A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction.

What would the nurse do next?

Notify the primary care provider immediately.

Perform a vaginal exam.

Change the linen saver pad.

Check the fetal heart rate.

Answer and Explanation

The Correct Answer is D

Choice A rationale:

Notifying the primary care provider is important but not the immediate next step. The nurse has other immediate responsibilities to ensure the safety of the mother and baby.

Choice B rationale:

A vaginal exam could introduce bacteria into the uterus and is not the immediate next step after rupture of membranes.

Choice C rationale:

Changing the linen saver pad is not the immediate next step. While it might be necessary for the comfort of the mother, it does not address the potential risks associated with rupture of membranes.

Choice D rationale:

Checking the fetal heart rate is the correct next step. This ensures that the baby is not in distress following the rupture of membranes.

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Correct Answer is C

Explanation

Choice A rationale:

Transient fetal hypoxia is not typically associated with cloudy amniotic fluid. It’s a condition where the fetus doesn’t get enough oxygen.

Choice B rationale:

Normal amniotic fluid is clear or light yellow. Cloudy amniotic fluid is not considered normal.

Choice C rationale:

Cloudy amniotic fluid could indicate a possible infection. The cloudiness can be due to the presence of bacteria and inflammatory cells.

Choice D rationale:

Meconium passage can cause the amniotic fluid to become green or brown, not typically cloudy. So, the correct answer for both questions 26 and 27 is C.

A. View of birth as a stressor. B. Fear of loss of control. C. Participation in a pregnancy exercise program. D. Presence of a support partner.

Correct Answer is ["C"]

Explanation

Choice A rationale:

Viewing birth as a stressor can increase anxiety and hinder coping mechanisms during labor.

Choice B rationale:

Fear of loss of control can also increase anxiety and negatively impact the labor experience.

Choice C rationale:

Participation in a pregnancy exercise program can promote physical well-being, enhance mood, and improve coping abilities during labor.

Choice D rationale:

The presence of a support partner can provide emotional reassurance and practical assistance, promoting a positive labor experience.

Choice E rationale:

A low anxiety level can facilitate coping and contribute to a positive perception of the labor experience. So, the correct answer is C. Participation in a pregnancy exercise program,

D. Presence of a support partner, and E. Low anxiety level after analyzing all choices.

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A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A woman's amniotic fluid is noted to be cloudy. The nurse interprets this finding as:.

Correct Answer is C

Explanation

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.

Correct Answer is ["C"]

Explanation

After teaching a group of adolescent girls about female reproductive development, the nurse determines that teaching was successful when the girls state that menarche is defined as a woman's first:.

Assessment of a woman in labor reveals that the fetus is in a cephalic presentation and engagement has occurred. The nurse interprets this finding to indicate that the presenting part is at which station?.

A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?

During a follow-up prenatal visit, a pregnant woman asks the nurse, "How long do you think I will be in labor?" Which response by the nurse would be most appropriate?.

Touch and massage can be helpful during labor. Which touch and massage methods are used in labor? Select all that apply.

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 woman in labor received an opioid close to the time of birth. The nurse would assess the newborn for which effect?

A nurse strongly encourages a pregnant client to avoid eating swordfish and tilefish because these fish contain which component?.

A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction.

What would the nurse do next?