Nokea
Which statement correctly describes the nurse's responsibility related to electronic monitoring?
- A. Report abnormal findings to the physician before initiating corrective actions.
- B. Teach the woman and her support person about the monitoring equipment and discuss any of their questions.
- C. Document the frequency, duration, and intensity of contractions measured by the
- D. Inform the support person that the nurse will be responsible for all comfort
Correct Answer: B
Rationale: The correct answer is B because it aligns with the nurse's responsibility to educate and provide information to the patient and their support person. Teaching about the monitoring equipment and addressing any questions ensures that the patient and their support person are informed and empowered. This promotes patient understanding and involvement in their care, leading to better outcomes.
Choice A is incorrect because the nurse should initiate corrective actions promptly for abnormal findings without waiting for physician input. Choice C is incorrect as it focuses solely on documentation rather than patient education. Choice D is incorrect as it neglects the importance of involving the support person in the care process.
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The nurse will monitor for aspiration, thought processes, and improved mobility after which complication?
- A. neurologic dysfunction
- B. Measure blood loss.
- C. gestational diabetes
- D. postpartum hemorrhage
Correct Answer: D
Rationale: The correct answer is D: postpartum hemorrhage. The nurse monitors for aspiration due to potential bleeding or clotting issues postpartum. Monitoring thought processes is important as postpartum hemorrhage can lead to hypovolemic shock affecting cognition. Improved mobility is assessed as excessive bleeding can cause weakness. Neurologic dysfunction (choice A) is not directly related to postpartum hemorrhage. Measuring blood loss (choice B) is important but not the primary focus after postpartum hemorrhage. Gestational diabetes (choice C) is a separate condition unrelated to postpartum hemorrhage.
What medication is administered to treat uterine atony?
- A. ampicillin
- B. nitroglycerine
- C. magnesium sulfate
- D. methylergonovine
Correct Answer: D
Rationale: The correct answer is D: methylergonovine. Methylergonovine is a uterotonic medication used to treat uterine atony by causing the uterus to contract and prevent postpartum hemorrhage. Ampicillin (A) is an antibiotic, nitroglycerine (B) is a vasodilator, and magnesium sulfate (C) is a medication used for conditions like preeclampsia and eclampsia, but not specifically for uterine atony. Therefore, D is the correct choice for treating uterine atony.
What intervention may be used to manage failure to descend during labor?
- A. administering pain medication
- B. allowing the patient to rest
- C. continuing to push for an extended period of time
- D. using forceps or a vacuum to assist delivery
Correct Answer: D
Rationale: The correct answer is D because using forceps or a vacuum to assist delivery can help manage failure to descend during labor by aiding in the descent of the baby through the birth canal. Forceps or vacuum extraction can provide the necessary assistance to safely deliver the baby when maternal pushing alone is insufficient.
Explanation for why the other choices are incorrect:
A: Administering pain medication does not address the underlying issue of failure to descend during labor.
B: Allowing the patient to rest may not resolve the issue of failure to descend and could potentially delay necessary interventions.
C: Continuing to push for an extended period of time without progress can lead to maternal exhaustion and fetal distress without addressing the root cause of failure to descend.
A woman comes to the prenatal clinic because she thinks she is pregnant. Which of the following are probable signs of pregnancy? Select all that apply.
- A. Amenorrhea
- B. Uterine enlargement
- C. Positive pregnancy test
- D. Breast tenderness
Correct Answer: C
Rationale: The correct answer is C, positive pregnancy test. This is a probable sign of pregnancy because it directly indicates the presence of the pregnancy hormone hCG in the woman's body. Amenorrhea (choice A) and uterine enlargement (choice B) are actually presumptive signs of pregnancy, as they can be caused by factors other than pregnancy. Breast tenderness (choice D) is a possible sign of pregnancy but is not as specific or conclusive as a positive pregnancy test.
The nurse documents a prenatal patient’s GTPAL as G5T2P1A1L4. Which obstetric history is consistent with this assessment?
- A. The woman is currently pregnant, has five living children.
- B. The woman is currently pregnant and had two preterm pregnancies.
- C. The woman is not currently pregnant and has had one abortion.
- D. The woman is currently pregnant and had one set of twins.
Correct Answer: A
Rationale: Rationale:
1. G5 = Gravida 5 (woman has been pregnant 5 times)
2. T2 = Term births 2 (woman has had 2 full-term pregnancies)
3. P1 = Preterm births 1 (woman has had 1 preterm pregnancy)
4. A1 = Abortions 1 (woman has had 1 abortion)
5. L4 = Living children 4 (woman has 4 living children)
Summary:
- Choice A is correct as it aligns with the GTPAL components.
- Choice B is incorrect because it does not match the number of term and preterm births.
- Choice C is incorrect as it does not reflect the number of living children.
- Choice D is incorrect as it does not indicate any preterm pregnancies.