Through vaginal examination, the nurse determines that the woman is 8 cm dilated, and the external fetal monitor shows uterine contractions every 3 minutes and a duration of 50 seconds. The nurse would report these findings as:

Second stage, latent phase.

First stage, transition phase.

First stage, latent phase.

First stage, active phase.

Answer and Explanation

The Correct Answer is B

a.   The second stage of labor begins when the cervix is fully dilated and ends with the birth of the baby. The latent phase is the early part of the second stage when the woman may be resting between contractions.
b.   The first stage, transition phase is from 8 to 10 cm dilation, with strong and frequent contractions.
c.   The first stage, latent phase is the early part of the first stage of labor when the cervix is dilated from 0 to 4 cm and contractions are mild and irregular.
d.   The first stage, active phase is from 4 to 7 cm dilation, with moderate and regular contractions.

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Correct Answer is D

Explanation

a. While this is important, it is not the priority when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy.
b. This is important for managing the bleeding but is not the priority.
c. Monitoring uterine contractions is important, but assessing fetal heart rate (FHR) and maternal vital signs is the priority to determine the status of the fetus and mother.
d. Bleeding in late pregnancy can indicate placental abruption, which is a life- threatening condition for both the mother and the fetus. The nurse should monitor the FHR and maternal vital signs to assess the severity of the bleeding and the fetal and maternal well-being.

A. Continuous the Magnesium sulfate infusion. B. Stop the magnesium sulfate infusion. C. Calls for a stat magnesium sulfate level. D. Administers oxygen. E. Administers oxygen.

Correct Answer is B

Explanation

a. This is not the correct choice because the woman has signs of magnesium toxicity, such as low urine output, high blood pressure, and increased DTR. Continuing the infusion could worsen her condition and put her and the fetus at risk.

b. This is the correct choice because the woman needs to be treated for magnesium toxicity, which is a serious complication of preeclampsia. Stopping the infusion will prevent further accumulation of magnesium in her body and allow her to excrete the excess.
c. This is not the correct choice because it will delay the treatment of magnesium toxicity, which is a medical emergency. The woman's vital signs and symptoms are enough to indicate that she has a high level of magnesium and needs immediate intervention.
d. This is not the correct choice because it will not address the underlying cause of magnesium toxicity, which is the infusion. Oxygen may help with some symptoms, such as respiratory depression, but it will not reverse the effects of magnesium on the nervous system and blood vessels.

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Through vaginal examination, the nurse determines that the woman is 8 cm dilated, and the external fetal monitor shows uterine contractions every 3 minutes and a duration of 50 seconds. The nurse would report these findings as:

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Naxlex Comprehensive Predictor Exams

The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy ( 37 weeks) is to: Select one:

Correct Answer is D

Explanation

Correct Answer is B

Explanation

A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?

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Through vaginal examination, the nurse determines that the woman is 8 cm dilated, and the external fetal monitor shows uterine contractions every 3 minutes and a duration of 50 seconds. The nurse would report these findings as:

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

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