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A nurse is assessing a woman in labor.
Which finding would the nurse identify as a cause for concern during a contraction?.

Blood pressure rise from 110/60 mm Hg to 120/74.

White blood cell count of 12,000 cells/mm.

Respiratory rate of 10 breaths/minute.

Heart rate increase from 76 bpm to 90 bpm.

Answer and Explanation

The Correct Answer is C

Choice A rationale:

A slight increase in blood pressure during contractions is normal.

Choice B rationale:

A white blood cell count of 12,000 cells/mm is within the normal range.

Choice C rationale:

A respiratory rate of 10 breaths/minute is low and could indicate respiratory depression.

Choice D rationale:

A heart rate increase from 76 bpm to 90 bpm is within the normal range.

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Correct Answer is B

Explanation

Answer and explanation

Choice A rationale:

LOP (Left Occiput Posterior) would mean the baby’s occiput is towards the mother’s left and facing posteriorly, which is not the case here.

Choice B rationale:

ROA (Right Occiput Anterior) would mean the baby’s occiput is towards the mother’s right and facing anteriorly, which matches the description.

Choice C rationale:

LOA (Left Occiput Anterior) would mean the baby’s occiput is towards the mother’s left and facing anteriorly, which is not the case here.

Choice D rationale:

ROP (Right Occiput Posterior) would mean the baby’s occiput is towards the mother’s right and facing posteriorly, which is not the case here.

A. "I should avoid drinking orange juice.”. B. "I need to eat foods high in fiber.”. C. "I should take my iron with milk.”. D. "I'll call the primary care provider if my stool is black and tarry.”.

Correct Answer is B

Explanation

Choice A rationale:

Orange juice enhances iron absorption and should not be avoided.

Choice B rationale:

Eating foods high in fiber can prevent constipation, a side effect of iron supplements.

Choice C rationale:

Iron should not be taken with milk as it inhibits iron absorption.

Choice D rationale:

Black, tarry stools are a common side effect of iron supplements and are not usually a concern.

So, the correct answer is B. “I need to eat foods high in fiber.”.

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A nurse is assessing a woman in labor. Which finding would the nurse identify as a cause for concern during a contraction?.

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Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

A pregnant woman is diagnosed with iron deficiency anemia and is prescribed an iron supplement. After teaching her about her prescribed iron supplement, which statement indicates successful teaching?.

Correct Answer is B

Explanation

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A nurse is assessing a woman in labor.
Which finding would the nurse identify as a cause for concern during a contraction?.