1)While reviewing a client’s chart, the nurse observes the following documentation: 4/50/-1. How should the nurse interpret these findings?
Question Answered step-by-step 1) While reviewing a client’s chart, the nurse observes the followingdocumentation: 4/50/-1. How should the nurse interpret these findings? a)Maternal cervix is effaced 4cm and effaced 50% and the fetal head is 1cm above the ischial spines b) Maternal cervix is dialated 4cm and is 50% effaced and the fetus is 1 cm below the ischial spinesc) Maternal cervix is dialated 4cm and is 50% effaced and the fetus is 1 cm above the ischial spinesd) Maternal cervix is effaced 4cm and effaced 50% and the fetal head is 1cm below the ischial spines 2) An Adult Client is at the first prenatal office visit. Which diagnostic assessments will the primary health care provider use to confirm a positive pregnancy? Select all that applies. a) Auscultation of fetal heartbeatb) Palpation of fetal outlinec) positive human chronic grownth (HcG) hormone pregnancy testd) verification of fetal movement by an experienced examinere) visualization of the fetus via US 3) A nurse is caring for a low-risk client at 22 weeks gestation. When would the nurse instruct the client to return to the prenatal clinic? a) 6 weeksb) 4 weeksc) 2 weeksd) 1 week 8) A nurse is reviewing the fetal heart tracing of a client in labor. The nurse notes a sudden drop of the fetal heart rate from 130 to 70 beats per minute with a quick return to a normal baseline rate. This is indicative of which condition? a) fetal head compressionb) fetal hypoxiac) umblical cord compressiond) uteroplacement insufficiency 9) A nurse is caring for a client at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client’s umbilicus at midline. The nurse should suspect that the fetus is in which position? a) cephalic)posteriord) Breechb) transverse 10) Which complaint made by a client at 35 weeks of gestation requires additional assessment? a) shortness of breath when climbing stairsb) abdominal pain when walking 11) A nurse is reviewing the fetal heart tracing of a client in labor. The nurse notes that the fetal heart rate slowly decreases after the contraction starts and returns to baseline well after the contraction ends. Which nursing action(s) should the nurse implement immediately? [ select all that apply 12) A 42 year old client is six weeks pregnant and has requested genetic testing. During the counseling session, the client asks the nurse about the advantage of chronic villus sampling (cvs) compared to amniocentesis. What is the nurse’s best response?a) cvs can be done earlier in your pregnancyb) cvs is a safer procedure for you and the babyc)cvs does not require more information than amniocentesisd) cvs does not require anesthesia, but an amniocentesis does 14) A pregnant client at 34 weeks gestation is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions. The nurse determines that she is experiencing Braxton Hicks contractions . On the basis of this finding, which nursing action is most appropriate? a) contact the primary health care provider and report her concernsb) instruct the client t maintain bed rest for the remainder of the pregnancyc) inform the client that these contractions are common and may occur through the end of the pregnancyd) call the maternity unit to inform them the client will be admitted for treatment of preterm labor conditions Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
