Davis Edge questions Flashcards
The nurse is reviewing information of the fetal heart rate (FHR) baseline with a practicum student in labor and delivery. Which findings are correct regarding interpretation of FHR baseline characteristics?
- Baseline FHR is the mean FHR rounded to increments of 5 bpm
- Normal range is 110-160 bpm
- Fetal tachycardia >200 bpm for at least 10 minutes
- Fetal bradycardia <110 bpm for at least 10 minutes
The patient is 38 weeks gestation and the nurse notes a decrease in the fetal heart rate (FHR) from 145 to 115 for a period of 15 minutes.How will the nurse document this finding?
Change in baseline FHR
The nurse is preparing the client for epidural anesthesia. Which assessments or interventions would the nurse perform prior to administration?
- Check the platelet level.
4. Ensure the consent has been signed.
The nurse is caring for a client in the latent phase of labor who is requesting pain medication. which is the appropriate nursing response regarding the administration of pain medication for this client?
“It is best to wait until active labor. I can show you some pain management techniques.”
The nurse is preparing a group session for childbirth preparation. The topic will include signs of impending labor. The nurse will include which topics?
For first-time pregnancies, approximately two weeks before labor, the baby will drop in to the pelvis. This is called lightening.
Many women feel a burst of energy near the end of pregnancy, called nesting.
Bloody show is blood tinged or brown mucous discharge that occurs as the cervix begins to ripen.
The nurse is teaching the new pregnant mother about the placenta and its many roles in fetal development. Which statements show an understanding of the hormones the placenta produces? Select all that apply.
“Progesterone is the hormone that makes you feel bloated.”
“Human placental lactogen helps in the production of breast milk.”
“Estrogen is the reason for my pregnancy glow.”
The nurse is caring for a pregnant client and knows that this test is done for chromosomal analysis between 10-12 weeks’ gestation to detect fetal anomalies caused by genetic disorders. It does not test for neural tube defects (NTDs). The nurse identified the following test as:
Chorionic villus sampling (CVS)
This CVS procedure is for chromosomal, metabolic and DNA testing. It does not test for neural tube defects. A small sample of placental tissue is obtained via a catheter transvaginally or abdominally using a needle.
A student nurse in developing a plan of care documented, “Altered pattern of elimination” for a pregnant client who complained of not having regular bowel movements. Which nursing action by the student nurse is appropriate for the client to resume regular bowel patterns? Select all that apply.
- Assist the client to establish regular time for bowel movement.
- Encourage the client to eat high-fiber foods and fresh vegetables.
- Discuss with the client prior strategies used successfully to relieve constipation.
The nurse is teaching a childbirth preparation class about pregnancy complications after cesarean (c-section) births. Which pregnancy complications can result from prior cesarean births? Select all that apply.
- Placenta previa
- Placenta accreta
- Placenta abruption
The nurse is reviewing a client’s chart, noting the client has tried assessing for ovulatory dysfunction. Which tool is used for assessing ovulatory dysfunction?
Basal body temperature charting (BBT)
The nurse is caring for a client who had a percutaneous umbilical blood sampling procedure (PUBS) an hour ago. The client complains of lower back pains and the electronic fetal monitor (EFM) shows some contractions. Which medication would the nurse anticipate the healthcare provider to order?
Terbutaline is one of the tocolytic medications used for preterm labor. PUBS is usually done after 18 weeks. Preterm labor is when uterine contractions occur in clients less than 37 weeks gestation.
A gravid woman in her third trimester is admitted following blunt force trauma to her abdomen. Which lab test does the nurse anticipate being ordered?
Kleihauer–Betke test
The nurse is assessing a patient who has been admitted for preeclampsia. Which findings would indicate severe features of preeclampsia? Select all that apply.
Option 1
A blood pressure greater than 160/110 mmHg is considered a severe feature of preeclampsia.
Option 2:
Platelet count less than 100,000/mm3 is a severe feature of preeclampsia.
Option 3:
A severe headache indicates central nervous system irritability and is a severe feature of preeclampsia.
Option 4:
Visual changes indicate central nervous system irritability and is a severe feature of preeclampsia.
A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse would provide which explanation about this test to the client?
It is a screening test for spinal defects in the fetus.
