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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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