A nurse is assessing a client who has been in labor for 14 hours and has a fever of 38.2°C (100.8°F).

The nurse notes that the amniotic fluid is foul-smelling.

Which of the following actions should the nurse take first?

Administer antibiotics as prescribed.

Notify the provider.

Obtain a blood culture.

Increase the IV fluid rate.

Answer and Explanation

The Correct Answer is B

The nurse should report the findings of a fever and foul-smelling amniotic fluid to the provider as soon as possible, as they may indicate an infection of the amniotic sac and fluid (chorioamnionitis) . Chorioamnionitis can cause serious complications for both the mother and the baby, such as sepsis, preterm birth, and neonatal pneumonia.

Therefore, notifying the provider is the priority action.

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Correct Answer is D

Explanation

This medication is a uterotonic agent that stimulates the contraction of the uterus and helps prevent hemorrhage after cesarean delivery.It is especially indicated for clients who have obstructed labor and excessive vaginal bleeding, as they are at high risk of postpartum hemorrhage.

Normal ranges for uterine tone are less than 10 mm Hg at rest and less than 25 mm Hg during contractions.

Normal ranges for blood pressure are 110-140 mm Hg systolic and 60-90 mm Hg diastolic.

Normal ranges for heart rate are 60-100 beats per minute.

A. Early decelerations B. Variable decelerations C. Sinusoidal pattern D. Accelerations.

Correct Answer is C

Explanation

A sinusoidal pattern is a type of fetal heart rate (FHR) tracing that shows a smooth, undulating wave-like pattern with a fixed period of 3 to 5 cycles per minute and an amplitude range of 5 to 15 beats per minute.A sinusoidal pattern is associated with severe fetal anemia, hypoxia, or acidosis and indicates a poor prognosis for the fetus.

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A nurse is assessing a client who has been in labor for 14 hours and has a fever of 38.2°C (100.8°F). The nurse notes that the amniotic fluid is foul-smelling. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to assist with an emergency cesarean delivery for a client who has obstructed labor and excessive vaginal bleeding. The nurse should anticipate administering which of the following medications to prevent hemorrhage?

Correct Answer is D

Explanation

A nurse is reviewing the electronic fetal monitor (EFM) tracing of a client who has a ruptured uterus. Which of the following findings would the nurse expect to see on the EFM?

Correct Answer is C

Explanation

A nurse is reviewing the electronic fetal monitor (EFM) tracing of a client who is in labor and has a prolonged deceleration of the fetal heart rate to 90/min. The nurse should recognize that this finding indicates which of the following?

A nurse is caring for a client who is in the active phase of labor and has a slow cervical dilation. The nurse should monitor the client for which of the following complications?

A nurse is preparing to administer oxytocin to a client who has a previous cesarean delivery with a vertical uterine incision. The nurse should be aware that this client has an increased risk for which of the following adverse effects?

A nurse is assessing a client who has been in labor for 14 hours and has a fever of 38.2°C (100.8°F). The nurse notes that the amniotic fluid is foul-smelling. Which of the following actions should the nurse take first?

A nurse is assisting with an artificial rupture of membranes (AROM) for a client who is in active labor. The nurse should report which of the following findings to the provider immediately?

A nurse is caring for a client who has a history of previous cesarean delivery with a low transverse incision. The client is in labor and wants to have a vaginal birth after cesarean (VBAC). The nurse should monitor the client closely for signs of which complication?

A nurse is assessing a client who has a ruptured uterus. Which of the following findings should the nurse expect? (Select all that apply.).

A nurse is evaluating the outcomes of care for a client who had prolonged labor and delivered a newborn with Apgar scores of 6 and 8 at 1 and 5 minutes, respectively. Which of the following findings indicates a positive outcome?

A nurse is assessing a client who has been in labor for 14 hours and has a fever of 38.2°C (100.8°F).

The nurse notes that the amniotic fluid is foul-smelling.

Which of the following actions should the nurse take first?