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Question 1 of 5

As the client reaches 8cm dilation, the nurse notes a pattern on the fetal monitor that shows a drop in the fetal heart rate of 30 bpm beginning at the peak of the contraction and ending at the end of the contraction. The FHR baseline is 165-175 bpm with variability of 0-2 bpm. What is the most likely explanation of this pattern?

Correct Answer: D

Rationale: Late decelerations (FHR drop at contraction peak) with minimal variability suggest uteroplacental insufficiency, impairing fetal oxygenation.

Question 2 of 5

The nurse is caring for a patient with suspected diverticulitis. The nurse would be most prudent in questioning which of the following diagnostic tests?

Correct Answer: B

Rationale: A barium enema is contraindicated in acute diverticulitis due to the risk of perforation and peritonitis.

Question 3 of 5

In terms of cognitive development, a 2-year-old would be expected to:

Correct Answer: B

Rationale: A 2-year-old engages in magical thinking, believing their thoughts or actions can influence events, typical of their egocentric developmental stage.

Question 4 of 5

Which action by the novice nurse indicates a need for further teaching?

Correct Answer: A

Rationale: Failing to wear gloves violates infection control standards.

Question 5 of 5

A client with HELLP syndrome is admitted to the labor and delivery unit for observation. The nurse knows that the client will have elevated:

Correct Answer: B

Rationale: HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets) is characterized by elevated liver enzymes, indicating liver dysfunction, along with hemolysis and low platelet counts.

Similar Questions

When performing Leopold maneuvers on a client at 32 weeks gestation, the nurse would expect to find:
The nurse is in the medication room drawing up insulin for a client when a code blue is called. In his haste to respond to the call, the nurse places the syringe of insulin on the counter and responds to the code. Afterward, the nurse returns to the medication room and retrieves the syringe of insulin. Which action by the nurse is correct?
The nurse is caring for a client with a history of chronic renal failure who is receiving hemodialysis. Which of the following findings would indicate a complication of dialysis?
During her yearly exam, a woman's blood pressure is recorded as 146/90. She tells the nurse that her mother and grandmother had hypertension, so it likely runs in her family. Which of the following is the nurse's best response?
A client is admitted to the labor and delivery unit complaining of vaginal bleeding with very little discomfort. The nurse's first action should be to:

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