GNRS MISC OB Lab and birth experience quiz 1 Latest updated,100% CORRECT
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GNRS MISC
Institution
GNRS MISC
1:
A nurse notices that a client in the first stage of labor seems agitated. When the nurse asks why she's upset, she begins to cry and says, "I guess I'm a little worried. The last time I gave birth, I was in labor for 32 hours." Based on this information, the nurse should include which ...
gnrs misc ob lab and birth experience quiz 1 latest updated
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GNRS MISC OB Lab and birth experience quiz 1 Latest
updated
1:
A nurse notices that a client in the first stage of
labor seems agitated. When the nurse asks
why she's upset, she begins to cry and says, "I
guess I'm a little worried. The last time I gave
birth, I was in labor for 32 hours." Based on
this information, the nurse should include
which nursing diagnosis in the client's care
plan?
You selected: Fear related to a potentially difficult childbirth
Correct
Explanation: A client's ability to cope during labor and
childbirth may be hampered by fear of a
painful or difficult childbirth, fear of loss of
control or self-esteem during childbirth, or
fear of fetal death. A previous negative
experience may increase these fears.
Therefore, fear related to a potentially difficult
childbirth is the most appropriate nursing
diagnosis. The client's anxiety stems from her
past history of a long labor, not from being in
the facility; therefore a diagnosis of anxiety
related to the facility environment isn't
warranted. There is no evidence of
compromised family coping related to
hospitalization. Although acute pain related to
labor contractions may be a problem, the
information provided by the client doesn't
support this diagnosis.
Question What would be the priority when caring for a
2:
(see full primigravid client whose cervix is dilated at 8
question) cm when the fetus is at 1+ station and the
,GNRS MISC OB Lab and birth experience quiz 1 Latest
updated
client has had no analgesia or anesthesia?
You selected: offering encouragement and support
Correct
Explanation: The client is in the transition phase of the first
stage of labor.
During this phase, the client needs
encouragement and support because this is a
difficult and painful time, when contractions
are especially strong. Usually, the client finds it
difficult to maintain self-control. Everything
else seems secondary to her as she
progresses into the second stage of labor.
Although ice chips may be given, typically the
client does not desire sips of water. Labor is
hard work. Generally, the client is perspiring
and does not desire additional warmth.
Frequent perineal cleansing is not necessary
unless there is excessive amniotic fluid
leaking. (less)
Question A primary care provider has prescribed
3:
(see full nalbuphine hydrochloride 10 mg intravenously
question) for a client in active labor. The pharmacy
supplies a vial labeled as 50 mg in a 5-mL vial.
How many milliliters should the nurse
administer? Record your answer using
, GNRS MISC OB Lab and birth experience quiz 1 Latest
updated
a whole number.
You selected: 1
Correct
Explanation: The nurse should administer 1 mL of the
solution, calculated as follows:
50 mg/5 mL = 10 mg/x.
50 x = 50 mL.
x = 1 mL.
Question A nurse needs to obtain a good monitor
4:
(see full tracing on a client in labor The client lies in a
question) supine position. Suddenly, she complains of
feeling light-headed and becomes diaphoretic.
Which action should the nurse perform first?
You selected: Reposition the client to her left side.
Correct
Explanation: This client is hypotensive because of
decreased blood flow through the aorta. By
turning the client to her left side, the nurse
removes the weight of the uterus from the
aorta and increases the maternal blood flow.
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