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.

Answer and Explanation

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.

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Correct Answer is C

Explanation

a. This is a common cause of variable decelerations, not late decelerations.

b. This is a common cause of variable decelerations, not late decelerations.

c. Late decelerations are caused by decreased blood flow to the placenta during contractions, resulting in a reduced oxygen supply to the fetus.
d. This is a common cause of variable decelerations, not late decelerations.

A. 4-2-1-0-3 B. 4-1-1-1-3 C. 4-1-2-0-3 D. 4-3-0-0-3

Correct Answer is A

Explanation

a. In this case, the woman is pregnant for the fourth time, so her gravidity is 4.

She has one child born at 39 weeks, another child born at 40 weeks, and one child born at 36.2 weeks. The first two are considered term births, and the last one is considered a preterm birth. Therefore, her term is 1 and her preterm is 2. She has no abortions, so her abortion is 0. She has three living children, so her living children is 3. Hence, her GTPAL is 4-2-1-0-3.
b. This indicates 1 full-term pregnancy, 1 preterm pregnancy, and 3 living child.

c. This would indicate 1 full-term pregnancy, 2 preterm pregnancies, and 3 living children.
d. 4-3-0-0-3: This would indicate 3 full-term pregnancies and 3 living children.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse providing care for the laboring woman recognizes that late fetal heart rate (FHR) decelerations are caused by: Select one:

Correct Answer is C

Explanation

Correct Answer is A

Explanation

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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: