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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Offering fluids is important to prevent dehydration, but it’s not the priority during the fourth stage of labor.
Choice B rationale:
Encouraging the woman to void can help prevent urinary retention, but it’s not the priority.
Choice C rationale:
Assessing the uterine fundus is the priority during the fourth stage of labor. This is to ensure that the uterus is contracting and to prevent postpartum hemorrhage.
Choice D rationale:
Assisting with perineal care is important for comfort and hygiene, but it’s not the priority.
So, the correct answer is C, assessing the uterine fundus.
Correct Answer is D
Explanation
Choice A rationale:
While HPV can cause fertility issues in some cases, it is not the primary risk associated with the virus.
Choice B rationale:
Dysmenorrhea, or painful periods, is not directly linked to HPV.
Choice C rationale:
Dyspareunia, or painful intercourse, is not a common symptom of HPV.
Choice D rationale:
Women with HPV are at a higher risk for cervical cancer. This is why regular follow-up care is crucial.
So, the correct answer is D, Cervical cancer.
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