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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.

Answer and Explanation

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.

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Correct Answer is ["mLs\/hr."]

Explanation

Step 1 is to convert the order from milliunits/minute to units/hour. So, 12 milliunits/minute is equal to 0.72 units/hour. Step 2 is to calculate the total units in the IV bag, which is 20 units. Step 3 is to calculate the total volume of the IV bag, which is 500 mL. Step 4 is to calculate the flow rate. So, (0.72 units/hour ÷ 20 units) × 500 mL = 18 mL/hr. So, the correct flow rate to set on the IV pump is 18 mL/hr.

A. Notify the primary care provider immediately. B. Perform a vaginal exam. C. Change the linen saver pad. D. Check the fetal heart rate.

Correct Answer is D

Explanation

Choice A rationale:

Notifying the primary care provider is important but not the immediate next step. The nurse has other immediate responsibilities to ensure the safety of the mother and baby.

Choice B rationale:

A vaginal exam could introduce bacteria into the uterus and is not the immediate next step after rupture of membranes.

Choice C rationale:

Changing the linen saver pad is not the immediate next step. While it might be necessary for the comfort of the mother, it does not address the potential risks associated with rupture of membranes.

Choice D rationale:

Checking the fetal heart rate is the correct next step. This ensures that the baby is not in distress following the rupture of membranes.

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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?.

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Naxlex Comprehensive Predictor Exams

Your patient is ordered to receive 20 units Pitocin in D5%W 500 mLs at 12 milliunits/minute. What flow rate will you set the IV pump to deliver? Numeric values only.

Correct Answer is ["mLs\/hr."]

Explanation

A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. What would the nurse do next?

Correct Answer is D

Explanation

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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?.