The nurse is preparing to assist the nurse midwife with an amnioinfusion. The patient asks, "Why do I need this?" The best response by the nurse is:

"We need to decrease the fluid in your uterus."

The decreased fluid in the uterus is causing the baby to lie on the umbilical cord."

"You need extra amniotic fluid to prevent a dry birth."

This will replace fluid in your uterus to prevent an infection."

Answer and Explanation

The Correct Answer is B

A. "We need to decrease the fluid in your uterus." An amnioinfusion adds sterile fluid to the uterus, not decreases it.

B. "The decreased fluid in the uterus is causing the baby to lie on the umbilical cord." Amnioinfusion is commonly performed when oligohydramnios (low amniotic fluid) is present, and it helps relieve pressure on the umbilical cord, which can result in fetal distress.

C. "You need extra amniotic fluid to prevent a dry birth." A "dry birth" is not a recognized medical term or condition related to amnioinfusion.

D. "This will replace fluid in your uterus to prevent an infection." Amnioinfusion is not used to prevent infection. Its purpose is typically to relieve umbilical cord compression or dilute meconium in the amniotic fluid.

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Correct Answer is A

Explanation

A. Nothing—this is a normal finding. Fetal heart rate accelerations are reassuring and indicate good fetal oxygenation and well-being. No intervention is needed.

B. Place patient on her left side. Changing position is an intervention for decelerations or abnormal fetal heart rate patterns, not for accelerations.

C. Give oxygen: Oxygen is administered in cases of fetal distress, such as prolonged decelerations or bradycardia, but not for normal accelerations.

D. Call provider. Accelerations are a positive sign, and there is no need to call the provider for this normal finding.

Correct Answer is ["6"]

Explanation

Using the formula:

Dose= (Prescribedamount ÷ Availablestrength) × Volume

= (300 mg ÷ 250 mg) × 5 mL

= 6mL

The nurse should administer 6 mL of the solution.

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The nurse is preparing to assist the nurse midwife with an amnioinfusion. The patient asks, "Why do I need this?" The best response by the nurse is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reading a Fetal monitor strip and notes accelerations. What interventions would the nurse anticipate to do next?

Correct Answer is A

Explanation

A nurse is preparing to administer amoxicillin 300 mg PO. The amount available is amoxicillin oral solution 250 mg/5 mL. How many mL should the nurse administer? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["6"]

Explanation

A nurse is assisting with the care of a client who is in labor. Which of the following findings should the nurse report to the provider?

Leopold's maneuvers are performed to:

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