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 B
Explanation
Swallowing a preprocedure sedative is not typically required for an amniocentesis. Sedatives can affect the mother and the fetus, and are usually avoided unless absolutely necessary.
Choice B rationale:
Emptying the bladder is important before an amniocentesis. A full bladder can push against the uterus, increasing the risk of puncturing the bladder during the procedure.
Choice C rationale:
Showering with an antiseptic scrub is not typically required before an amniocentesis. The area of the abdomen where the needle will be inserted is usually cleaned with an antiseptic by the healthcare provider.
Choice D rationale:
Lying on the left side is not typically required for an amniocentesis. The procedure is usually performed with the woman lying on her back.
Correct Answer is B
Explanation
Choice A rationale:
Orange juice enhances iron absorption and should not be avoided.
Choice B rationale:
Eating foods high in fiber can prevent constipation, a side effect of iron supplements.
Choice C rationale:
Iron should not be taken with milk as it inhibits iron absorption.
Choice D rationale:
Black, tarry stools are a common side effect of iron supplements and are not usually a concern.
So, the correct answer is B. “I need to eat foods high in fiber.”.
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