Nokea
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 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.
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.
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.
At what point is the second stage considered prolonged for a nulliparous laboring person?
- A. 1 hour
- B. 2 hours
- C. 3 hours
- D. 4 hours
Correct Answer: B
Rationale: The second stage is considered prolonged after 2 hours in a nulliparous laboring person.
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.