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What is a sign of fetal distress?
- A. prolonged moderate variability
- B. accelerations
- C. repetitive late decelerations
- D. variable decelerations
Correct Answer: C
Rationale: Fetal distress can be indicated by repetitive late decelerations, which show a lack of oxygen during labor.
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The nurse in labor and delivery notices an increase in the number of women requesting cesarean births. Which are the parameters and criteria used when making the decision to perform a cesarean delivery on maternal request (CDMR)? Select all that apply.
- A. Patient is able to self-pay for the procedure.
- B. Patient is willing to defer from legal litigation.
- C. Mother is planning to only have one child.
- D. Patient is aware of possible neonatal complications.
Correct Answer: D
Rationale: Choice B is correct because CDMR (cesarean delivery on maternal request) is often performed after 39 weeks gestation when the mother is fully aware of the risks and potential complications involved with the procedure.
What is a common reason for cesarean birth?
- A. cephalic presentation
- B. laboring person’s BMI of 23
- C. labor dystocia
- D. lack of adequate pain control
Correct Answer: C
Rationale: Labor dystocia, or failure to progress, is a common reason for a cesarean birth.
How often is oxytocin usually increased for induction or augmentation of labor?
- A. every 10 minutes
- B. every 30 minutes
- C. every 60 minutes
- D. every 90 minutes
Correct Answer: C
Rationale: Oxytocin is typically increased every 60 minutes during labor induction.
The nurse is caring for a pregnant person who was in a motor vehicle accident when she was younger and broke a bone in her pelvis. For what complication should the nurse be prepared?
- A. fetal dystocia
- B. pelvic dystocia
- C. uterine dystocia
- D. age dystocia
Correct Answer: B
Rationale: Pelvic dystocia can result from previous pelvic fractures.
A nurse is performing an initial assessment of a multigravida patient who is 10 weeks gestation. Which assessment finding would necessitate further testing?
- A. Rubella titer ratio of 1:10
- B. Blood type A+
- C. White blood cell count of 5,000
- D. Previous history of gestational diabetes
Correct Answer: A
Rationale: Chadwick’s sign, which is the bluish coloration of the cervix, is an early positive sign of pregnancy. It indicates increased blood flow and is often noted during a pelvic examination.