A nurse is caring for a client who is 39 weeks pregnant and in active labor.
The nurse detects the fetal heart tones above the client’s umbilicus at the midline.
Which of the following positions should the nurse suspect the fetus is in?
Cephalic.
Posterior.
Transverse.
Frank breech.
The Correct Answer is D
A. In a cephalic (head-down) presentation, fetal heart tones are typically heard below the umbilicus.
B. A posterior position refers to the fetal back facing the mother's back, but it does not affect the heart tone location significantly.
C. A transverse lie would place the fetal heart tones at the lateral sides of the abdomen, not above the umbilicus.
D. In a frank breech position (buttocks presenting first), fetal heart tones are usually heard above the umbilicus, as the fetal head is positioned in the upper uterus.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Step 1 is to calculate the total amount of Magnesium sulfate in the solution. This is done by multiplying the amount of Magnesium sulfate per mL (which is 50g/L or 0.05g/mL) by the total volume of the solution (which is 1000mL). So, 0.05g/mL × 1000mL = 50g.
Step 2 is to calculate the rate of the IV pump. The maintenance dose is 2g/hr. So, if there are 50g in 1000mL, then 2g would be in (2g ÷ 50g) × 1000mL = 40mL. Therefore, the IV pump should be set at 40 mL/hr.
Correct Answer is A
Explanation
Choice A rationale
The correct transcription of two tenths of a milligram is 0.2 mg. This format avoids any potential confusion that could lead to a medication error.
Choice B rationale
While 0.20 mg is technically correct, it is not the preferred format. The trailing zero after the decimal point is unnecessary and could potentially lead to confusion.
Choice C rationale
20 mg is not correct. This is 100 times the intended dose of two tenths of a milligram, and could lead to a serious medication error.
Choice D rationale
2 mg is not correct. This is 10 times the intended dose of two tenths of a milligram, and could lead to a medication error.
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