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 D

Explanation

This medication is a uterotonic agent that stimulates the contraction of the uterus and helps prevent hemorrhage after cesarean delivery.It is especially indicated for clients who have obstructed labor and excessive vaginal bleeding, as they are at high risk of postpartum hemorrhage.

Normal ranges for uterine tone are less than 10 mm Hg at rest and less than 25 mm Hg during contractions.

Normal ranges for blood pressure are 110-140 mm Hg systolic and 60-90 mm Hg diastolic.

Normal ranges for heart rate are 60-100 beats per minute.

A. Administer antibiotics as prescribed. B. Notify the provider. C. Obtain a blood culture. D. Increase the IV fluid rate.

Correct Answer is B

Explanation

The nurse should report the findings of a fever and foul-smelling amniotic fluid to the provider as soon as possible, as they may indicate an infection of the amniotic sac and fluid (chorioamnionitis).Chorioamnionitis can cause serious complications for both the mother and the baby, such as sepsis, preterm birth, and neonatal pneumonia.

Therefore, notifying the provider is the priority action.

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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?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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?

Correct Answer is B

Explanation

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

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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?

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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?