NCLEX-RN test uworld

A nurse is discussing the concept of parallel play with parents of toddlers. Which statement should the nurse include to describe this type of play?

"Children play near other children but without significant interaction." - is typical of toddlers age 12-36 months - may share toys and verbalize thoughts, but they primarily focus on doing their own activities rather than directly interacting with others in organized play

A client with obesity has just started taking orlistat. Which statement by the client indicates a need for further teaching?

"I have started taking a daily multivitamin with my dinner-time dose of medication." - Orlistat is a lipase inhibitor that prevents the breakdown and absorption of fats from the intestine - interferes with fat-soluble vitamin uptake

A nurse is discharging a client who has been hospitalized with streptococcal infective endocarditis (IE). Which statement by the client would indicate a need for further teaching?

"I shouldn't be concerned if I continue to have a fever at home."

A nurse in the surgical admitting unit is preparing a client for elective coronary artery bypass surgery. Which statement by the client should the nurse report immediately to the health care provider (HCP)?

"I took my prasugrel this morning with just a tiny sip of water." Prasugrel is an antiplatelet med

Which statement made by the client demonstrates a correct understanding of the home care of an ascending colostomy?

"I will avoid eating foods such as broccoli and cauliflower." - depending on the location of the colostomy, characteristics of the stool will vary, with the stool becoming more solid as it passes through the colon. - identify and eliminate foods that cause gas and odor like broccoli, cauliflower, dried beans, brussels sprouts.

Prior to hospital discharge, the nurse discusses sexuality after childbirth with a client who had an uncomplicated vaginal birth with no perineal lacerations. Which client statement requires further teaching?

"I will begin using condoms to prevent pregnancy once menses returns."

The nurse has provided education for a client newly prescribed alprazolam for generalized anxiety disorder. Which client statement indicates that teaching has been effective?

"I will take my daily dose at bedtime."

The clinic nurse is teaching a client about levothyroxine, which the health care provider has prescribed for newly diagnosed hypothyroidism. Which statement made by the client indicates that further teaching is needed?

"If this makes my stomach upset, I will take it with an antacid." - will impair the absorption of levothyroxine (Synthroid). -- Antacids, calcium and iron preparations. - should take levothyroxine on an empty stomach, preferably in the morning, separately from other medications

The nurse is providing teaching for parents of a child diagnosed with fifth disease. Which statement by a parent indicates a need for further teaching?

"Our child's condition is communicable until the rash disappears." - Fifth disease ("slapped face," or erythema infectiosum) is a viral illness caused by the human parvovirus and affects mainly school-age children. The virus spreads via respiratory secretions, and the period of communicability occurs before onset of symptoms. The child will have a distinctive red rash on the cheeks that gives the appearance of having been slapped. The rash spreads to the extremities and a maculopapular rash develops, which then progresses from the proximal to the distal surfaces. The child may have general malaise and joint pain that are typicallly well controlled with nonsteroidal anti-inflammatory drugs such as ibuprofen. Affected children typically recover quickly, within 7-10 days.

A client who is diagnosed with breast cancer asks the nurse, "Am I going to die?" Which statement by the nurse promotes a therapeutic relationship?

"People with cancer experience fear of dying; tell me about your concerns."

The clinic nurse is assessing a previously healthy 60-year-old client when the client says, "My hand has been shaking when I try to cut food. I did some research online. Could I have Parkinson's disease?" Which response from the nurse is the most helpful?

"Tell me more about your symptoms. When did they start?"

The nurse is reinforcing education to the caregivers of a 9-year-old client diagnosed with scarlet fever. The client has a history of type 1 diabetes mellitus. Which statement by the caregivers indicates that further teaching is needed?

"We will not administer insulin if our child is unable to eat."

The parent of a 15-month-old calls the nurse and says that the child developed a rash and mild fever after receiving a routine measles, mumps, rubella, and varicella (MMRV) vaccine in the pediatric clinic 5 days ago. What is the best response by the nurse?

"What is your child's temperature right now?"

Clinical manifestations of tardive dyskinesia: Facial

- Lip movement - smacking, sucking, puckering - tongue movement - protrusion, curling - grimace - brow furrow or twitch - excess blinking

Clinical manifestations of tardive dyskinesia: extremities

- foot tap - hand wringing - tremor or shake

Clinical manifestations of tardive dyskinesia: neck and torso

- rocking - torticollis - persistent neck flexion or extension

The orthopedic health care provider instructs a client with a fractured femur, who has been non-weight bearing for the past 5 weeks, to progress to full weight bearing on the right leg. which advanced crutch gait that most closely resembles normal walking should the office nurse teach the client?

