How often should the nurse assess the fetal heart using intermittent auscultation?

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Comfort Measures During Labor and Delivery Questions

Question 1 of 5

How often should the nurse assess the fetal heart using intermittent auscultation?

A. After every contraction B. For 10 minutes every half hour C. Periodically during the peak of contractions D. For 1 minute immediately after contractions

Correct Answer: D

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

Question 2 of 5

What finding positively confirms that a client is in labor?

A. She is contracting q 5 min Ã— 60 sec. B. Her cervix has dilated from 2 to 4 cm. C. Her membranes have ruptured. D. The fetal head is engaged.

Correct Answer: B

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

Question 3 of 5

What client statement indicates she is likely in labor?

A. At 5:00 p.m., contractions were 5 minutes apart; now they're 7 minutes apart.' B. I took a walk at 5:00 p.m., and now I talk through contractions easier.' C. I took a shower, and contractions hurt more since finishing.' D. I had tightening late afternoon and still feel it after a nap.'

Correct Answer: C

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

Question 4 of 5

What can the nurse say upon seeing the fetal head through the vaginal introitus?

A. The baby's head is engaged.' B. The baby is floating.' C. The baby is at the ischial spines.' D. The baby is almost crowning.'

Correct Answer: D

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

Question 5 of 5

A client who is at 8 weeks of gestation tells the nurse, 'I am not sure I am happy about being pregnant.' Which response should the nurse make?

A. I will inform the provider that you are having these feelings.' B. It is normal to have these feelings during the first few months of pregnancy.' C. You should be happy that you are going to bring new life into this world.' D. I am going to make an appointment with the counselor for you to discuss these thoughts.'

Correct Answer: B

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

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