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Homework answers / question archive / Rasmussen College NURSING NU278 Quiz3 1)When calling the primary health-care provider regarding a woman’s admission, the perinatal nurse includes which of the following information? (Select all that apply

Rasmussen College NURSING NU278 Quiz3 1)When calling the primary health-care provider regarding a woman’s admission, the perinatal nurse includes which of the following information? (Select all that apply

Nursing

Rasmussen College

NURSING NU278

Quiz3

1)When calling the primary health-care provider regarding a woman’s admission, the perinatal nurse includes which of the following information? (Select all that apply.)

A.            Gestational age and estimated date of birth B.   Maternal and fetal vital signs

C.            Presence of support person(s)

D.            Status of other children

E.            Status of the fetal membranes

 

 

2.            A nurse assesses fetal heart tones at 100 beats/minute. Which action by the nurse takes priority?

A.            Administer 100% oxygen.

B.            Assess the maternal heart rate.

C.            Notify the primary care provider.

D.            Turn the woman on her left side.

 

 

3.            A nurse is caring for a pregnant woman scheduled to have an epidural block. The nurse reviews the woman’s admission laboratory results and finds the following: white blood count (WBC) 6,500/ mm3, hemoglobin 14 mg/dL, hematocrit 38%, platelet count 98,000, and international normalized ratio (INR) 4.2. What action by the nurse is best?

A.            Document the findings in the woman's chart.

B.            Ensure a signed consent form is in the chart. C.  Notify the health-care provider immediately.

 

D.            Start a peripheral IV of normal saline (NS).

 

4.            A nurse notes fetal heart rate decelerations that appear to start just prior to a uterine contraction with the fetal heart rate returning to normal by the end of the contraction. How does the nurse document this finding?

 

5.            A nurse assessing a fetal heart monitor notes minimal baseline variability not associated with a fetal sleep cycle. There is no change after fetal scalp stimulation. What action by the nurse is most important?

A.            Administer a bolus of IV fluids.

B.            Administer oxygen at 8-10 L/min per mask.

C.            Offer support to the patient and her partner.

D.            Prepare to assist with internal fetal monitoring.

 

6.            A nurse is caring for a new mother during the fourth stage of labor and assesses the following: patient has soaked two peri-pads in 45 minutes, pulse is 118 beats/minute, and blood pressure is 90/62 mm Hg. Which action by the nurse is most important?

A.            Assess the firmness of the patient's uterus.

B.            Document the findings and reassess in 15 minutes.

C.            Encourage the woman to attempt breastfeeding.

D.            Escort the woman to the bathroom to void.

 

7.            A nulliparous woman in labor is 3 cm dilated at 10:00 a.m. Based on knowledge of the average nulliparous woman's progression, when would the nurse expect her to be fully dilated?

A.            12:00 p.m.

B.            2:00 p.m.

C.            5:00 p.m.

D.            D. 10:00 p.m.

 

8.            The perinatal nurse explains to the student nurse that which of the following may increase labor discomfort? A.            Amniotomy

B.            Correct use of breathing method.

C.            Fetus in an occiput anterior position

D.            Positional changes during active labor

 

9.            A woman is 1 hour postpartum with an epidural block and wishes to get up to go to the bathroom. What action by the nurse is most appropriate?

A.            Assess sensation in the lower extremities.

B.            Check the maternal vital signs.

 

C.            Confer with the health-care provider.

D.            Offer the woman the bedpan first.

 

10.          The OB nurse assesses moderate baseline variability on the fetal heart monitor. What action by the nurse is best?

A.            Administer a bolus of IV fluids.

B.            Discontinue oxytocin, if it is being delivered. C.  Document the findings in the woman's chart.

D.            Perform fetal scalp or vibroacoustic stimulation.

 

11.          A woman is in the early latent phase of labor and is frustrated by the length of time this stage is taking. What action by the nurse is best?

A.            Administer 100% oxygen by face mask.

B.            Encourage frequent position changes or walking.

C.            Have the woman rest between contractions.

D.            Place the woman in a left side-lying position.

 

12.          A woman with a history of two stillbirths is in the active phase of the first stage of labor in the high-risk OB unit. How often should the nurse anticipate monitoring fetal heart tones (FHTs)?

 

A.            Continuously

B.            Every 5 minutes

C.            Every 15 minutes

D.            Every 30 minutes

 

13.          The nurse assesses a woman in labor and finds that her cervix is dilated to 9 cm. The nurse documents the woman to be in what phase of labor?

A.            First stage

B.            Second stage

C.            Third stage

D.            Fourth stage

 

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