4-point gait - there are 5 crutch gaits: 2-, 3-, 4-point, swing-to, and swing-through

The nurse educates a 30-year-old client who is being evaluated for hyperthyroidism with a radioactive iodine uptake (RAIU) test. Which instructions should the nurse include in the teaching plan? Select all that apply.

1. "A pregnancy test must be obtained prior to RAIU test administration." 2. "All jewelry or metal around the neck area should be removed before the RAIU test." 3. "Antithyroid medications should be held for 5-7 days before the RAIU test."

The home health nurse assesses a child and suspects that the child is being abused. Which of the following questions are appropriate for the nurse to ask the caregiver? Select all that apply.

1. "How would you describe your child's usual behavior at home?" 3. "What forms of discipline do you use with your child?" 4. "When you are stressed, what coping mechanisms do you use?" 5. "Who watches your child when you are at work?"

A client with a hip fracture is placed in Buck traction. Which activities are appropriate for the nurse to include in the client's plan of care? Select all that apply.

1. Assess for skin breakdown of the limb in traction. 2. Ensure adequate pain relief 3. Keep the limb in a neutral position 4. Perform frequent neurovascular checks on the limb in traction.

Which assessment findings would the nurse most likely expect to find in a male infant born at 28 weeks gestation? Select all that apply.

1. Abundant lanugo on shoulders and back. 3. Flat areolae without palpable breast buds 4. Smooth, pink skin with visible veins.

A client admitted 3 days ago with upper gastrointestinal bleeding underwent an endoscopic procedure to stop the bleeding. The client is started on a clear liquid diet today. Which foods are appropriate for the nurse to offer the client. Select all that apply.

1. Apple juice 3. Chicken broth 5. Unsweetened tea

A client is diagnosed with right-sided Bell's palsy. What instructions should the nurse give this client for care at home? Select all that apply.

1. Apply a patch to the right eye at night. 3. Chew on the left side. 4. Maintain meticulous oral hygiene. - Bell's palsy is an inflammation of the cranial nerve VII (facial) that causes motor and sensory alterations. Clients are usually managed as outpatients, with corticosteroids to reduce inflammation, and taught eye/oral care. In Bell's palsy, the eyelids do not close properly. This may result in eye dryness and risk of corneal abrasions. However, weakness of teh lower eyelid may cause excessive tearing due to overflow in some clients. Facial muscle weakness results in poor chewing and food retention.

The nurse is caring for a postoperative client who has D5W/0.45% normal saline with 10 mEq potassium chloride infusing through a peripheral IV catheter. What are appropriate reasons for the nurse to change the site? Select all that apply.

1. Area around the insertion site feels cool to the touch 3. Edema is observed on the dependent side of the involved arm 5. Serous fluid leaks from the site despite secure connections

A home health nurse is managing care for an adolescent client with cystic fibrosis. Which of the following potential complications should the nurse consider when developing a nursing care plan? Select all that apply.

1. Chronic hypoxemia 3. Frequent respiratory infections 5. Vitamin deficiencies. - an inherited disorder characterized by thickened secretions due to impaired chloride and sodium channel regulation that causes exocrine gland dysfunction. Thickened secretions obstruct the release of pancreatic enzymes, causing malabsorption of fat-soluble vitamins A, E, D, K, and cause nutritional deficiencies. Causes frequent respiratory infections and sinusitis, inflammation damages lung tissues and lead to chronic hypoxemia, thickened reproductive secretions can lead to infertility

The most recent laboratory results for a 12-month-old who is HIV-positive show a CD4 lymphocyte count of 500/mm3 and a CD4 lymphocyte percentage of 10%. The nurse anticipates administering which immunizations? Select all that apply.

1. Haemophilus influenzae type b (Hib) 2. Hepatitis A (Hep A) 4. Pneumococcal conjugate vaccine (PCV) - Live vaccine preparations are contraindicated in the presence of marked immunosuppression, as determined by CD4 lymphocyte percentages and/or counts - A CD4 lymphocyte percentage <15% is considered to be severely immunocompromised. - Low CD4 counts are defined as <750/mm3 for infants 12 months or younger, <500/mm3 for children between age 1-5 years, and <200/mm3 for children age >5 years and adults.

