Which assessment finding indicates a complication

Question 1 of 5

Which assessment finding indicates a complication in a client attempting a VBAC?

A. Complaint of pain between the scapula (could be uterine B. C. Contraction every 3 minutes lasting 70 seconds D. Pain level 6 at acme of

Correct Answer: C

Rationale: A client attempting a Vaginal Birth After Cesarean (VBAC) is at higher risk for uterine rupture. A concerning assessment finding in this scenario would be the occurrence of contractions every 3 minutes that are lasting 70 seconds. This pattern of contractions could potentially indicate uterine hyperstimulation, which increases the risk of uterine rupture. It is essential to closely monitor these contractions and address any signs of distress or complications promptly to ensure the safety of both the mother and the baby.

Question 2 of 5

Which of the following actions is appropriate for the nurse to take regarding a 9-year-old girl diagnosed with gonorrhea?

A. Notify the physician so the child can be admitted to the hospital. B. Discuss with the girl the need to stop future sexual encounters. C. Question the mother about her daughter's menstrual history. D. Report the girl's medical findings to child protective services.

Correct Answer: D

Rationale: Gonorrhea in a 9-year-old girl is highly suggestive of sexual abuse, which requires reporting to child protective services.

Question 3 of 5

During the assessment of a newborn, it is most important for the nurse to report a:

A. Temperature of 97.7 degrees Fahrenheit B. Pale pink, rust-colored stain in the diaper C. Heart rate that drops to 120 beats/min D. Breathing pattern that is diaphragmatic with sternal retractions

Correct Answer: D

Rationale: Sternal retractions indicate respiratory difficulty.

Question 4 of 5

What advice should the nurse give if a woman forgets to take a low-dose combination birth control pill?

A. Take it as soon as she remembers, even if that means taking two pills in one day. B. Skip that pill and refrain from intercourse for the remainder of the month. C. Wear a pad for the next week because she will experience vaginal bleeding. D. Take an at-home pregnancy test at the end of the month to check for a pregnancy.

Correct Answer: A

Rationale: Taking the missed pill promptly minimizes contraceptive failure.

Question 5 of 5

Which data must the nurse consider before administering Depo-Provera (medroxyprogesterone acetate) to a postpartum client?

A. The capsule must be taken at the same time each day. B. The client must be taught to use sunscreen whenever in the sunlight. C. The medicine is contraindicated if the woman has lung or esophageal cancer. D. The client must use an alternate form of birth control for the first two months.

Correct Answer: C

Rationale: Medroxyprogesterone acetate is contraindicated in women with certain cancers.

Which assessment finding indicates a complication in a client attempting a VBAC?

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