for fun

A nurse is providing fetal kick count instructions to a client at 28 weeks gestation. which statement made by the client indicates the need for further teaching?

"I need to lie flat on my back to perform the procedure."

A nurse in a provider's office is caring for a client at 11 weeks of gestation and scheduled for a chorionic villus sampling. The couple asks the nurse what this procedure is evaluating? Which of the following is an appropriate response by the nurse?

"This is a screening tool to detect fetal anomalies by genetic disorder"

A nurse is caring for a client during a nonstress test (NST). At the end of a 30-minute period of observation, the nurse notes the following findings: the fetal heart rate baseline is 145/min, moderate variability, three accelerations and no decelerations. How should the nurse document the results of the NST?

A reactive test

A nurse is caring for a client who is in active labor and notes severe recurrent variable decelerations, with the nadir of the decelerations to the 60's. After repositioning the client in lateral position, what intervention should the nurse anticipate the provider will order?

Administer oxygen via face mask at 10/min

The client arrives to the clinic for her checkup at 20 weeks gestation. The nurse is reviewing previously ordered lab work and does not see results for the prenatal panel, ordered at the last visit. What labs are included in the standard prenatal panel?

Blood type with Rh factor, Hepatitis B, RPR, Rubella, HIV

The labor and delivery nurse is caring for a client in active labor. The nurse reports the fetal heart rate baseline is 130 beats/min, moderate variability, 10x10 accelerations, and is without decelerations. Dr. Smith calls and asks how the client is feeling. How should the nurse describe this tracing to Dr. Smith? **Really blurry question

Category I

The labor and delivery nurse is caring for a client in active labor. The nurse notes the fetal heart rate baseline is 130 bpm, absent variability, no accelerations, with recurrent variable decelerations. How should the nurse describe this tracing to the medical provider?

Category II

The labor and delivery nurse is caring for a client in active labor. The nurse notes the fetal heart rate baseline is 140 BPM, moderate variability, 15x15 accelerations, and recurrent variable decelerations. How should the nurse describe the tracing to the medical provider?

Category II

A nurse is caring for a client during a nonstress test (NST). At the end of a 30-minute observation, the nurse notes the following findings. The fetal heart rate baseline is 120/min, minimal variability, no accelerations and occasional variable decelerations. What is the best interpretation of the findings?

Category II, indeterminate acid-base balance

A client in her first trimester of her second pregnancy and just received a positive MSAFP test result. The client is requesting additional testing to determine whether the fetus has a chromosomal abnormality. Which of the following antenatal tests would the nurse anticipate the provider will order?

Chorionic villus sampling

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes early decelerations on the fetal monitor strip. Which of the following is the correct understanding of the pathophysiology of early decelerations?

Early decelerations are related to fetal head compression

A client is 15 weeks gestation and refuses to have an alpha-fetoprotein test performed because, like needles." Which initial approach does the nurse take to achieve the testing?

Explain the testing is important in detecting serious birth defects

A nurse is caring for a client who is to undergo a biophysical profile. The client asks the nurse what is being evaluated during this test. Which of the following should the nurse include? (Select all that apply)

Fetal breathing; Amniotic fluid volume; Fetal tone; Fetal movement.

A client reports to OB triage with a chief complaint of being in labor. The client reports feeling "cramps, like heavy menstrual cramps" for several hours but they are increasing in strength. The nurse performs a sterile vaginal exam (SVE) and determines the patient is 3 cm dilated, 30% effaced and -2 station. What stage of labor does the nurse suspect the client is in?

First stage, latent phase

A client arrives to the antenatal clinic for her weekly non-stress test (NST). The nursing preceptor asks the nursing student to place the external ultrasound on the abdomen to detect a fetal heartbeat. The student detects the heartbeat above the umbilicus. What fetal position should the nursing student suspect the fetus is in?

Frank breech

a nurse is caring for a client who is primigravida, at 39 weeks gestation and is having contractions but is stating that she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a sign of true labor?

Regular uterine contractions that cause cervical change

The nurse is helping to reposition the client after placement of an epidural. Which of the following positions would be contraindicated after the placement of an epidural?

Supine position

The nurse is speaking with a pregnant client who is asking what processes start labor. Which of the following responses by the nurse would be accurate? Select all that apply.

The placenta begins to age and deteriorate and this triggers the start of contractions; Oxytocin stimulates uterine muscles to contract; There is more pressure on the cervix, which causes the start of contractions by releasing oxytocin

The nurse preceptor is teaching a nursing student about the physiology of the fetal heart rate (FHR) pattern. Which statement by the student indicates successful teaching about this concept?

the sympathetic nervous system is responsible for heart rate variability"

Your client arrives to OB triage at 40 weeks gestation for a contraction stress test after experiencing a nonreactive, nonstress test (NST). How will you interpret the findings of this CST?

Negative

A client who is 30 weeks gestation is involved in a car accident. The nurse recognizes that which initial testing will be used to assess fetal well-being?

Nonstress test

A client who is 33 weeks gestation slipped on the wet tile, hitting her abdomen on the ground. The nurse recognizes that which initial test will be used to assess fetal well-being?

Nonstress test

The nursing preceptor asks the nursing student how to best determine the placement of the tocodynamometer. What is the best explanation by the student?

Palpate the maternal abdomen during a contraction

A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. The nurse observes that the fetal heart rate begins to slow after the start of a contraction And the lowest rate occurs after the peak of the contraction. Which of the following actions should the nurse take first?

Place the client in the lateral position

A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 min and a frequency of 3 min. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min and maternal blood pressure 92/54 mm Hg and in supine position. Which of the following is a priority action for the nurse to take?

Position the client with one hip elevated

The nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the fetal strip and interpret them as indicating which of the following?

Uteroplacental insufficiency