While waiting for the placenta to deliver during the third stage of labor, the nurse must assess the new mother's vital signs every 15 minutes.
What sign would indicate impending shock?.
Bradypnea and hypertension.
Tachycardia and a falling blood pressure.
Tachypnea and a widening pulse pressure.
Bradycardia and auscultation of fluid in the base of the lungs.
The Correct Answer is B
Choice A rationale:
Bradypnea and hypertension are not typically signs of impending shock.
Choice B rationale:
Tachycardia and a falling blood pressure are classic signs of shock as the body tries to compensate for the decreased blood flow.
Choice C rationale:
Tachypnea and a widening pulse pressure can be signs of shock, but they are not as indicative as tachycardia and a falling blood pressure.
Choice D rationale:
Bradycardia and auscultation of fluid in the base of the lungs are not typically signs of impending shock.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
The fourth stage of labor begins after the delivery of the placenta.
Choice B rationale:
The first stage of labor is the longest and involves three phases: early, active, and transition.
Choice C rationale:
The second stage of labor involves pushing and birth of the baby.
Choice D rationale:
The third stage of labor involves the delivery of the placenta.
Correct Answer is C
Explanation
Choice A rationale:
Transient fetal hypoxia is not typically associated with cloudy amniotic fluid. It’s a condition where the fetus doesn’t get enough oxygen.
Choice B rationale:
Normal amniotic fluid is clear or light yellow. Cloudy amniotic fluid is not considered normal.
Choice C rationale:
Cloudy amniotic fluid could indicate a possible infection. The cloudiness can be due to the presence of bacteria and inflammatory cells.
Choice D rationale:
Meconium passage can cause the amniotic fluid to become green or brown, not typically cloudy. So, the correct answer for both questions 26 and 27 is C.
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