A multiparous woman has been in labor for 8 hours. Her membranes have just ruptured spontaneously. The nurse's priority must be to:
Select one:
Prepare the woman for imminent birth
Assess the fetal heart rate and pattern
Notify the woman's primary health care provider
Document the characteristics of the fluid.
The Correct Answer is B
a. This may be necessary once fetal heart rate and pattern have been assessed, but it is not the initial priority.
b. This is the priority as it will help determine the next steps in the management of labor.
c. This may be necessary once fetal heart rate and pattern have been assessed, but it is not the initial priority.
d. This may be done after assessing the fetal heart rate and pattern, but it is not the initial priority.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. This is a normal FHR pattern and is not a cause for concern.
b. These are generally benign and are not a cause for concern.
c. Late decelerations can indicate uteroplacental insufficiency and are a cause for concern.
d. This is a normal FHR and is not a cause for concern.
Correct Answer is C
Explanation
a. This is a test for renal function, not fetal lung maturity.
b. This is a test for glucose control, not fetal lung maturity.
c. An L/S ratio of 2:1 or greater indicates that the fetal lungs have reached maturity.
d. This is a test of fetal well-being and does not indicate fetal lung maturity. This ratio indicates that the fetal lungs have enough surfactant to prevent alveolar collapse and respiratory distress syndrome.
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