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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Informing the family of the need for information is important, but it is not the most important aspect when working with a family who suspects they could bear a child with a genetic abnormality.
Choice B rationale:
Presenting the information in a factual, nondirective manner is the most important aspect. This allows the family to make informed decisions based on accurate information without being influenced by the nurse’s personal beliefs or opinions.
Choice C rationale:
Maintaining the confidentiality of the information is a standard nursing practice and while it is important, it is not the most important aspect in this scenario.
Choice D rationale:
Gathering information for three generations can provide valuable insight into the family’s genetic history, but it is not the most important aspect in this scenario.
Correct Answer is A
Explanation
Choice A rationale:
-2 station means the baby’s head is 2 cm above the ischial spines. This is a possible position during labor.
Choice B rationale:
0 station means the baby’s head is at the level of the ischial spines, which typically indicates the beginning of active labor.
Choice C rationale:
Crowning refers to when the baby’s head is visible at the vaginal opening, which occurs later in labor.
Choice D rationale:
+2 station means the baby’s head is 2 cm below the ischial spines. This typically occurs later in labor.
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