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Question 1 of 5

Which stage of labor lasts from delivery of the baby to delivery of the placenta?

Correct Answer: B

Rationale: This stage is from complete dilatation of the cervix to delivery of the fetus. This is the correct stage for the definition. This stage lasts for about 2 hours after the delivery of the placenta. There is no fifth stage of labor.

Question 2 of 5

The amniocentesis reveals that the patient has a high AFP level. The nurse is aware that a high level of AFP is associated with which of the following?

Correct Answer: A

Rationale: High alpha-fetoprotein (AFP) levels in amniotic fluid are associated with neural tube defects such as myelomeningocele (a type of spina bifida). Esophageal atresia omphalocele and Trisomy 21 (Down syndrome) are not typically associated with elevated AFP levels.

Question 3 of 5

A female client with major depression stated that 'life is hopeless and not worth living.' The nurse should place highest priority on which of the following questions?

Correct Answer: B

Rationale: Maintenance of the client's life is the priority; assessment of suicidal intent is imperative.

Question 4 of 5

A 54-year-old client is admitted to the hospital with a possible gastric ulcer. He is a heavy smoker. When discussing his smoking habits with him, the nurse should advise him to:

Correct Answer: C

Rationale: Smoking on a full stomach minimizes nicotine's effect on gastric acid, reducing ulcer irritation. Other options still stimulate gastric acid secretion.

Question 5 of 5

A post-operative client has an order for Demerol (meperidine) 75 mg and Phenergan (promethazine) 25 mg IM every 3-4 hours as needed for pain. The combination of the two medications produces a/an:

Correct Answer: B

Rationale: Meperidine (opioid) and promethazine (antihistamine) together produce a synergistic effect, enhancing pain relief and sedation. Promethazine potentiates meperidine’s effects.

Similar Questions

A female client at 36 weeks' gestation is experiencing preterm labor. Her physician has prescribed two doses of betamethasone 12 mg IM q24h. The nurse explains that she is receiving this drug to:
The nurse is caring for a client with a history of bipolar disorder. Which medication is most likely to be prescribed for mood stabilization?
The client is admitted to the emergency room with shortness of breath, anxiety, and tachycardia. His ECG reveals atrial fibrillation with a ventricular response rate of 130 beats per minute. The doctor orders quinidine sulfate. While he is receiving quinidine, the nurse should monitor his ECG for:
The physician orders the removal of an in-dwelling catheter the second post-operative day for a client with a prostatectomy. The client complains of pain and dribbling of urine the first time he voids. The nurse should tell the client that:
A 9-month-old infant is being examined in the general pediatric clinic for a routine well-child checkup. His immunizations are up to date, and his mother reports that he has had no significant illnesses or injuries. Which of the following signs would lead the nurse to believe that he has had a cerebral injury?

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