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.

Answer and Explanation

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

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.

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Correct Answer is ["D","E"]

Explanation

Choice A rationale:

Cervical effacement of 30% is more indicative of the early phase of labor, not the active phase. In the active phase, effacement is usually 80-100%.

Choice B rationale:

A strong desire to push is usually associated with the transition phase of labor, not the active phase.

Choice C rationale:

Contractions every 90 seconds could be indicative of the active phase, but this can vary between individuals.

Choice D rationale:

Cervical dilation of 6 cm is indeed indicative of the active phase of labor, which is typically characterized by cervical dilation of 4-7 cm.

Choice E rationale:

Contractions every 2 to 3 minutes are common in the active phase of labor.

A. Bacterial vaginosis. B. Candidiasis. C. Genital herpes simplex. D. Trichomoniasis.

Correct Answer is B

Explanation

Choice A rationale:

Bacterial vaginosis typically presents with a thin, grayish-white discharge with a fishy odor. It does not usually cause intense itching or dyspareunia.

Choice B rationale:

Candidiasis is characterized by a thick, white, cottage cheese-like vaginal discharge, intense itching, and dyspareunia. These symptoms align with the client’s presentation.

Choice C rationale:

Genital herpes simplex usually presents with painful blisters or ulcers in the genital area, not a thick, white discharge.

Choice D rationale:

Trichomoniasis often causes a frothy, yellow-green discharge with a fishy smell. Itching can occur, but the discharge is not typically thick and white.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing care to a woman in labor. The nurse determines that the client is in the active phase based on which assessment findings? Select all that apply.

Correct Answer is ["D","E"]

Explanation

Assessment of a female client reveals a thick, white vaginal discharge. The client also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:

Correct Answer is B

Explanation

A pregnant woman with diabetes at 10 weeks' gestation has a glycosylated hemoglobin (HbA1c) level of 13%. At this time the nurse should be most concerned about which possible fetal outcome?.

Which action is a priority when caring for a woman during the fourth stage of labor?.

After describing continuous internal electronic fetal monitoring to a laboring woman and her partner, which statement by the woman would indicate the need for additional teaching?.

A nurse is explaining the fetus's position to a female client whose baby is in the frank breech position. Which statement by the client would indicate that the teaching was understood?.

The nurse encourages a female client with human papillomavirus (HPV) to receive continued follow-up care because she is at risk for:.

Touch and massage can be helpful during labor. Which touch and massage methods are used in labor? Select all that apply.

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.