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A client states "I think my water broke! I felt this gush of fluid between my legs.”. The nurse tests the fluid with nitrazine paper and confirms membrane rupture if the swab turns:.

Olive green.

Pink.

Blue.

Yellow.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

Olive green is not the color nitrazine paper turns when it comes into contact with amniotic fluid.

Choice B rationale:

Pink is not the color nitrazine paper turns when it comes into contact with amniotic fluid.

Choice C rationale:

Blue is the color nitrazine paper turns when it comes into contact with amniotic fluid, indicating likely membrane rupture.

Choice D rationale:

Yellow is not the color nitrazine paper turns when it comes into contact with amniotic fluid.

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Correct Answer is A

Explanation

Choice A rationale:

Physiologic anemia due to hemoglobin decrease does not cause dizziness when lying flat.

Choice B rationale:

A 50% increase in blood volume does not directly cause dizziness when lying flat.

Choice C rationale:

The gravid uterus can compress the vena cava when the woman lies flat, reducing blood flow to the heart and causing dizziness.

Choice D rationale:

Pressure of the presenting fetal part on the diaphragm can cause shortness of breath, but not dizziness.

Correct Answer is ["mLs\/hr."]

Explanation

Answer and explanation

Step 1 is to calculate the total units of Heparin in 1 mL of the solution. This is done by dividing the total units of Heparin in the bag (40,000 units) by the total volume of the bag (500 mL). So, 40,000 units ÷ 500 mL = 80 units/mL. Step 2 is to calculate the rate at which the IV pump should be set. This is done by dividing the ordered amount of Heparin per hour (1600 units) by the units of Heparin per mL (80 units/mL). So, 1600 units/hr ÷ 80 units/mL = 20 mL/hr.

So, the correct answer is 20 mL/hr.

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A client states "I think my water broke! I felt this gush of fluid between my legs.”. The nurse tests the fluid with nitrazine paper and confirms membrane rupture if the swab turns:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In a client's seventh month of pregnancy, she reports feeling "dizzy, like I'm going to pass out when I lie down flat on my back.”. The nurse explains that this is due to:.

Correct Answer is A

Explanation

Your patient is receiving Heparin via a continuous IV infusion at a rate of 1600 units per hour. The bag is labeled N/S 500 mLs and contains Heparin 40,000 units. What rate should the IV pump be set at to deliver this ordered amount of Heparin? mLs/hr.

Correct Answer is ["mLs\/hr."]

Explanation

After teaching a group of adolescents about HIV, the nurse asks them to identify the primary means by which adolescents are exposed to the virus. The nurse determines that the teaching was successful when the group identifies which means of exposure?.

A nurse is assessing a woman in labor. Which finding would the nurse identify as a cause for concern during a contraction?.

A nurse is providing care to a woman in labor. The nurse determines that the client is in the active phase based on which assessment findings? Select all that apply.

A woman is admitted to the labor and birthing suite. Vaginal examination reveals that the presenting part is approximately 2 cm above the ischial spines. The nurse documents this finding as

The nurse is reviewing the medical record of a woman in labor and notes that the fetal position is documented as LSA. The nurse interprets this information as indicating which part as the presenting part?.

A nurse palpates a woman's fundus to determine contraction intensity. What would be most appropriate for the nurse to use for palpation?.

The skull is the most important factor in relation to the labor and birth processes. The fetal skull must be small enough to travel through the bony pelvis. What feature of the fetal skull helps to make this passage possible?

A nurse is preparing a presentation for a group of pregnant women about the labor experience. Which factors would the nurse include when discussing measures to promote coping for a positive labor experience? Select all that apply.