A pregnant person telephones the prenatal clinic and reports that their "water just broke." How will the nurse respond?

Come in as soon as you feel the urge to push.

Call us back when you start having contractions.

Come to the Labor and delivery unit for an evaluation.

Drink three to four glasses of water and lie down.

Answer and Explanation

The Correct Answer is C

Choice A reason: Waiting until the urge to push before going to the hospital is not advisable. If the water has broken, it indicates that Labor may be starting, and the pregnant person should be evaluated to ensure the safety of both the parent and the baby.

Choice B reason: Waiting for contractions to start before calling back is not recommended. If the water has broken, there is a risk of infection and other complications, so immediate evaluation is necessary.

Choice C reason: Coming to the Labor and delivery unit for an evaluation is the correct response. When the water breaks, it is important to assess the mother and baby to determine the next steps and ensure that both are healthy and safe.

Choice D reason: Drinking water and lying down is not an appropriate response to the water breaking. While staying hydrated is important during pregnancy, the priority should be to seek immediate medical evaluation.

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 A

Explanation

Choice A reason: Informing the patient that they are in latent Labor is appropriate in this situation. Latent Labor, also known as early Labor, is characterized by cervical dilation of up to 3 cm and mild contractions that may last for several hours or even days. It is important to educate the patient about the early stages of Labor and what to expect as it progresses.

Choice B reason: Initiating Labor augmentation is not necessary at this point. Labor augmentation is typically used when Labor is not progressing adequately. In this case, the patient is in the early stages of Labor, and there is no indication that augmentation is needed.

Choice C reason: Preparing the patient for a caesarean delivery is not warranted based on the information provided. The patient's condition does not suggest any immediate need for a caesarean section, and the Labor is still in its early stages.

Choice D reason: Anticipating admission to the Labor and delivery unit may not be required at this stage. Since the patient is in latent Labor, they may be advised to stay at home until Labor progresses further and the contractions become more intense and frequent. This helps reduce unnecessary hospital admissions and allows the patient to be more comfortable in their home environment.

A. Call the provider to request an enteral tube. B. Provide large, padded utensils. C. Have the parents feed the child. D. Refer the patient to the nutritionist.

Correct Answer is B

Explanation

Choice A reason: Requesting an enteral tube is not necessary unless the child is unable to eat orally at all. The goal is to support the child's ability to eat independently, if possible.

Choice B reason: Providing large, padded utensils can help a child with cerebral palsy improve their ability to eat independently. Adaptive utensils are designed to accommodate the motor challenges that children with cerebral palsy may face, making it easier for them to grasp and use the utensils.

Choice C reason: While having the parents feed the child can be a short-term solution, it does not promote independence. The focus should be on finding ways to support the child's ability to eat on their own.

Choice D reason: Referring the patient to a nutritionist can be helpful for overall dietary management, but it does not directly address the immediate issue of the child's difficulty with using regular utensils. Adaptive utensils are a more direct solution to this problem.

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 pregnant person telephones the prenatal clinic and reports that their "water just broke." How will the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The Labor and delivery triage nurse is assessing a primigravida at 38 weeks and 3 days gestation who reports uterine contractions that started 2 hours ago. Further examination reveals a cervix that is dilated at 1 cm and 20% effaced with intact membranes. What action will the nurse implement?

Correct Answer is A

Explanation

The nurse is caring for a 4-year-old with cerebral palsy on an inpatient unit who is struggling to eat with regular utensils. What intervention will the nurse include in the plan of care?

Correct Answer is B

Explanation

The nurse is performing an initial health history on a newly pregnant patient with "pre-diabetes." How will the nurse respond to this finding?

A nurse is teaching a 10-year-old child how to manage their cystic fibrosis. What medication will the nurse teach the child to take before their lunch break?

The nurse is examining a 15-month-old child who was able to walk at the last visit and now can no longer walk. What will the nurse do?

The nurse is caring for a patient at 32 weeks gestation experiencing irregular contractions. Which medication order will the nurse anticipate being included in the plan of care?

The nurse is providing care to an infant with sickle cell anaemia who has increased work of breathing, a fever, coarse crackles upon auscultation, oxygen saturation of 89%, and inconsolable crying. Which intervention will the nurse perform first?

The nurse is caring for a 37-weeks gestation infant born to a parent with hepatitis B. Which intervention will the nurse include in the plan of care?

The nurse is assessing the bottle-feeding technique of a new family. Which behaviour by the parents requires further teaching?

A nurse is reviewing lab results for a pregnant patient. Which lab result will the nurse immediately report to the healthcare provider?