LS 2 Nursing Questions

LS 2 Nursing Questions

LS 2 Nursing Questions

The nurse observes that a newborn pauses for 5 to 15 seconds between some breaths. There is no change in skin color. The nurse realizes that

a. this is normal, periodic breathing
b. this breathing is expected with motor activity
c. such breathing is expected during deep sleep
d. the infant is experiencing apnea

The nurse determines the fundus of a postpartum client to be boggy. Initially, the nurse should

a. call the physician immediately
b. document the findings
c. massage gently and reassess
d. catheterize the patient

If administered with 2 to 4 hours before birth, an intramuscular narcotic analgesic may

a. prevent the need for an episiotomy.
b. enhance the birth process.
c. serve the same purpose as preoperative sedation.
d. result in neonatal respiratory distress.

A nurse is caring for a client who received a spinal block for a cesarean birth. The client asks the nurse when she can get up to go to the nursery. The nurse’s best response is: “You will need to remain in bed for at least __________.”?
a. 3–4 hours
b. 6–12 hours
c. 24 hours
d. 1–2 hours

A woman is about a week from delivery. Her prepregnant blood pressure range was between 110/72 and 120/80. The nurse takes her blood pressure at her prenatal visit and obtains a reading of 120/80. Recalling the normal changes in blood pressure during pregnancy, the nurse knows that this reading is

a. normal for this client.
b. dangerously high.
c. lower than one would expect.
d. too high, but not dangerous.

LS 2 Nursing Questions

The nurse is caring for a laboring client who is scheduled for an epidural block. What action prior to the epidural placement would decrease the chance of maternal hypotension?

a. Administer oxygen at 5 L per minute.
b. Reposition the client every hour.
c. Infuse an IV bolus of 500–1000 mL of normal saline.
d. Monitor maternal vital signs.

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A laboring client complains of nausea, vomiting, and increasing rectal pressure. She states, “I can’t take this anymore.” The nurse correctly assesses that this client is in which phase of labor?

a. Second stage
b. Latent
c. Active
d. Transition

Which of the following behaviors would the nurse assess further if noted in the postpartum client

a. numerous friends visit the client and give her advice
b. responds hesistantly to infant cries
c. talks incessantly to the baby
d. satisfaction is expressed about the sex of the baby

A nurse is receiving a report on four clients in the birthing center. Which client should the nurse anticipate giving birth first?

a. G1P0, 4 cm dilated, and 80% effaced
b. G6P0, 6 cm dilated, and 50% effaced
c. G5P4, 5 cm dilated, and 40% effaced
d. G2P1, 5 cm dilated, and 40% efface

When a client’s membranes rupture during labor, the nurse should first:

a. check the fetal heart rate.
b. chart the appearance of the fluid.
c. position the woman on her left side.
d. change the perineal pad