NEW
Font size
WorksheetsMCHN and VS
Total questions: 15
Worksheet time: 8mins
A nurse is discussing fetal heart monitoring with nursing students. Which of the following statements should the nurse include?
Count the fetal heart rate for 15 seconds to determine the baseline.
Auscultate the fetal heart rate immediately following the rupture of membranes.
Count the fetal heart rate during a contraction to determine the baseline.
Auscultate the fetal heart rate every 30 minutes during the second stage of labor.
A nurse is caring for a client who is in labor and is experiencing late decelerations in the FHR. Which of the following actions should the nurse take first?
Assist the client into the left lateral position.
Apply oxygen at 10L/min via a nonrebreather face mask.
Increase the rate of the maintenance IV fluid.
Prepare the client for a vaginal exam.
A nurse in the Labor & Delivery unit is assisting with the care of a client in labor and applies an external fetal monitor. the FHR is 140/min and 30 to 40 seconds in duration. The RN performs a vaginal exam and finds the cervix is 2cm. dilated and 50% effaced. The fetus is at -2 station. Which of the phases of labor is the client experiencing?
First stage, latent phase
First stage, active phase
First stage, transition phase
Second stage of labor
While walking in the halls of the birthing unit, a client experiences a large gush of fluid from her vagina. Which of the following actions should the nurse take first?
Check the amniotic fluid for meconium.
Monitor FHR for fetal distress.
Dry the client and make her comfortable.
Monitor uterine contractions.
Your laboring client is gravida 1 para 0 and experiencing contractions every 5 minutes and becoming stronger. A vaginal exam reveals that the client is 3 cm dilated, 50% effaced and -2 station. The client asks for pain medication. Which of the following actions should the nurse take? (Select all that apply)
Discourage patterned breathing.
Insert an indwelling urinary catheter.
Administer opoid analgesic medication.
Provide ice chips
The mechanism of labor during which the presenting part of the fetus is measured by station during a vaginal exam at either minus (-)station, 0 station or plus (+) station is:
Engagement
Descent
Flexion
Extension
Which of the following characteristics would indicate false labor?
The presenting part of the fetus is engaged in the pelvis.
Walking increases the intensity of the contraction.
The contractions are becoming more frequent, stronger and lasting longer.
There is no significant change in cervical effacement and dilation.
To determine the frequency of uterine contractions, the nurse should note the time from the :
beginning to end of the same contraction.
end of one contraction to the beginning of the next contraction.
beginning of one contraction to the beginning of the next contraction.
contraction's peak until the contraction begins to relax.
Which of the following is considered in most health care agencies as the 5th vital sign?
Blood Pressure
Pain
Pulse
Temperature
Which of the following is the normal range for pulse?
60-100
80-100
12-20
60-80
What is the normal range for systolic blood pressure?
100-140
90-110
100-120
60-80
Which of the following is the normal rang for diastolic blood pressure?
100-140
100-120
60-80
60-100
Which of the of the following measurements would you immediately report to the nurse?
Blood Pressure: 112/36
Pulse: 98
Respirations: 18
Pulse Ox: 100%
Mrs. McFlurry tells you she is having difficulty breathing. Which of the following vital signs should the nurse aide measure:
Respirations
SPO2
Pulse
All the Above
When assessing Mrs. Jefferson's pain level, she tells you that her pain is 8/10. What should the nurse aide do next?
Tell the nurse.
Give Mrs. Jefferson her prescribed pain medication.
Ask Mrs. Jefferson where is the location of the pain.
Ask Mrs. Jefferson why she is in pain.
![REVISION 4 : TOPIC 9 [ACCOUNTING FOR NON-CURRENT ASSETS]](https://cf.quizizz.com/image/image-loader.svg)
