The nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if which is noted on the external monitor tracing during a contraction?
- A. Variability
- B. Accelerations
- C. Early decelerations
- D. Variable decelerations
Correct Answer: D
Rationale: Variable decelerations are a hallmark sign of umbilical cord compression, requiring immediate monitoring and intervention.
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A nurse is caring for several clients. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients?
- A. A client who is experiencing fetal death at 32 weeks of gestation
- B. A client who is experiencing preterm labor at 26 weeks of gestation
- C. A client who is experiencing Braxton-Hicks contractions at 36 weeks of gestation
- D. A client who has a post-term pregnancy at 42 weeks of gestation
Correct Answer: B
Rationale: Tocolytic therapy is a medication given to delay preterm labor and prolong the pregnancy. It is safe and appropriate to administer tocolytic therapy to a client who is experiencing preterm labor at 26 weeks of gestation (option B) to help delay delivery and give time for other interventions to be initiated, such as administration of corticosteroids for fetal lung maturation and transfer to a facility with a NICU if necessary. The goal is to prevent premature birth and its associated complications.
A nurse is reviewing the prenatal laboratory results. to feed.
- A. Have the mother lean over the infant while feeding action? to facilitate gravity, thereby creating enhanced
- B. Platelet count of 300,000 per μL of blood milk flow.
- C. Red blood cell count of 4 million/microliter
- D. Breastfeeding should not be attempted at this time
Correct Answer: B
Rationale: Platelets are essential for blood clotting and preventing excessive bleeding. A platelet count of 300,000 per μL of blood is within the normal range for adults, indicating that the nurse can proceed with breastfeeding without concerns related to the platelet count. High platelet levels can be associated with conditions like thrombocytosis, which may increase the risk of blood clotting, but in this case, the platelet count is within the normal range. Therefore, the nurse can focus on other factors when determining the readiness for breastfeeding, such as the baby's ability to latch effectively and the mother's comfort and milk supply.
What cancer type is the leading cause of death in persons AFAB?
- A. breast cancer
- B. lung cancer
- C. cervical cancer
- D. ovarian cancer
Correct Answer: A
Rationale:
To maximize absorption, what supplement should a client take with calcium?
- A. Vitamin D.
- B. Vitamin E.
- C. Folic acid.
- D. Iron.
Correct Answer: A
Rationale: Vitamin D enhances calcium absorption.
The nurse is teaching a prenatal class about fetal development. When does the heart begin to beat?
- A. At 4 weeks' gestation.
- B. At 8 weeks' gestation.
- C. At 12 weeks' gestation.
- D. At 16 weeks' gestation.
Correct Answer: A
Rationale: The fetal heart begins beating as early as 4 weeks' gestation, signaling early circulatory development.