Maternal NCLEX Practice Questions | Nurselytic

Questions 49

NCLEX-PN

NCLEX-PN Test Bank

Maternal NCLEX Practice Questions Questions

Extract:


Question 1 of 5

The nurse is caring for the pregnant client whose FHR tracing reveals a reduction in variability over the last 40 minutes. The client has had occasional decelerations after the onset of a contraction that did not resolve until the contraction was over. The client suddenly has a prolonged deceleration that does not resolve, and the nurse immediately intervenes by calling for assistance. Place the nurse’s interventions in the sequence that they should occur.

Order the Items

Source Container

Administer oxygen via facemask
Have the HCP paged if the prolonged decelerations have not resolved.
Place an indwelling urinary catheter in anticipation of emergency cesarean birth if the heart rate remains low.
Increase the rate of the intravenous (IV) fluids
Assist the client into a different position
Prepare for a vaginal examination and fetal scalp stimulation

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

Rationale: Assist the client into a different position should be first. Repositioning is an attempt to increase the FHR in case of cord obstruction. Administer oxygen via facemask is next to increase oxygenation to the fetus. Increase the rate of the IV fluids next to treat possible hypotension, the most common cause of fetal bradycardia. Have the HCP paged if the prolonged decelerations have not resolved. The immediate focus should be on attempting to relieve the prolonged decelerations. Prepare for a vaginal examination and fetal scalp stimulation. This is performed to rule out cord prolapse and to provide stimulation to the fetal head. Place an indwelling urinary catheter in anticipation of emergency cesarean birth if the HR remains low.

Question 2 of 5

Correct Answer:

Rationale:

Question 3 of 5

Correct Answer:

Rationale:

Question 4 of 5

Correct Answer:

Rationale:

Question 5 of 5

Correct Answer:

Rationale:

Similar Questions

Access More Questions!

NCLEX PN Basic


$89/ 30 days

 

NCLEX PN Premium


$150/ 90 days