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Test Two

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
A laboring client is receiving oxytocin. Which finding requires immediate intervention?   show
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show Increased anxiety and irritability  
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Which intervention is appropriate when caring for a laboring client experiencing hypotension after epidural anesthesia?   show
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show Notify the neonatal resuscitation team  
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Which is a priority nursing diagnosis for a client in active labor with ruptured membranes?   show
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Which finding is most concerning during labor?   show
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show Change the mother's position  
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The fetal heart rate shows early decelerations. The nurse should:   show
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show Fetal heart rate  
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show Client with a prior cesarean section  
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A woman at 39 weeks is in early labor. The priority nursing action is to:   show
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Which of the following is a presumptive sign of impending labor?   show
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show True labor causes cervical change.  
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Which indicates the start of the first stage of labor?   show
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show Full cervical dilation (10 cm)  
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The third stage of labor ends with:   show
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show Immediate postpartum recovery  
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show From the beginning of one contraction to the beginning of the next  
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Contraction duration is defined as:   show
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show Palpating the uterus during contraction  
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Which is a sign of impending labor?   show
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Which is a characteristic of the transition phase of labor?   show
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During the second stage, which nursing action is essential?   show
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show Maternal hypotension  
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The nurse assesses the fetal heart rate immediately after amniotomy. Why?   show
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show The baby has dropped into the pelvis  
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show A pink-tinged vaginal discharge from cervical changes  
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show Monitoring for hemorrhage  
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show Fundus becomes firm and rises  
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show Perineal hematoma  
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show Persistent thoughts of harming the baby  
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A mother reports difficulty urinating 8 hours after delivery. The nurse notes a distended bladder and displaced uterus. What is the priority?   show
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show Fundal massage  
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show Multipara with a history of PPH (Postpartum hemorrhage)  
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A postpartum client is diagnosed with a uterine infection. Which medication is expected?   show
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Which factor increases a woman’s risk for postpartum thrombophlebitis?   show
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show Mastitis  
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show Persistent bright red bleeding  
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Which factor is a common cause of postpartum urinary retention?   show
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Which intervention is most effective in preventing postpartum DVT?   show
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show Vaginal laceration  
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A newborn has a blood glucose level of 35 mg/dL. What is the nurse’s priority action?   show
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show Infant of a diabetic mother  
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A newborn presents with poor feeding, jitteriness, and a weak cry. What is suspected?   show
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A newborn with meconium-stained fluid at birth is at risk for:   show
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Which newborn should the nurse assess first?   show
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What is the best prevention for hypothermia in a newborn?   show
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show Oxygen saturation  
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show Nasal flaring and intercostal retractions  
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show Grunting with respirations  
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show Prolonged rupture of membranes  
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What are some side effects of an epidural block?   show
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show A Nitrazine test (Fern test) and assess FHR  
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What happens during stage 1, 2, 3, and the 4th stage of labor?   show
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show Hypothermia, hypoglycemia, and respiratory ditress  
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show Position changing, give oxygen, correct hypotension, reduce uterine activity, and push & breathing techniques  
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show Oxytocin, methergine, stimulation of the nipples, walking around, and upright sitting  
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Priority when birth is imminent   show
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show 110-160bpm  
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Define variable, early, and absent deceleration?   show
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What is late deceleration   show
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Definition of frequency of contractions   show
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show Umbilical cord is being compressed, too little amniotic fluid, or fetal respiratory acidosis.  
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show Maintaining thermoregulation, cardiorespiratory function, observing & docu., urination & passage of meconium, identifying mom, partner, & newborn, performing & docu. a brief assessment for major anomalies & encouraging bonding & breastfeeding.  
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show If mom is dilated 8-10cm or within 2hrs before delivery  
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show Supine (flat on back)  
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Definition of precipitate birth   show
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show When muscles return to its resting state with decrease tension of muscle returning back to its original length  
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What color and amount is abnormal amniotic fluid?   show
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show Cold packs applied to the perineum for the first 12hrs, warmth (heat packs), sitz baths, or administer oral pain meds.  
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How do you know that true labor has begun?   show
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Care of a patient with mastitis   show
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show Check vitals, monitor oxygen, assess lochia, massage the fundus, measure I&O, monitor for signs of anemia, & give emotional support  
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show Perform a scalp pH, fetal stimulation, vibroacoustic stimulation, & fetal pulse oximetry to assess urgency for delivery  
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show To assess the ripeness of the cervix for induction, the score needs to be greater than 6.  
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show Assess FHR  
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show Because when the breast is being stimulated (baby feeding) the oxytocin kicks in & starts the contractions back up.  
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What is the location of the uterus after delivery?   show
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Risk factors for Hypoglycemia after birth   show
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What interventions would a nurse do for a mom with a soft "boggy" uterus?   show
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What is Lochia Rubra, Serosa, & Alba?   show
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Bleeding after delivery what should you do first?   show
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Priority for care of a newborn after ABC's   show
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Discharge teaching for a breastfeeding mom?   show
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show Gestational hypertension, ruptured membranes w/o spontaneous onset of labor, infection within the uterus, med/fetal prob., prolonged preg., incompatibility between mom&baby blood types, placenta insufficiency, & fetal death.  
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show Observe for low BP, urinary retention, maintain position, check BP q5mins, FHR, catheterization, & ambulation carefully.  
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What are signs of hyperventilation?   show
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show Increased pulse (tachycardia)  
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show Check for bladder fullness  
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What are contraindications for induction of labor?   show
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What are complications of NO lochia?   show
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show Shock, hemorrhage, thromboembolic disorders, puerperal infections, subinvolution of the uterus, & mood disorders  
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show It's a physical examination to identify DVT (pain in the calf or behind the knee when the foot id dorsiflexed & knee extended)  
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Women w/ varicose veins lead to what after birth?   show
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show Erythromycin, Vit. K, & Herpes B vaccine dose 1  
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C-section birth indications   show
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Created by: chawal