A nurse is evaluating the fetal monitoring strip of a laboring primigravida at 38 weeks gestation who is receiving an oxytocin infusion and has external monitors and an intrauterine pressure catheter in place. Which of the following interventions should the nurse implement?

1. administer supplemental oxygen by mask. 2. Initiate an IV bolus of 0.9% saline 5. Stop the oxytocin infusion

Which of the following are violations of protected client health information? Select all that apply.

3. Nurse gives a pregnancy result to the client's partner without the client's permission. 4. Nurse tells the transporting tech that the client has breast cancer.

A laboring client weighing 187 lb is 5 cm dilated and having contractions every 20=-3 minutes. The client rates the pain at 7 out of 10. Nalbuphine hydrochloride 10 mg/70 kg IV push x 1 is prescribed by the health care provider. Nalbuphine hydrochloride 10 mg/1 mL is available. how many milliliters does the nurse administer?

1.2

Which client in the emergency department should the nurse see first?

2-year-old with fever and sore throat who is restless and drooling - acute epiglottitis is a supraglottic inflammatory process that occurs mostly in children with haemophius influenzae type b infection. can cause airway obstruction and is a medical emergency - symptoms: restlessness, stridor, drooling - prepare to assist with an emergent endotracheal intubation.

The nurse is evaluating a parent's understanding of home care management for a 2-week-old client after initial cast placement for treatment of congenital clubfoot. Which of the following statements by the parent indicated a correct understanding? Select all that apply.

2. "I will check my baby's toes several times a day to ensure that they are pin 4. "My baby will need to have a new cast applied weekly for 5-8 weeks." 5. "When I bathe or diaper my baby, I will be sure to keep the cast dry."

An infant is born with a cleft palate. Which actions will promote oral intake until the defect can be repaired. Select all that apply.

2. Burping the infant often. 3. Feeding in an upright position 5. Using a specialty bottle or nipple

The charge nurse is reviewing events that staff nurses experienced during the shift. Which events require an incident/occurrence report to be completed. Select all that apply.

2. Client with alcohol intoxication physically assaulted a nurse. 3. Serum troponin level was prescribed but never obtained. 5. Visitor fell and refused care in the emergency department.

The nurse provides teaching for the parents of a 6 year old client diagnosed with nocturnal enuresis. Which of the following instructions will the nurse include? Select all that apply.

2. Encourage the child to help change soiled pajamas and linens. 3. Prepare a calendar with the child for logging wet and dry nights. 5. Wake the child at a specified time each night to void.

While preparing to insert a peripheral IV line, the nurse notices scarring near the client's left axilla. The client confirms a history of left breast cancer and modified radical mastectomy. Which actions should the nurse take? Select all that apply.

2. Insert the IV line into the most distal site of the right arm. 3. Place an appropriate precaution sign above the bed. 4. Review the medical record for history of mastectomy.

A nurse is preparing to perform postmortem care on a client who recently died from metastatic cancer. No family members were present at the time of death. What interventions can be delegated to experienced unlicensed assistive personnel? Select all that apply.

2. Placing dentures in the client's mouth 3. Positioning a pillow beneath the client's head 4. transporting the client to the morgue 5. washing the client's body

There has been a community disaster with multiple victims. Stable clients must be released to make room for the victims. Which clients would the nurse recommend as stable for discharge? Select all that apply.

3. Asthma exacerbation with peak flow at 85% of personal best. 5. Myasthenia gravis with ptosis in the evening.

Which of the following are examples of medical battery? Select all that apply.

3. The nurse administers 2 mg of morphine PRN to a difficult, alert client but tells the client it is saline. 4. The nurse inserts a needed urinary catheter even though a competent client refuses it

The nurse is caring for a client who is prescribed ampicillin 1.5 g in 100 mL of normal saline IV to be administered over 30 minutes every 6 hours. The nurse has IV tubing with a drip factor of 15 gtt/mL. At what rate in drips per minute (gtt/min) should the nurse administer the IV ampicillin?

50 gtt/min (1.5 g ampicillin/dose)(100mL/1.5 g ampicillin)(dose/30 min)(15 gtt/mL)

`A nurse administers an intramuscular (IM) injection using the Z-track method technique. Place the steps in chronological order. All options must be used.

