Nokea
After the delivery of a newborn what is the priority action of the nurse?
- A. Place the newborn on the right side.
- B. Cover the cord stump.
- C. Dry the infant immediately.
- D. Suction nose and mouth.
Correct Answer: D
Rationale: To prevent aspiration of amniotic fluid, the baby should be suctioned, then quickly dried to prevent hypothermia.
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The health care provider has decided to induce labor with prostaglandin gel and an amniotomy. When should the nurse expect that labor will start?
- A. 1 hour
- B. 4 hours
- C. 8 hours
- D. 12 hours
Correct Answer: A
Rationale: Medically approved methods of inducing labor include prostaglandin gel application that usually induces labor in 1 hour or less.
A nurse is assessing the printout from the fetal monitor. What is the legal responsibility of the nurse?
- A. Correctly identifying abnormal FHR patterns and prescribing medication
- B. Correctly identifying abnormal FHR patterns and notifying the health care provider
- C. The nurse is not legally responsible for fetal monitoring
- D. Providing technical assessment to the monitor technicians
Correct Answer: B
Rationale: Nurses are responsible for the timely notification of the primary caregiver in the event of an abnormal fetal heart rate (FHR) pattern. The nurse cannot write a medication order.
A woman is admitted in active labor and the nurse assesses the fetal heart rate (FHR) at 124 beats/min. What action should the nurse take based on the assessment?
- A. Position patient on her left side.
- B. Start oxygen per nasal cannula.
- C. Reassure the mother the rate is normal.
- D. Notify the health care provider at once.
Correct Answer: C
Rationale: The normal FHR is 120 to 160 beats/min. No interventions are required.
A nurse shows the patient an x-ray of the fetal spine in parallel alignment with the mother's to demonstrate a ___ lie.
Correct Answer: longitudinal
Rationale: A longitudinal lie is when the fetal spine and the maternal spine are parallel to each other.
When observing the fetal heart monitor the nurse recognizes the fetal heart rate (FHR) decreases to 120 beats/min at the beginning of a contraction and returns to a baseline of 155 beats/min at the end of the contraction. What should this indicate to the nurse?
- A. Early deceleration due to head compression
- B. That the fetus is in acute distress
- C. Variable decelerations due to cord compression
- D. That these are late decelerations
Correct Answer: A
Rationale: This indicates early decelerations because of head compression.