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Jeopardy & NCLEX ?'s

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
List 3 premonitory signs of labor   show
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What determines if a pt is in true labor?   show
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show Ischial spines  
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Describe the position if fetus is in LOP position   show
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What are 5 mechanisms of labor?   show
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List the 3 phases of labor. What are the cervical dilations for each phase?   show
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Describe the 2nd stage of labor. (including avg length)   show
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Phase of labor when ctx are q2-5mins, mod-strong intensity, may need pain med   show
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Phase of labor when pt needs total concentration to get thru ctx & may bear down during ctx   show
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show 4th Stage of Labor  
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How is frequency & duration of ctx determined?   show
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show Palpation MVU  
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show Thinning of cervix 0 to 100% Progresses with Dilation  
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Describe station & normal progression during labor.   show
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show Check FHR  
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show 110 to 160 bpm  
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show Early Decel Benign, do nothing  
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What medical tx can the nurse anticipate for severe variables early in labor?   show
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show Stop pitocin Change position Inc IVF O2 Initiate cont EFM/IFM Call MD  
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show Take maternal temp  
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What is purpose of breathing techniques during labor?   show
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Can IV morphine be given during active labor? Why?   show
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show Sellick’s Maneuver Pressure on the Cricoid cartilage  
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show VS baseline Fluid bolus- 500-1000 mL LR  
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Your pt has just received an epidural, what are the 2 SE that are possible with the test dose?   show
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show Vaginal Exam  
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What are S/S PTL? List 4.   show
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Pt is in labor. MD states fetus is OP. What can RN expect with labor?   show
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show Hold the presenting Part off the cord  
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show To stop PTL Tachycardia, shakiness  
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What is the indication, dose & SE of Betamethasone?   show
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show Breech  
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show The nurse interprets this to mean that the presenting part is: Engaged  
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show Palpating the uterine fundus  
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A woman is in labor. The nurse assesses the contractions to be q 2-3 minutes, 50 – 60 seconds, and MVUs 140. The nurse informs the physician which of the following? The client is in adequate labor The client is hyperstimulated The client has hypotoni   show
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show From the beginning of the contraction to the beginning of the next contraction  
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A woman is at home and thinks her water breaks. She is not having contractions. What should she do next? Walk to help contractions begin Lay down to rest Obtain knee chest position to prevent cord prolapse Go to the hospital   show
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EFM reveals a baseline FHR of 144 bpm, which slows to 128 bpm as the client’s contraction peaks. The FHR then returns to baseline by the end of the contraction. The nurse interprets this finding as indicating: Compression of fetal head Uteroplacental   show
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show Provide for client comfort and continuous support  
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show First stage, latent phase  
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show Intravenous oxytocin  
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A client has undergone external cephalic version successfully. Which of the following would the nurse do next? Prepare the client for an ultrasound Plan for an immediate cesarean birth Have the client undergo a nonstress test Perform McRobert’s maneu   show
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Which finding would lead the nurse to suspect the fetus of a client in labor is in OP position? Complaints of significant back pain with contractions Auscultation of fetal heart sounds in the lower abdomen Fetal back easily palpated with Leopold’s mane   show
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show Immature fetal lung profile  
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A primigravida who is at 41 weeks’ gestation is being evaluated for possible labor induction. The nurse assesses the client’s cervical readiness using the Bishop scoring method. Which score would indicate that the cervix is favorable for labor induction   show
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Which position would be least effective for a pregnant woman in labor who is experiencing umbilical cord prolapsed? Knee-chest Trendelenburg Semi-Fowler’s Sims lateral   show
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show Contractions occurring q 2 – 3 minutes  
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The nurse is describing the types of uterine incisions that may be used with a client who is to have an elective cesarean birth. Which of the following should the nurse include as characteristics of a transverse incision? Reduces the amount of blood los   show
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The nurse should be alert for the development of malignant hyperthermia in a client who has received: Epidural anesthesia General anesthesia Pudendal anesthesia Local anesthesia   show
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show Effects of an inadvertent spinal anesthetic requiring additional intervention  
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The two most reliable sources for determining the existence of pain and severity are the client’s vital signs and Self-report of the client using the FLACC scale Subjective client observation using the Wong-Baker FACES pain scale Self report of the cl   show
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Following an epidural, the client’s systolic blood pressure drops from a baseline of 118 mm Hg to 75 mm Hg. The nurse’s most immediate response should be to: Administer ephedrine IV Inform the anesthesiologist Increase the IV fluid rate Administer ox   show
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