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A woman who is gravida 3 para 2 enters the intrapartum unit. The most important initial nursing assessments are:

If she has had prenatal care.

Membrane status and her EDD/EDC.

Time of last food intake and fasting blood sugar.

Pain level and birth plan.

Answer and Explanation

The Correct Answer is B

A. Prenatal care history is important but not as urgent as membrane status and estimated delivery date.

B. Membrane status and estimated delivery date are critical for assessing the stage of labor and planning care.

C. Fasting blood sugar is relevant in diabetic patients but not an immediate priority.

D. Pain level and birth plan are important but secondary to assessing labor progress.

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Correct Answer is ["A","B","E","F"]

Explanation

A. Fundal tone assessment helps detect uterine atony.

B. Lochia assessment monitors postpartum bleeding.

C. Transcutaneous bilirubin is not assessed in the immediate postpartum period.

D. Engorgement relates to breastfeeding and is not a priority in the fourth stage.

E. Vital signs are crucial to monitor for hemorrhage or shock.

F. Bladder distension can affect uterine contraction and bleeding.

A. To identify abnormal fetal cells. B. To detect metabolic disorders. C. To determine fetal lung maturity. D. To identify the sex of the fetus.

Correct Answer is C

Explanation

A. To identify abnormal fetal cells: This is typically the purpose of amniocentesis earlier in pregnancy to check for genetic disorders, not at 34 weeks.

B. To detect metabolic disorders: Metabolic disorders are usually identified through newborn screening after birth rather than through late pregnancy amniocentesis.

C. To determine fetal lung maturity: At 34 weeks gestation, determining fetal lung maturity is critical, especially in cases of preeclampsia, as early delivery might be necessary.

D. To identify the sex of the fetus: The sex of the fetus is usually determined earlier in pregnancy if necessary, not at 34 weeks, and it is not the primary purpose in this context.

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A woman who is gravida 3 para 2 enters the intrapartum unit. The most important initial nursing assessments are:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

At the beginning of the fourth stage of labor the nurse assess what four things? (Select four correct answers).

Correct Answer is ["A","B","E","F"]

Explanation

A patient is being prepared for an amniocentesis. The patient is a G2P1 and is 34 weeks gestation suffering from pre eclampsia. The patient asks what the purpose of this amniocentesis is. The best response from the nurse would be:

Correct Answer is C

Explanation

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