A nurse is evaluating the outcomes of care for a client who had prolonged labor and delivered a newborn with Apgar scores of 6 and 8 at 1 and 5 minutes, respectively.

Which of the following findings indicates a positive outcome?

The client reports adequate pain relief during labor

The newborn has no signs of meconium aspiration

The client has a firm fundus and minimal lochia

The newborn initiates breastfeeding within 1 hour of birth.

Answer and Explanation

The Correct Answer is B

This indicates a positive outcome because meconium aspiration can cause respiratory distress and infection in newborns. Apgar scores are used to assess the health of newborns at 1 and 5 minutes after birth based on five criteria: activity, pulse, grimace, appearance, and respiration. A score of 7 to 10 is considered normal.

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Correct Answer is A

Explanation

A prolonged deceleration of the fetal heart rate to 90/min indicates acute fetal hypoxia/acidosis, which is a decrease in the blood flow to the placenta that reduces the amount of oxygen and nutrients transferred to the fetus.Fetal pH drops at a rate of 0.01/min during the deceleration.Causes of acute hypoxia include low maternal blood pressure, dehydration, anemia, rapid uterine contractions, placental abruption, and fetal hypoxia.

A. Placenta previa B. Uterine rupture C. Placental abruption D. Umbilical cord prolapse.

Correct Answer is B

Explanation

The client with any prior history of uterine surgery is at increased risk for a uterine rupture.A falling blood pressure and increasing pulse is a sign of hemorrhage, and in this client a uterine rupture needs to be a first consideration.

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A nurse is evaluating the outcomes of care for a client who had prolonged labor and delivered a newborn with Apgar scores of 6 and 8 at 1 and 5 minutes, respectively. Which of the following findings indicates a positive outcome?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the electronic fetal monitor (EFM) tracing of a client who is in labor and has a prolonged deceleration of the fetal heart rate to 90/min. The nurse should recognize that this finding indicates which of the following?

Correct Answer is A

Explanation

A nurse is caring for a client who has a history of previous cesarean delivery with a low transverse incision. The client is in labor and wants to have a vaginal birth after cesarean (VBAC). The nurse should monitor the client closely for signs of which complication?

Correct Answer is B

Explanation

A nurse is evaluating the outcomes of care for a client who had prolonged labor and delivered a newborn with Apgar scores of 6 and 8 at 1 and 5 minutes, respectively. Which of the following findings indicates a positive outcome?

A nurse is reviewing the electronic fetal monitor (EFM) tracing of a client who has a ruptured uterus. Which of the following findings would the nurse expect to see on the EFM?

A nurse is preparing to administer oxytocin to a client who has a previous cesarean delivery with a vertical uterine incision. The nurse should be aware that this client has an increased risk for which of the following adverse effects?

A nurse is assessing a client who has a ruptured uterus. Which of the following findings should the nurse expect? (Select all that apply.).

A nurse is assisting with an artificial rupture of membranes (AROM) for a client who is in active labor. The nurse should report which of the following findings to the provider immediately?

A nurse is assessing a client who has been in labor for 14 hours and has a fever of 38.2°C (100.8°F). The nurse notes that the amniotic fluid is foul-smelling. Which of the following actions should the nurse take first?

A nurse is preparing to assist with an emergency cesarean delivery for a client who has obstructed labor and excessive vaginal bleeding. The nurse should anticipate administering which of the following medications to prevent hemorrhage?

A nurse is caring for a client who is in the active phase of labor and has a slow cervical dilation. The nurse should monitor the client for which of the following complications?

A nurse is evaluating the outcomes of care for a client who had prolonged labor and delivered a newborn with Apgar scores of 6 and 8 at 1 and 5 minutes, respectively.

Which of the following findings indicates a positive outcome?