Included in the definition of tachysystole is:

Contraction duration of less than 40 seconds.

Contraction frequency of greater than 5 in 10 minutes.

Contraction intensity of less than 80 mm Hg.

Resting tone of less than 18 mm Hg.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Contraction duration less than 40 seconds doesn't define tachysystole. Tachysystole focuses on frequency, not duration, of contractions over a specific time frame.

Choice B rationale

Contraction frequency of more than 5 in 10 minutes defines tachysystole. This frequency indicates excessive uterine activity, requiring intervention to prevent fetal distress.

Choice C rationale

Contraction intensity less than 80 mm Hg does not define tachysystole. Intensity relates to contraction strength, but tachysystole is about frequency exceeding the normal range.

Choice D rationale

Resting tone less than 18 mm Hg isn't part of tachysystole's definition. Tachysystole pertains to contraction frequency, not resting tone, which measures uterine relaxation between contractions.

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Correct Answer is B

Explanation

Choice A rationale

Induction timing is secondary to assessing readiness. The Bishop score determines cervical favorability for induction success.

Choice B rationale

The Bishop score assesses cervical readiness for labor induction, which is vital in planning an effective induction.

Choice C rationale

Refusal to induce without considering clinical data is inappropriate. The Bishop score evaluation determines readiness.

Choice D rationale

Prostaglandin preparation follows Bishop score assessment to ensure induction safety and efficacy.

A. Methylergonovine (Methergine). B. Magnesium sulfate. C. Carboprost-tromethamine (Hemabate). D. Fresh frozen plasma (FFP).

Correct Answer is A

Explanation

Choice A rationale

Methylergonovine (Methergine) is used to manage postpartum hemorrhage by stimulating uterine contractions. It is especially useful in cases like this where rapid uterine tone is needed.

Choice B rationale

Magnesium sulfate is used to prevent seizures in preeclamptic patients, not to manage postpartum hemorrhage. This choice is incorrect in this context.

Choice C rationale

Carboprost-tromethamine (Hemabate) is also used for treating postpartum hemorrhage but is typically a secondary option to methylergonovine and may have more side effects.

Choice D rationale

Fresh frozen plasma (FFP) is used to replace clotting factors in cases of coagulopathy, not as a primary intervention for postpartum hemorrhage in this patient.

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Included in the definition of tachysystole is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The primary healthcare provider for a client at 38 1/7 weeks' gestation calls the labor and delivery suite to schedule an induction for the next day.The client is having no medical or pregnancy complications.Which of the following responses by the nurse would be appropriate?

Correct Answer is B

Explanation

The nurse is assisting the primary care provider (PCP) with the third stage of a vaginal delivery.The patient is multiparous, experienced a precipitous birth, and has a history of hypertension.Which medical prescription does the nurse anticipate for this patient?

Correct Answer is A

Explanation

The nurse observes a new staff member caring for an eclamptic client following a seizure.Which of the following actions by the staff member indicates an understanding of eclampsia?

A postpartum client has been diagnosed with postpartum psychosis.Which of the following is essential to be included in the family teaching for this client?

When assisting with a vacuum-assisted vaginal delivery, the nurse is aware that adherence to which guidelines for the vacuum device will minimize the nurse's liability in vacuum-assisted vaginal births? Select all that apply.

When administering magnesium sulfate to a client with preeclampsia, the nurse understands that this drug is given to:

The nursing staff in a labor and delivery unit has noticed an increase in the number of patients experiencing placental abruption.The nurses begin to review demographics for the patients involved.Which risk factors will the nurses expect? Select all that apply.

A client is on magnesium sulfate for pre-eclampsia with severe features.The nurse must notify the attending physician regarding which of the following findings?

The nurse in a prenatal unit is providing care for a patient who experienced preterm premature rupture of the membranes (PPROM) at 32 weeks' gestation.Which assessment does the nurse consider unnecessary?