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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Asking “Why are you crying?” may seem insensitive as it’s clear the client is upset due to the loss.
Choice B rationale:
Saying “A baby still wasn’t formed in your uterus.”. might be factually correct, but it can be hurtful as it dismisses the emotional attachment the client may have had.
Choice C rationale:
Offering a pill for pain might be practical, but it doesn’t address the emotional pain the client is likely experiencing.
Choice D rationale:
Saying “I’m sorry you lost your baby.”. acknowledges the client’s loss and offers sympathy, showing empathy and understanding.
Correct Answer is C
Explanation
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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