A client at 28 weeks' gestation reports uterine contractions every 10 minutes. What is the priority nursing action?

Questions 47

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Maternal Newborn Nclex Practice Questions Questions

Question 1 of 9

A client at 28 weeks' gestation reports uterine contractions every 10 minutes. What is the priority nursing action?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 2 of 9

A 17-year-old patient receives emergency contraception in a clinic. What is the priority nursing education for this patient at this time?

Correct Answer: A

Rationale: The patient should be informed that emergency contraception is a temporary measure and they need a long-term contraceptive plan. Choice B, while important for overall sexual health, is not the priority immediately after administering emergency contraception. Choice C is not necessary unless there are complications or a follow-up consultation is needed. Choice D about drinking fluids is unnecessary and not specific to the effectiveness of emergency contraception.

Question 3 of 9

The nurse is caring for a client whose labor is being augmented with Pitocin. He or she recognizes that Pitocin should be stopped immediately if there is evidence of what?

Correct Answer: A

Rationale: Pitocin is a medication commonly used to induce or augment labor by stimulating uterine contractions. It is critical for the nurse to monitor the client closely for potential adverse effects. Fetal distress is a serious concern when Pitocin is being administered. A fetal heart rate of 180 beats per minute without variability may indicate fetal distress due to uteroplacental insufficiency. This is a sign of fetal hypoxia and warrants immediate intervention, including stopping the infusion of Pitocin, repositioning the mother, administering oxygen, and notifying the healthcare provider. It is crucial for the nurse to act promptly to ensure the safety and well-being of both the fetus and the mother.

Question 4 of 9

The nurse is assessing a client in the third trimester who reports headaches and blurred vision. What is the priority nursing action?

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 5 of 9

What is a common risk factor for breast cancer? Select all that apply.

Correct Answer: A,B,C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 6 of 9

The nurse is caring for a client with gestational diabetes. What complication should the nurse monitor for during labor?

Correct Answer: B

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 7 of 9

The nurse is preparing a client for induction of labor. What is the primary purpose of administering oxytocin?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 8 of 9

The nurse is caring for a client who just had a cesarean delivery. What is the priority nursing action?

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Question 9 of 9

Which postpartum client requires further assessment?

Correct Answer: C

Rationale: The postpartum client who requires further assessment is the G4P4 who had 4 saturated pads during the last 12 hours. This indicates excessive postpartum bleeding, which is abnormal and could potentially be a sign of postpartum hemorrhage. It is crucial to closely monitor and assess the client's vital signs, uterine tone, and overall well-being to prevent any complications related to excessive bleeding. Prompt intervention and medical attention may be necessary to address the postpartum hemorrhage and ensure the client's safety and well-being.

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