÷ 1 mL) = 0.43 mL. Final answer: 0.43 mL. .

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The RN interprets the following external fetal monitoring strip as:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse knows that which of the following interventions is not useful for induction of labor:

Correct Answer is A

Explanation

A newborn who weighs 4300 grams is receiving ampicillin 2mg/kg IV once per day. The vial reads 20mg/mL. How much will the nurse draw up in the syringe for one dose? (Enter your answer in numbers only. No units.)

Correct Answer is ["0.43"]

Explanation

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