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 B
Explanation
Choice A rationale:
Bradypnea and hypertension are not typically signs of impending shock.
Choice B rationale:
Tachycardia and a falling blood pressure are classic signs of shock as the body tries to compensate for the decreased blood flow.
Choice C rationale:
Tachypnea and a widening pulse pressure can be signs of shock, but they are not as indicative as tachycardia and a falling blood pressure.
Choice D rationale:
Bradycardia and auscultation of fluid in the base of the lungs are not typically signs of impending shock.
Correct Answer is ["A","E"]
Explanation
Choice A rationale:
Internal rotation is a movement the fetus makes as it travels through the birth canal.
Choice B rationale:
Flexion is another movement that occurs as the fetus adjusts its position during labor.
Choice C rationale:
Pronation is not typically included in the description of fetal movements during labor and birth.
Choice D rationale:
Abduction is not a movement associated with the fetus’s journey through the birth canal.
Choice E rationale:
Descent is a key movement that occurs as the fetus moves down through the birth canal.
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