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 A

Explanation

a. The nonstress test is considered reactive if there are two or more accelerations of the fetal heart rate (FHR) in a 20-minute period, lasting 15 seconds or longer and peaking at least 15 beats per minute above the baseline. The FHR baseline is between 110 and 160 beats per minute, with moderate variability. The test is considered nonreactive if these criteria are not met.
b. Turning the client onto her left side is not necessary, as the test is already reactive.
c. Encouraging the client to walk around is not necessary, as the test is already reactive.
d. Notifying the client's provider and preparing for induction of labor is not necessary, as the test is already reactive.
e. Offering the client a snack of orange juice is not necessary, as the test is already reactive.

A. This infection is treated with one dose of azithromycin B. If your sexual partner has no symptoms, no medication is needed C. You have to avoid sexual relations for 3 days D. You need to return in 12 months for retesting

Correct Answer is A

Explanation

a. This is the correct statement for the treatment of chlamydia.

b. This is not the correct statement. Both partners should be treated.

c. The nurse should also advise the client to abstain from sexual relations for seven days after completing the treatment and to notify all sexual partners from the past 60 days to get tested and treated as well.
d. This is not the correct statement. Retesting should occur in 3-4 months.

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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

A nurse is caring for a client who is having a nonstress test performed. The fetal heart rate (FHR) baseline is around 130 beats/min, with four accelerations in 20 minutes, lasting 20 seconds each and the FHR increased more than 25 bpm. Which of the following actions should the nurse perform?

Correct Answer is A

Explanation

A nurse in a community clinic is counseling a client who received a positive test result for chlamydia. Which of the following statements should the nurse provide?

Correct Answer is A

Explanation

A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?

A nurse is instructing a female client about how to check the basal temperature in order to determine if the client is ovulating. The nurse should instruct the client to check her temperature at which of the following times?

The nurse has received a report regarding her patient in labor. The woman's last vaginal examination was recorded as 2 cm, 80%, and +2. The nurse's interpretation of this assessment is that: Select one:

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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:

When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable fetal part in the pelvis inlet and a long, smooth, and soft surface in the mother's left side close to the midline. What is the likely position of the fetus? Select one:

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: