The health care practitioner orders the following medication for a laboring client: Stadol 0.5 mg IV stat for pain. The drug is on hand in the following concentration: Stadol 2 mg/mL. How many mL of medication will the nurse administer?

Correct Answer: A

Rationale: To calculate the amount of medication to administer, we can use the formula: Dose prescribed (mg) / Concentration on hand (mg/mL) = Volume to administer (mL) In this case, the dose prescribed is 0.5 mg and the concentration on hand is 2 mg/mL. So, 0.5 mg / 2 mg/mL = 0.25 mL. Therefore, the nurse will administer 0.25 mL of Stadol to the laboring client. Choice B, C, and D are marked as N/A because they do not have any relevance to the question. The correct answer is based on the calculation of the dose prescribed and the concentration on hand, which results in 0.25 mL. Choice B, C, and D are incorrect because they do not provide a valid answer to the question. Only choice A provides a clear and accurate calculation based on the information given in the question.

Correct Answer: A

Rationale: A: After all vaginal exams Assessing the fetal heart rate after all vaginal exams is crucial during labor because these exams can potentially cause changes in the fetal heart rate. Vaginal exams can stimulate the cervix and cause temporary changes in the baby's heart rate. Therefore, it is important to monitor the fetal heart rate immediately after these exams to ensure the baby's well-being. B: Before giving the mother any analgesics While it is important to monitor the fetal heart rate before giving the mother any analgesics, this is not the most critical time for assessment. Analgesics may affect the mother's pain perception and level of consciousness but do not directly impact the fetal heart rate. Monitoring the fetal heart rate after vaginal exams is more critical to ensure immediate safety. C: Periodically at the end of a contraction Monitoring the fetal heart rate periodically at the end of a contraction is important for assessing the baby's response to uterine contractions. However, this alone may not provide a comprehensive picture of the baby's well-being throughout labor. Assessing the fetal heart rate after all vaginal exams allows for immediate detection of any changes that may impact the baby's health. D: Every 1 hour during the latent phase of a low-risk labor Monitoring the fetal heart rate every hour during the latent phase of a low-risk labor is a good practice to ensure the baby's well-being over time. However, waiting for an hour between assessments may miss critical changes that can occur suddenly, especially after vaginal exams. Immediate assessment after vaginal exams is crucial for timely interventions if needed.

Correct Answer: B

Rationale: When the nurse palpates the buttocks above the spines, she is feeling for the fetal back, which indicates the fetal position. In this scenario, the correct answer is B: LSP with presenting part at -1 station. A: LOA with presenting part at -1 station is incorrect because LOA stands for Left Occiput Anterior, which means the back of the baby's head is facing towards the mother's left side. However, feeling the buttocks above the spines suggests the back is on the mother's right side, ruling out LOA. C: LMP with presenting part at +1 station is incorrect because LMP stands for Left Mentoposterior, which means the baby's face is facing towards the mother's left side. Palpating the buttocks above the spines indicates the back is on the right side, ruling out LMP. D: LSA with presenting part at +1 station is incorrect because LSA stands for Left Sacrum Anterior, which means the baby's sacrum is facing towards the mother's left side. Palpating the buttocks above the spines suggests the back is on the mother's right side, ruling out LSA. In summary, the correct answer is B: LSP with presenting part at -1 station because the nurse is feeling the buttocks above the spines, indicating the fetal back is on the mother's right side, and the presenting part is at -1 station.

Correct Answer: D

Rationale: In the second stage of labor, the cervix is fully dilated and effaced to allow for the baby to descend through the birth canal. Choice A and B are both incorrect because they indicate that the cervix is not fully effaced or dilated, which is characteristic of the first stage of labor. Choice C is also incorrect because it states that the cervix is fully dilated but not effaced. In reality, the cervix needs to be both fully dilated and effaced in order for the baby to pass through. Choice D is the correct answer because it accurately describes the second stage of labor. The cervix is fully dilated and effaced, and the baby is low enough to be visible or felt during a vaginal examination. This stage typically involves active pushing and the eventual birth of the baby.

Correct Answer: C

Rationale: Using visual aids is an effective strategy for teaching teens about childbirth because it helps to engage them and make the information more relatable and understandable. Visual aids such as diagrams, charts, and videos can help teens visualize the process of childbirth, understand the changes happening in the body, and grasp the mechanics of labor and delivery. This visual representation can make a complex topic more digestible for teens who may not have much prior knowledge or experience with childbirth. Including all relevant information (Choice A) is important, but simply bombarding teens with information may overwhelm them and make it harder for them to retain key concepts. Focusing solely on baby care (Choice B) is also important, but teens need to understand the entire process of childbirth to appreciate the responsibilities and challenges that come with caring for a newborn. Conducting classes at school (Choice D) may be convenient for some teens, but it does not necessarily enhance the effectiveness of the teaching strategy. In conclusion, using visual aids is the most effective strategy for teaching teens about childbirth because it helps to engage them, make the information more understandable, and facilitate better retention of essential concepts.