4. Pull the skin 1-1 1/2" (2.5-3.5 cm) laterally and away from the injection site. 3. Hold the skin taut with non-dominant hand and insert needle at a 90-degree angle. 2. Inject medication slowly with dominant hand while maintaining traction 6. Wait 10 seconds after injecting the medication and withdraw the needle. Release the hold on the skin, allowing the layers to slide back to their original position. 1. Apply gentle pressure at the injection site but do not massage.

A nurse working at a mental health clinic is reviewing four messages from clients requesting a same-day appointment. Which client does the nurse prioritize to call back first?

A client who is experiencing a fever and diarrhea 2 days after the health care provider increased the sertraline dose. - Symptoms of serotonin syndrome may include mental status changes, autonomic dysregulation, and neuromuscular hyperactivity.

All of these events are occurring at the same time. Which one should the registered nurse deal with first?

A visitor is seen lying on the hallway floor.

A client comes to the community mental health clinic seeking treatment for severe anxiety associated with a recent job promotion that requires a 30-minute commute via train. The nurse recognizes that this client most likely suffers from which psychological disorder?

Agoraphobia

The school nurse assesses an 8-year-old with a history of asthma. The nurse notes mild wheezing and coughing. Which action should the nurse perform first?

Assess the client's peak expiratory flow.

The nurse is caring for a client on a mechanical ventilator. The settings on the ventilator have just been changed, and the standing prescription is to draw arterial blood gases 30 minutes after a ventilator change. In anticipation of this blood draw, what intervention should the nurse implement?

Avoid suctioning the client.

The emergency department nurse performs an admission assessment for a client with priapism of about 3 hours duration who also has sickle cell anemia. What assessment finding is of most concern and warrants immediate notification of the health care provider?

Bluish discoloration of the erect penis. - priapism is a sustained, painful erection often associated with sickle cell anemia, as the sickling (crescent shaping) of red blood cells can lead to penile vascular occlusion, erectile tissue hypoxia, and tissue necrosis. Bluish discoloration is of most concern as it can be a sign of ischemia to the penis.

The nurse is reviewing laboratory results for several prenatal clients. Which finding is most important to report to the health care provider?

Client at 24 weeks gestation with hemoglobin of 9 g/dL (90 g/L) and hematocrit of 29% - during the second half of pregnancy, the fetus beings to store iron, depleting maternal stores. Hemoglobin <11 g/dL in the first or third trimester or <10.5 g/dL in the second trimester is considered low.

Which client assignment is most appropriate for the nurse on an orthopedic unit to assign to a float nurse from a general medical unit?

Client with a long leg cast applied yesterday morning to treat a fractured ankle.

The nurse receives report on 4 clients. Which client should the nurse assess first?

Client with a resistant bacterial infection receiving IV vancomycin who reports discomfort at the peripheral IV site. - Phlebitis is an inflammation of a vein. Common manifestations include pain, swelling, warmth at the site, and redness extending along the vein. Causes include irritating drugs (eg, vancomycin), catheter movement within the vein (eg, inadequate stabilization,) or bacteria (eg, poor aseptic technique). If signs of phlebitis are present, immediate removal of the catheter is necessary as phlebitis can lead to thrombophlebitis and emboli or a bloodstream infection.

Which emergency department client would be allowed to leave against medical advice after the risks are discussed with the primary health care provider?

Client with coffee-ground emesis from chronic use of high-dose aspirin. - Issues that can make a client ineligible to leave AMA include danger to self or others, lack of consciousness, altered consciousness, mental illness, being under chemical influence, or a court decision. Parents may not refuse life-, limb-, or organ- saving treatment on behalf of their minor child for religious or personal reasons: if the parents deny critical treatments to the child, the hospital may seek protective custody

A nurse in the emergency department assesses 4 clients. Based on the laboratory results, which client is the highest priority?

Client with dull headache, pulse oximeter reading 95%, and serum carboxyhemoglobin level 20% - Carbon monoxide is a toxic inhalant that enters the blood and binds more readily to hemoglobin than oxygen does. When hemoglobin is saturated with CO, the pulse oximeter reading is falsely normal as conventional devices detect saturated hemoglobin only and cannot differentiate between CO and oxygen. - s/s of carbon monoxide poisoning: headache, dizziness, fatigue, nausea, dyspnea - serum carboxyhemoglobin <5% in nonsmokers, <10% in smokers - administer 100% oxygen to increase the rate at which CO dissipates from the blood to prevent tissue hypoxia and severe hypoxemia.

