Questions 42

NCLEX-RN

NCLEX-RN Test Bank

Female Reproductive System NCLEX RN Questions Questions

Extract:

The following scenario applies to the next 1 items
The nurse cares for a primigravida in labor.
Item 1 of 1
Nurses’ Note
1940: The client is alert and fully oriented. The client is talkative and has an anxious affect. Cervical dilation of 6 cm with 100% effacement. No vaginal discharge was noted. Contractions are noted every 2-3 minutes, lasting 40-60 seconds with moderate intensity.

Fetal Heart Rate
Continuous fetal heart monitoring (FHR): 130-145/minute with normal variability.


Vital Signs
• Oral Temperature 98o F (37o C)
• Heart rate 84/minute
• Respirations 20/minute
• Blood pressure 131/72 mm Hg
• Oxygen saturation 95% on room air


Question 1 of 5

The nurse reviews the client's clinical data. Drag a word from the choices below to complete the sentence. Based on the clinical data, the client is in the ___ stage of labor. Specifically, the ___ phase.

Correct Answer: A, F

Rationale: Cervical dilation of 6 cm with 100% effacement and frequent contractions indicate the first stage of labor, active phase.

Extract:


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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