A nurse is caring for a client whose membranes ruptured prematurely 12 hours ago.
When assessing this client, the nurse's highest priority is to evaluate:
You Selected:
maternal vital signs and fetal heart rate (FHR).
Correct response:
maternal vital signs and fetal heart rate (FHR).
Explanation:
Remediation:
Question 2 See full question
A 31-year-old multigravid client at 39 weeks' gestation admitted to the hospital in active
labor is receiving intravenous lactated Ringer's solution and a continuous epidural
anesthetic. During the first hour after administration of the anesthetic, the nurse should
monitor the client for:
You Selected:
hypotension.
Correct response:
hypotension.
Explanation:
Remediation:
Question 3 See full question
A 23-year-old client diagnosed with schizophrenia cheerfully announces, "My mom and I
are so excited that I am pregnant. She is willing to help us take care of the baby too."
Which reason should cause the nurse to be concerned about this situation?
You Selected:
Symptom management will be difficult in early pregnancy without medications.
Correct response:
Symptom management will be difficult in early pregnancy without medications.
, Explanation:
Remediation:
Question 4 See full question
Which of the following is a priority nursing diagnosis for the client presenting with pelvic
inflammatory disease?
You Selected:
Acute pain.
Correct response:
Acute pain.
Explanation:
Remediation:
Question 5 See full question
A couple has completed testing and is a candidate for in vitro fertilization. The nurse is
reviewing the procedure with them and realizes that further instruction is needed when
the woman states:
You Selected:
"The fertilization procedure can be done anytime during my cycle."
Correct response:
"The fertilization procedure can be done anytime during my cycle."
Explanation:
Remediation:
Question 6 See full question
The nurse is teaching a 17-year-old girl who has a severe gonorrheal infection. The
nurse realizes that the girl understands the implications of her disease when she tells
the nurse:
You Selected:
"I could have trouble getting pregnant."
Correct response:
"I could have trouble getting pregnant."
, Explanation:
Remediation:
Question 7 See full question
After the nurse instructs a client who is scheduled for in vitro fertilization (IVF) about the
procedure, which statement by the client indicates to the nurse that the instructions
have been successful?
You Selected:
"After fertilization, three or four embryos will be transferred through the cervix."
Correct response:
"After fertilization, three or four embryos will be transferred through the cervix."
Explanation:
Remediation:
Question 8 See full question
A multigravid client at 34 weeks’ gestation who is leaking amniotic fluid has just been
hospitalized with a diagnosis of preterm premature rupture of membranes and preterm
labor. The client’s contractions are 20 minutes apart, lasting 20 to 30 seconds. Her
cervix is dilated to 2 cm. The nurse reviews prescriptions (see chart). Which prescription
should the nurse initiate first?
You Selected:
Initiate fetal and contraction monitoring.
Correct response:
Initiate fetal and contraction monitoring.
Explanation:
Remediation:
Question 9 See full question
The nurse is assessing a client who is 4 hours postpartum. Based on the findings
documented by the nurse, which action is most appropriate at this time?
You Selected:
Notify the charge nurse of the assessment findings.
, Correct response:
Ask the client to empty her bladder.
Explanation:
Remediation:
Question 10 See full question
Which client would benefit most from information explaining the importance of receiving
an annual Papanicolaou (PAP) test?
You Selected:
A client infected with the human papillomavirus (HPV)
Correct response:
A client infected with the human papillomavirus (HPV)
Explanation:
Question 1 See full question
The nurse is caring for a client on her second postpartum day. The nurse should expect
the client's lochia to be:
You Selected:
red and moderate.
Correct response:
red and moderate.
Explanation:
Remediation:
Question 2 See full question
A couple is inquiring about vasectomy as a permanent method of contraception. Which
teaching statement would the nurse include in the teaching plan?
You Selected:
"Another method of contraception is needed until the sperm count is 0."
Correct response:
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