The nurse on the medical-surgical unit receives report on assigned clients. Which client warrants immediate attention?

Client with epigastric pain after endoscopic retrograde cholangiopancreatography. - Perforation or irritation of these areas during the procedure can cause acute pancreatitis, a potentially life-threatening complication after an ERCP: s/s - acute epigastric or left upper quadrant pain, often radiating to the back, and a rapid rise in pancreatic enzymes (amylase. lipase)

The nurse receives report on 4 clients. Which client should the nurse asses first?

Client with pneumonia and asthma, who just received nebulized albuterol, now appears to be resting after a sudden decrease in wheezing. - a sudden decrease in wheezing may signal the development of silent chest, where airflow is rapidly reduced due to increased bronchial constriction. this scenario can quickly progress to status asthmaticus, respiratory failure, unconsciousness, and death.

The home health care nurse reviews the laboratory results for 4 clients. Which laboratory value is most important for the nurse to report to the health care provider?

Client with rheumatoid arthritis taking adalimumab has a WBC count of 14,000/mm3

A client with diabetes receiving peritoneal dialysis experiences chills and abdominal discomfort. The nurse assesses the client's abdomen by pressing firmly into the abdominal wall. The client experiences pain when the nurse quickly withdraws the hand. The client's most recent blood glucose level is r210 mg/dL (11.65 mmol/L). What is the priority action by the nurse?

Collect peritoneal fluid for culture and sensitivity.

The nurse reads a journal article about a study using a new pain management protocol for clients with terminal cancer. What should the nurse first consider in determining whether the protocol is appropriate to implement on the unit?

Do the characteristics of the sample population match those of the nurse's unit?

The nurse working on the inpatient psychiatric unit is preparing to administer 9:00AM medications to a client. The medication administration record is shown in the exhibit. On assessment, the client is tremulous, exhibits muscle rigidity, and has a temperature of 101.1 F (38.4 C). Which action should the nurse take?

Hold the haloperidol and notify the health care provider immediately. - neuroleptic malignant syndrome - a rare but potentially life-threatening reaction to antipsychotics like haloperidol or fluphenazine - fever, muscle rigidity, altered mental status, autonomic dysfunction like sweating, hypertension, tachycardia. - treatment is supportive

A child with cystic fibrosis is to receive a dose of pancrelipase at 12:00 Pm. The client states that he is not hungry and will eat his lunch an hour. Which action is appropriate for the nurse to take?

Hold the pancrelipase until the client eats.

The nurse observes a student nurse administer ear drops to an elderly client to help loosen cerumen. The nurse intervenes when the student performs which action?

Instills ear drops with dropper by occluding the ear canal.

The student nurse is performing an assessment of a 10-year-old diagnosed with attention-deficit hyperactivity disorder (ADHD). In addition to the 3 core symptoms of ADHD (hyperactivity, impulsiveness, and inattention), which of the following would the student nurse expect to find during the assessment?

Low self-esteem and impaired social skills.

Upon arrival in the post-anesthesia care unit, the nurse performs the initial assessment of a client who had surgery under general anesthesia. Which assessment finding prompts the nurse to notify the health care provider immediately?

Muscle stiffness. - Malignant hyperthermia is a rare, life-threatening inherited muscle abnormality that is triggered by certain drugs used to induce general anesthesia in susceptible clients. The triggering agent leads to excessive release of calcium from the muscles, leading to sustained muscle contraction and rigidity. It can occur in the operating room or in the post-anesthesia care unit.

A nurse in the intensive care unit is caring for a client in the immediate postoperative period following abdominal surgery. The nurse receives several prescriptions. Which prescription should the nurse initiate first? Click on the exhibit button for additional information.

Normal saline 2 L via rapid IV bolus.

The nurse is caring for a debilitated client with a percutaneous endoscopic gastrostomy (PEG) tube that was inserted 3 days ago for the long-term administration of enteral feedings and medications . While the nurse is preparing to administer the feeding, the tube becomes dislodged. What is the most appropriate intervention?

Notify the health care provider who inserted PEG tube.

The spouse brings a client to the emergency department due to erratic behavior and expressions of despair. The emergency department is extremely busy with many clients. When the triage nurse asks if the client feels suicidal now, the client shrugs the shoulders. What initial action should the triage nurse take?

Place the client in an inside hallway with one-on-one observation.

