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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.
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The nurse is caring for a postpartum person after a hemorrhage. How does the nurse monitor for decreased perfusion?
- A. Monitor lochia.
- B. Measure blood loss.
- C. Check temperature.
- D. Monitor 24-hour urine output.
Correct Answer: B
Rationale: After postpartum hemorrhage, monitoring the 24-hour urine output can help assess for signs of decreased perfusion.
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.
The nurse is providing care for a patient who delivered via cesarean 24 hours ago. Which teaching does the nurse provide for the patient and family? Select all that apply.
- A. Signs and symptoms to report to health care provider
- B. Comfortable positions for feeding the newborn
- C. Encouragement for early dietary intake of solid foods
- D. Encourage family to help with infant care and housework
Correct Answer: D
Rationale: Choice A is correct. Postoperative teaching should focus on signs of complications, such as infection, thrombosis, and how to manage pain. Early ambulation is encouraged to reduce risks like deep vein thrombosis.
If the position of a fetus in a cephalic presentation is right occiput anterior, the nurse should assess the fetal heart rate in which quadrant of the maternal abdomen?
- A. Right upper
- B. Left upper
- C. Right lower
- D. Left lower
Correct Answer: C
Rationale: When the fetus is in a right occiput anterior position, the back of the fetus is on the mother's right side, and the fetal heart is also located on the right side of the mother's abdomen. It is typically heard in the lower right quadrant due to the location of the fetal back and heart. The nurse should assess the fetal heart rate in the right lower quadrant of the maternal abdomen to accurately assess the well-being of the fetus in this position.
What medication should the nurse anticipate administering when caring for a person with preeclampsia in labor?
- A. ampicillin
- B. magnesium sulfate
- C. nalbuphine hydrocholoride (Nubain)
- D. sodium bicarbonate
Correct Answer: B
Rationale: Magnesium sulfate is commonly administered for preeclampsia in labor.