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
Choice A rationale:
Informing the family of the need for information is important, but it is not the most important aspect when working with a family who suspects they could bear a child with a genetic abnormality.
Choice B rationale:
Presenting the information in a factual, nondirective manner is the most important aspect. This allows the family to make informed decisions based on accurate information without being influenced by the nurse’s personal beliefs or opinions.
Choice C rationale:
Maintaining the confidentiality of the information is a standard nursing practice and while it is important, it is not the most important aspect in this scenario.
Choice D rationale:
Gathering information for three generations can provide valuable insight into the family’s genetic history, but it is not the most important aspect in this scenario.
Correct Answer is A
Explanation
Choice A rationale:
In the frank breech position, the baby’s hips are flexed, and the knees are extended.
Choice B rationale:
This describes a position where the baby’s hips are flexed and the knees are extended, which is not the frank breech position.
Choice C rationale:
This describes a position where both the baby’s hips and knees are extended, which is not the frank breech position.
Choice D rationale:
This describes a position where both the baby’s hips and knees are flexed, which is not the frank breech position.
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