Maternal NCLEX Questions | Nurselytic

Questions 49

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Maternal NCLEX Questions Questions

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Question 1 of 5

The nurse is caring for the client with a grade 3 placental abruption. Prioritize the prescribed interventions that the nurse should implement.

Order the Items

Source Container

Obtain serum blood draw for clotting disorders
Administer 1 unit whole blood
Start oxygen at 2—4 liters per nasal cannula
Administer lactated Ringer’s at 200 mL/hr
Prepare for cesarean delivery if fetal distress
Continuous external fetal monitoring

Correct Answer: C,D,F,A,B,E

Rationale: Start oxygen at 2—4 liters per nasal cannula is priority to maximize fetal oxygenation. Administer lactated Ringer’s at 200 mL/hr to treat hypovolemia, increase blood flow, and maximize oxygenation. Continuous external fetal monitoring should be performed to identify fetal distress early. Obtain serum blood draw for clotting disorders, specifically DIC. Administer 1 unit whole blood is next and will depend on the amount of blood loss. Prepare for cesarean delivery if fetal distress would be last because it would depend on the client and fetal status.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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