NUR 313 Practice Test Questions and Correct Answers
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Course
NUR 313
Institution
NUR 313
The nurse is evaluating the external fetal monitor tracing of the client who is in active labor. Suddenly, the FHR drops from its baseline of 125 down to 80 beats per minute. The mother is repositioned, and the nurse provides oxygen, increases IV fluids, and performs a vaginal examination. The cerv...
NUR 313 Practice Test Questions and
Correct Answers
The nurse is evaluating the external fetal monitor tracing of the client who is in active
labor. Suddenly, the FHR drops from its baseline of 125 down to 80 beats per minute.
The mother is repositioned, and the nurse provides oxygen, increases IV fluids, and
performs a vaginal examination. The cervix has not changed. Five minutes have
passed, and the FHR remains in the 80s. What additional nursing measures should the
nurse take next?
Insert a Foley Catheter
Request assistance
Notify the health care provider
Decrease the Oxytocin rate ✅Notify the health care provider
To relieve an FHR deceleration, the nurse can re-position the mother, increase IV fluids,
and provide oxygen. If oxytocin is infusing, then it should be discontinued. If the FHR
does not resolve, then the primary care provider should be immediately notified.
Inserting a Foley catheter is an inappropriate nursing action. If the FHR were to
continue in a non-reassuring pattern, then a cesarean section could be warranted,
which would require a Foley catheter. However, the physician must make that
determination. The administration of Pitocin may place additional stress on the fetus.
A 2 gram Magnesium Sulfate bolus over 30 minutes is ordered. Available is 20 grams of
Magnesium Sulfate in 540 ml. At what rate in ml/hr will the nurse set the infusion pump?
Type in the whole number. ✅108
An hour old infant has the following vital signs: Temperature = 97.9, Pulse = 142, and
Respiratory Rate = 44. Over the last 15 minutes, the infant has been jittery. What is the
nursing priority?
Send the umbilical cord segment for drugs of abuse panel
Assess the infant's glucose level via heel stick
, Assess the infant for sneezing and high pitched shrill cry
Turn the radiant warmer up by one degree Celcius and reassess the temperature in 15
minutes ✅Assess the infant's glucose level via heel stick
Jitteriness is a sign hypoglycemia after birth. Even if you suspect drug abuse, we start
by assessing the glucose level first.
A nurse is discussing the plan of care with a client diagnosed with premature rupture of
membranes at 32 weeks gestation. The nurse is assured that teaching was effective
when the client states
There is no need to be on bed rest as I am going to be discharged tomorrow."
"I will receive antibiotics while on the Magnesium Sulfate."
"I should anticipate induction of labor at around 34-36 weeks gestation if I don't deliver
on my own."
"I will need to go on Magnesium Sulfate until the end of my pregnancy." ✅"I should
anticipate induction of labor at around 34-36 weeks gestation if I don't deliver on my
own."
The goal of PROM is to get the client to a viable gestation. We only administer
Magnesium long enough (48 hours) for steroids to have time to work. She is not likely to
be discharged until after she delivers. She may be left on antibiotics for several weeks
and/or until she delivers.
A patient with a postpartum hemorrhage has a Bakri balloon placed. The nurse will
anticipate orders for?
Intravenous antibiotic administration
Intravenous Coagulation Factor VIII [Antihemophilic Factor (Recombinant)]
Assessment of vital signs every 8 hours
Flushing the balloon once a shift and as needed ✅Intravenous antibiotic
administration
With a foreign object like a Bakri balloon, intravenous antibiotics are indicated. Flushing
of the balloon is not inidicated. Factor VIII replacement is only necessary if indicated by
some pre-existing hemophilia or other factor VIII disorder. Vital signs are more frequent
than every 8 hours with someone in this type of situation.
Which nursing intervention is paramount when providing care to a client with preterm
labor who has received terbutaline?
Assess the client for hypoglycemia.
Assess the lung fields and pulse rate prior to administration.
Assess the client for bradycaria.
Assess the client's deep tendon reflexes per protocol. ✅Assess the lung fields and
pulse rate prior to administration.
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