A nurse is completing an 8-hr 1&O record for a client who consumed 4 oz juice, 6 oz tea, a 100 mL cup full of ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?

Answer and Explanation

The Correct Answer is ["732"]

To calculate the total intake, we need to convert all measurements to the same unit, in this case, milliliters (mL).

1 ounce (oz) is approximately equal to 29.5735 mL.

Also, it’s important to note that when ice chips melt, they become about half their volume in water. So, 100 mL of ice chips would become about 50 mL of wate

Let’s calculate:

Juice: 4 oz * 29.5735 = 118.294 mL

Tea: 6 oz * 29.5735 = 177.441 mL

Ice chips: 100 mL * 0.5 = 50 mL

IV bolus: 150 mL

Broth: 8 oz * 29.5735 = 236.588 mL

Adding all these together:

118.294 mL (juice) + 177.441 mL (tea) + 50 mL (ice chips) + 150 mL (IV bolus) + 236.588 mL (broth) = 732.323 mL

So, the nurse should record 732 mL of intake on the client’s record (rounded to the nearest whole number).

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Correct Answer is A

Explanation

A) Right upper:
Given the findings from Leopold maneuvers—a round, firm, moveable part (likely the fetal head) in the fundus and a long, smooth surface (the fetal back) on the client's right side—this suggests that the fetus is in a breech position (head up, buttocks down). Therefore, the fetal heart tones would be best auscultated in the right upper quadrant.

B) Right lower:
If the fetus were in a cephalic (head-down) position, the fetal heart tones would typically be auscultated in the lower quadrants. However, the findings indicate a breech position, so this is not the correct answer.

C) Left lower:
This would be appropriate for a fetus in a cephalic position with the back on the left side, but the findings indicate the back is on the right side and the head is in the fundus.

D) Left upper:
This would be unlikely based on the findings of the head in the fundus and the back on the right side. The fetal heart tones would not be expected here.

A. Accelerations B. Late decelerations C. Early decelerations D. Variable decelerations

Correct Answer is D

Explanation

A) Accelerations:
Accelerations in the fetal heart rate are generally considered a reassuring sign and indicate fetal well-being. They reflect a responsive and healthy fetus.

B) Late decelerations:
Late decelerations are associated with uteroplacental insufficiency and indicate that the fetus may not be getting enough oxygen. While this is a concerning pattern, it is not specifically indicative of an umbilical cord problem.

C) Early decelerations:
Early decelerations are typically caused by fetal head compression during contractions and are generally considered benign. They usually do not indicate a problem with the umbilical cord.

D) Variable decelerations:
Variable decelerations are often caused by umbilical cord compression. They are characterized by abrupt decreases in fetal heart rate that vary in duration, intensity, and timing relative to uterine contractions. This pattern is indicative of issues with the umbilical cord, such as cord prolapse or nuchal cord (cord wrapped around the fetus's neck). Therefore, variable decelerations are the pattern most suggestive of a problem with the umbilical cord.

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A nurse is completing an 8-hr 1&O record for a client who consumed 4 oz juice, 6 oz tea, a 100 mL cup full of ice chips, an IV bolus of 150 mL, and 8 oz broth. The nurse should record how many mL of intake on the client's record?

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Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?

Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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