What is the recommended method of pain relief during labor for a woman with a low-risk pregnancy?
- A. Epidural anesthesia
- B. Spinal anesthesia
- C. Nitrous oxide inhalation
- D. All of the above
Correct Answer: C
Rationale: The correct answer is C: Nitrous oxide inhalation. This is recommended for low-risk pregnancies because it provides pain relief without affecting the baby's heart rate or the progress of labor. It is self-administered by the woman, allowing for control over the dosage. Epidural and spinal anesthesia carry potential risks and may interfere with the natural process of labor. Choosing "All of the above" (D) is incorrect as epidural and spinal anesthesia are not recommended for low-risk pregnancies due to their potential side effects.
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A nurse is teaching a client who is at 37 weeks of gestation and has a prescription for a nonstress test. Which of the following instructions should the nurse include?
- A. The test should take 10 to 15 minutes to complete.
- B. You will lie in a supine position throughout the test.
- C. You should not eat or drink for hours before the test.
- D. You should press the handheld button when you feel your baby move.
Correct Answer: D
Rationale: Pressing the handheld button when the client feels fetal movement helps to correlate fetal movements with changes in the fetal heart rate, which is the purpose of the nonstress test.
A nurse is assessing a client who is in active labor. Which of the following findings should the nurse report to the provider?
- A. Contractions lasting 80 seconds.
- B. Early decelerations in the PHR.
- C. Temperature 37.4° C (99 3* F).
- D. PHR baseline 170/min.
Correct Answer: D
Rationale: A fetal heart rate baseline of 170/min is tachycardic and should be reported to the provider as it may indicate fetal distress.
Which of the following is a potential barrier to patient safety in maternal and newborn healthcare?
- A. Medication errors
- B. Inadequate staffing
- C. Patient noncompliance
- D. All of the above
Correct Answer: D
Rationale: Barriers to patient safety include medication errors, inadequate staffing, and patient noncompliance.
Which of the following conditions should the nurse identify as being consistent with the adolescent's assessment findings? For each finding, click to specify if the assessment findings are consistent with trichomoniasis, gonorrhea, r candidiasis. Each finding may support more than one disease process.
- A. Abdominal assessment
- B. Vaginal discharge
- C. Heart rate
- D. Temperature
- E. Dyspareunia
- F. Condom usage
Correct Answer: A,B,D,E,F
Rationale: Abdominal assessment, vaginal discharge, temperature, dyspareunia, and condom usage are critical findings that may indicate infections, sexually transmitted diseases, or other health concerns requiring provider evaluation.
A nurse is assessing a client who is 6 hr postpartum and has endometritis. Which of the following findings should the nurse expect?
- A. Temperature 37.4°C (99.3°F)
- B. WBC count 9,000/mm3
- C. Uterine tenderness
- D. Scant lochia
Correct Answer: C
Rationale: The correct answer is C: Uterine tenderness. Endometritis is an infection of the uterine lining, causing inflammation and tenderness. This finding is expected in a client with endometritis. A: A slightly elevated temperature may be present, but it is not specific to endometritis. B: A normal WBC count does not rule out endometritis. D: Scant lochia is not a characteristic finding in endometritis. Other answer choices are not provided, but uterine tenderness is the most relevant symptom in this scenario.