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(OB/MATERNITY) NCLEX 2024 EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED AND ANSWER KEY ON THE LAST PAGES GUARANTEED ||COMPLETE A+ GUIDE$13.99
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(OB/MATERNITY) NCLEX 2024 EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS VERIFIED
AND ANSWER KEY ON THE LAST PAGES GUARANTEED
||COMPLETE A+ GUIDE
1. A nurse is caring for a client in labor. The nurse determines that the client is beginning in
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the 2nd stage of labor when which of the following assessments is noted?
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The client begins to expel clear vaginal fluid f f f f f f f
The contractions are regular f f f
The membranes have ruptured f f f
The cervix is dilated completely f f f f
2. A nurse in the labor room is caring for a client in the active phases of labor. The nurse is
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assessing the fetal patterns and notes a late deceleration on the monitor strip. The most
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appropriate nursing action is to:
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Place the mother in the supine position
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Document the findings and continue to monitor the fetal patterns f f f f f f f f f
Administer oxygen via face mask f f f f
Increase the rate of pitocin IV infusion f f f f f f
3. A nurse is performing an assessment of a client who is scheduled for a cesarean delivery.
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Which assessment finding would indicate a need to contact the physician?
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Fetal heart rate of 180 beats per minute
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White blood cell count of 12,000 f f f f f
Maternal pulse rate of 85 beats per minute f f f f f f f
Hemoglobin of 11.0 g/dL f f f
4. A client in labor is transported to the delivery room and is prepared for a cesarean
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delivery. The client is transferred to the delivery room table, and the nurse places the client
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in the:
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Trendelenburg’s position with the legs in stirrups f f f f f f
Semi-Fowler position with a pillow under the knees f f f f f f f
Prone position with the legs separated and elevated
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Supine position with a wedge under the right hip f f f f f f f f
5. A nurse is caring for a client in labor and prepares to auscultate the fetal heart rate by
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using a Doppler ultrasound device. The nurse most accurately determines that the fetal
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heart sounds are heard by:
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Noting if the heart rate is greater than 140 BPM f f f f f f f f f
Placing the diaphragm of the Doppler on the mother abdomen
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Performing Leopold’s maneuvers first to determine the location of the fetal heart f f f f f f f f f f f
Palpating the maternal radial pulse while listening to the fetal heart rate f f f f f f f f f f f
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6. A nurse is caring for a client in labor who is receiving Pitocin by IV infusion to stimulate
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uterine contractions. Which assessment finding would indicate to the nurse that the
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infusion needs to be discontinued?
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Three contractions occurring within a 10-minute period
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A fetal heart rate of 90 beats per minute
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Adequate resting tone of the uterus palpated between contractions f f f f f f f f
Increased urinary output f f
7. A nurse is beginning to care for a client in labor. The physician has prescribed an IV
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infusion of Pitocin. The nurse ensures that which of the following is implemented before
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initiating the infusion?
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Placing the client on complete bed rest f f f f f f
Continuous electronic fetal monitoring f f f
An IV infusion of antibiotics
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Placing a code cart at the client’s bedside f f f f f f f
8. A nurse is monitoring a client in active labor and notes that the client is having
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contractions every 3 minutes that last 45 seconds. The nurse notes that the fetal heart rate
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between contractions is 100 BPM. Which of the following nursing actions is most
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appropriate?
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Encourage the client’s coach to continue to encourage breathing exercises f f f f f f f f f
Encourage the client to continue pushing with each contraction f f f f f f f f
Continue monitoring the fetal heart rate f f f f f
Notify the physician or nurse mid-wife f f f f f
9. A nurse is caring for a client in labor and is monitoring the fetal heart rate patterns. The
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nurse notes the presence of episodic accelerations on the electronic fetal monitor tracing.
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Which of the following actions is most appropriate?
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Document the findings and tell the mother that the monitor indicates fetal well-being
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Take the mothers vital signs and tell the mother that bed rest is required to conserve
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oxygen. f
Notify the physician or nurse mid-wife of the findings.
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Reposition the mother and check the monitor for changes in the fetal tracing f f f f f f f f f f f f
10. A nurse is admitting a pregnant client to the labor room and attaches an external
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electronic fetal monitor to the client’s abdomen. After attachment of the monitor, the initial
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nursing assessment is which of the following?
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Identifying the types of accelerations f f f f
Assessing the baseline fetal heart rate f f f f f
Determining the frequency of the contractions f f f f f
Determining the intensity of the contractions f f f f f
11. A nurse is reviewing the record of a client in the labor room and notes that the nurse
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midwife has documented that the fetus is at -1 station. The nurse determines that the fetal
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presenting part is:
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1 cm above the ischial spine
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