The school nurse evaluates a 9-year-old who is sweating, trembling, and pale. The client has type 1 diabetes managed with insulin glargine and NPH. What is the most appropriate action by the nurse?

Provide 4 oz (120 mL) of a regular soft drink.

A housekeeping employee tells the staff nurse of having a headache and asks for acetaminophen. How should the nurse respond?

Refer employee to the employee health provider.

A home health care nurse is teaching the spouse of an elderly client who experienced a stroke ways of reducing risks for falls in the home. Which suggestion by the spouse would be the most effective plan to prevent falls?

Remove all area rugs and install grab bars in the bathroom.

The nurse attempts to flush a client's subclavian vein central venous access device with normal saline using a 10-mL syringe, but meets resistance, is unable to aspirate blood, and suspects an occlusion. What should the nurse do next?

Reposition the client.

The health care provider (HCP) prescribes a 10-day course of amoxicillin for a 1-year-old diagnosed with acute otitis media (AOM). Which instruction is most important for the nurse to review with the child's parents?

Return to the office if the child does not improve within 48-72 hours.

The nurse is caring for a client who has homonymous hemianopsia following an acute stroke. Which nursing diagnosis is the most appropriate for this client?

Risk for self-neglect. - left hemifield loss in both eyes.

The nurse is providing care for a client with Alzheimer disease who often becomes angry and agitated 20 minutes or more after eating. The client accuses the nurse of not providing food, saying, "I'm hungry. You didn't feed me." The nurse should take which action?

Serve the client half of the meal initially and offer the other half later.

A client with right-sided weakness becomes dizzy, loses balance, and begins to fall while the nurse is assisting with ambulation. Which nursing actions would best prevent injury to the client and nurse while guiding the client to a horizontal position on the floor?

Step slightly behind client with feet apart, extend one leg, and let client slide against it to the floor.

A newly reassigned nurse enters a hospital room at the beginning of the shift and finds the client unconscious and unresponsive. Resuscitation is initiated and then continued by the rapid response team. The nurse realizes that there is a do not resuscitate (DNR) prescription posted in the client's chart. Which action is correct?

Stop all resuscitation activity immediately.

The nurse is preparing to administer a scheduled dose of metoclopramide IV to a client with diabetic gastroparesis. Which clinical finding causes the nurse to question the prescription?

Sucking lip motions. - Metoclopramide is a commonly used antiemetic medication that treats nausea, vomiting, and gastroparesis by increasing gastrointestinal motility and promoting stomach emptying. With extended use and/or high doses, metoclopramide may lead to the development of tardive dyskinesia, a movement disorder that is characterized by uncontrollable motions and is often irreversible.

The nurse is caring for a 1-day-old client at term gestation who is irritable, feeding poorly, and only sleeping for very short intervals. The newborn's mother informs the nurse that she has been taking hydrocodone on a regular basis for several years. Which intervention is appropriate to include in the newborn's plan of care?

Swaddle and gently rock the newborn.

When triaging 4 pregnant clients in the obstetric clinic, the nurse should alert the health care provider to see which client first?

Third-trimester client with right upper quadrant pain and nausea. - Right upper quadrant or epigastric pain can be an indicator of HELLP syndrome, a severe form of preeclampsia. HELLP syndrome (Hemolysis, Elevated Liver enzymes, and Low Platelet count) is often mistaken for viral gastroenteritis due to its variable and nonspecific presentation. - misdiagnosis may lead to placental abruption, liver failure, stroke, and/or maternal/fetal death.

The nurse is monitoring a client who is 6 cm dilated with recurrent variable decelerations on the fetal heart rate monitor. The health care provider (HCP) places an intrauterine pressure catheter and prescribes an amnioinfusion. After the amnioinfusion bolus is complete, which assessment finding should the nurse report to the HCP immediately? Click the exhibit button for additional information.

Uterine resting tone baseline has increased to 45 mm Hg and perineal pads are dry - Amnioinfusion is a transvaginal infusion of isotonic fluids through an intrauterine pressure catheter to compensate for ow amniotic fluid in the uterus. During labor, an amnioinfusion is indicated to relieve persistent, recurrent variable decelerations caused by umbilical cord compression. - a potential complication is uterine overdistention due to infusion of too much fluid. - if uterine resting tone is elevated and minimal to absent fluid return is noted, the nurse should pause the infusion and notify the HCP