A laboring patient reports to the nurse that "I think my water just broke!" The first action the nurse should take is:

Check the fluid with Nitrazine paper

Assess the FHR

Note the color of the fluid

Notify the health care provider

Answer and Explanation

The Correct Answer is B

A. Check the fluid with Nitrazine paper. While this test can confirm if the membranes have ruptured, assessing the fetal heart rate (FHR) is more critical to ensure that there is no fetal distress due to umbilical cord prolapse.

B. Assess the FHR. After suspected rupture of membranes, the priority is to assess the fetal heart rate to check for potential complications like umbilical cord prolapse, which can cause fetal distress.

C. Note the color of the fluid. Assessing the color of the fluid is important, especially if meconium is present, but it is secondary to ensuring fetal well-being by assessing the FHR first.

D. Notify the health care provider. The provider should be notified, but the first action should be to assess the fetal heart rate to check for signs of distress.

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Correct Answer is D

Explanation

A. First stage: The first stage of labor begins with the onset of regular contractions and ends with full dilation (10 cm) of the cervix.

B. Third stage: The third stage of labor begins after the birth of the baby and ends with the delivery of the placenta.

C. Fourth stage: The fourth stage of labor involves the immediate postpartum period after the placenta is delivered, focusing on stabilization of the mother.

D. Second Stage: The second stage of labor begins with complete cervical dilation (10 cm) and ends with the birth of the baby.

Correct Answer is ["10"]

Explanation

Using the formula:

Doserequired(mg) ÷ Doseavailable(mg/mL) = Volume(mL)

50 mg ÷ 5 mg/mL = 10 mL

Therefore, the nurse should administer 10 mL of indomethacin.

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A laboring patient reports to the nurse that "I think my water just broke!" The first action the nurse should take is:

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Naxlex Comprehensive Predictor Exams

What stage of labor begins with full 10cm dilation of the cervix to the birth of the baby?

Correct Answer is D

Explanation

A nurse is preparing to administer indomethacin 50 mg PO. Available is indomethacin oral suspension 5 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["10"]

Explanation

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