Nokea
The nurse is monitoring a client receiving oxytocin for labor induction. What finding requires the nurse to stop the infusion?
- A. Contractions every 2 minutes.
- B. Fetal heart rate of 100 beats/minute.
- C. Maternal blood pressure of 120/80 mmHg.
- D. Client reports mild back pain.
Correct Answer: B
Rationale: A fetal heart rate of 100 bpm indicates bradycardia and requires immediate discontinuation of oxytocin.
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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.
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.
A client comes to the labor and delivery with polyhydramnios. She was admitted and her membrane ruptures is clear and odorless, but the fetal heart monitor indicate bradycardia and variable decelerations. What should action should be taken next?
- A. Perform vaginal exam (lot of fluid, check to see where baby is)
- B. High fowler position
- C. Warm saline soak vaginal
- D. Perform Leopold maneuver
Correct Answer: A
Rationale: In this scenario, with the presence of polyhydramnios and clear, odorless amniotic fluid, the fetal heart monitor indicating bradycardia and variable decelerations indicates a potential umbilical cord compression due to excessive amniotic fluid volume. It is crucial to perform a vaginal exam promptly as this can help assess the position of the baby and determine if there is a cord prolapse or any other complications that may be affecting the fetal heart rate. The baby's position needs to be identified quickly to address potential issues and ensure a safe delivery process.
What statement best describes social determinants of health (SDOH)?
- A. genetic factors that influence an individual's health outcomes and risks
- B. medical interventions and treatments provided by health-care professionals
- C. conditions in the environments where people live, work, and play that impact health outcomes and risks
- D. personal self-care practices, such as diet and exercise, that affect individual well-being
Correct Answer: C
Rationale:
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.