Nokea
The nurse knows that contraindication of the induction of labor includes:
- A. Placenta previa
- B. Diabetes mellitus
- C. PROM
- D. Isoimmunization
Correct Answer: A
Rationale: Placenta previa is a contraindication for the induction of labor because the placenta partially or completely covers the cervix. Inducing labor in this situation can lead to complications such as excessive bleeding and compromised blood flow to the baby. Therefore, it is important to avoid inducing labor in cases of placenta previa to ensure the safety of both the mother and the baby.
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A client is experiencing uterine atony after delivery. What is the nurse's first action?
- A. Massage the fundus until firm.
- B. Increase IV fluid rate.
- C. Notify the healthcare provider.
- D. Administer prescribed oxytocin.
Correct Answer: A
Rationale: Fundal massage stimulates uterine contraction and is the initial response to uterine atony to prevent hemorrhage.
LGBTQIA+ families are at higher risk for certain issues more than straight, cisgender parents. What is an example of a vulnerability experienced by LGBTQIA+ families?
- A. increased cases of social exclusion
- B. fewer cases of intimate partner violence
- C. fewer incidents of family trauma
- D. increased cases of social acceptance
Correct Answer: A
Rationale: LGBTQIA+ families often face social exclusion and discrimination, increasing their vulnerability to mental and physical health challenges.
The nurse is performing an assessment on a client who is at 38 weeks' gestation and notes that the fetal heart rate is 174 beats/minute. What is the priority nursing action?
- A. Document the finding.
- B. Check the mother's heart rate.
- C. Notify the health care provider (HCP).
- D. Tell the client that the fetal heart rate is normal.
Correct Answer: C
Rationale: A fetal heart rate above 160 bpm at term may indicate fetal distress, requiring immediate notification of the HCP.
The nurse is caring for a client with preeclampsia. What is the most important assessment?
- A. Daily weight.
- B. Urine protein levels.
- C. Fetal heart rate.
- D. Blood pressure.
Correct Answer: D
Rationale: Blood pressure monitoring is critical to prevent complications such as eclampsia and placental issues in preeclampsia.
What technique is used for visualization and deepening in HypnoBirthing?
- A. counting contractions
- B. the on-off†switch
- C. visualizing the instruments used to assist with birth
- D. deepening into hypnosis to help push harder
Correct Answer: B
Rationale: The 'on-off' switch is a visualization technique used in HypnoBirthing to deepen relaxation.