A nurse is performing a digital examination on a client who is at 34 weeks of gestation and has pre-term labor.

Which of the following findings indicates cervical effacement?

Cervix is soft and pliable

Cervix is shortened and thinned

Cervix is dilated and open

Cervix is posterior and high

Answer and Explanation

The Correct Answer is B

Cervix is shortened and thinned. This indicates cervical effacement, which is the thinning and softening of the cervix in preparation for childbirth. Cervical effacement is measured in percentages, from 0% (no effacement) to 100% (fully effaced).

Choice A is wrong because cervix is soft and pliable does not necessarily mean it is effaced. The cervix can soften before it thins and shortens.

Choice C is wrong because cervix is dilated and open indicates cervical dilation, which is the opening of the cervix. Cervical dilation is measured in centimeters, from 0 cm (closed) to 10 cm (fully dilated).

Cervical dilation and effacement are related, but not the same.

Choice D is wrong because cervix is posterior and high indicates the position of the cervix in relation to the vagina. The cervix can move from posterior (back) to anterior (front) and from high to low as labor progresses.

The position of the cervix does not indicate effacement.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

According to the search results, magnesium sulfate can have a negative effect on the fetal heart rate (FHR) by lowering the baseline, decreasing the variability, and reducing the reactivity or acceleration pattern.Absent variability means that there is no fluctuation in the FHR and it indicates fetal hypoxia or acidosis.

This is a potential adverse effect of magnesium sulfate on the fetus and requires immediate intervention.

Choice A.Accelerations is wrong because accelerations are transient increases in the FHR that indicate fetal well-being.They are not affected by magnesium sulfate.

Choice B.Early decelerations is wrong because early decelerations are decreases in the FHR that occur with uterine contractions and are caused by fetal head compression.They are benign and do not indicate fetal distress.They are not associated with magnesium sulfate.

Choice C.Variable decelerations is wrong because variable decelerations are abrupt decreases in the FHR that vary in shape, duration, and timing and are caused by umbilical cord compression.

They may or may not indicate fetal compromise.

A. Tachycardia B. Hypotension C. Hyperglycemia D. Hypokalemia

Correct Answer is D

Explanation

Terbutaline can cause low potassium levels in the blood, which can lead to muscle weakness, cramps, and cardiac arrhythmias.

This is a potential adverse effect of the medication that should be reported to the provider.

Choice A is wrong because tachycardia is a common side effect of terbutaline that does not usually require medical attention.

Terbutaline works by stimulating beta-adrenergic receptors, which can increase the heart rate.

Choice B is wrong because hypotension is not a typical side effect of terbutaline.Terbutaline can actually cause elevated blood pressure in some cases.

Choice C is wrong because hyperglycemia is not a common side effect of terbutaline.Terbutaline can cause transient hyperglycemia in pregnant women, but this is not a reason to stop the medication.

Normal ranges for potassium are 3.5-5.0 mEq/L and for blood glucose are 70-110 mg/dL.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is performing a digital examination on a client who is at 34 weeks of gestation and has pre-term labor. Which of the following findings indicates cervical effacement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is evaluating the fetal heart rate tracing of a client who is in pre-term labor and receiving magnesium sulfate. The nurse should identify that which of the following patterns indicates a potential adverse effect of the medication on the fetus?

Correct Answer is D

Explanation

A nurse is monitoring a client who is receiving terbutaline for pre-term labor. Which of the following findings should the nurse report to the provider as a potential adverse effect of the medication?

Correct Answer is D

Explanation

A nurse is administering betamethasone to a client who is in pre-term labor at 28 weeks of gestation. The nurse should explain that the purpose of this medication is to:

A nurse is providing education to a client and her partner about pre-term labor. Which intervention should the nurse include in the teaching plan to address possible outcomes and complications?

A client at 28 weeks of gestation presents with bleeding from the vagina. Which assessment finding should the nurse prioritize?

A nurse is evaluating the effectiveness of magnesium sulfate therapy for a client who is in pre-term labor. Which of the following findings indicates that the therapy is successful?

A nurse is reviewing the laboratory results of a client who is in pre-term labor and has received indomethacin. Which of the following findings should the nurse monitor for as a potential complication of the medication?

A nurse is planning care for a pre-term infant who is in an incubator. Which of the following interventions should the nurse include to promote bonding between the infant and the parents?

A nurse is providing discharge teaching to a client who delivered a pre-term newborn at 34 weeks of gestation. Which of the following instructions should the nurse include in the teaching?

A nurse is caring for a pre-term newborn who has a patent ductus arteriosus (PDA). Which of the following medications should the nurse expect to administer to close the ductus arteriosus?

A nurse is performing a digital examination on a client who is at 34 weeks of gestation and has pre-term labor.

Which of the following findings indicates cervical effacement?