Question

A nurse is reinforcing teaching with a client who is in labor about why epidural anesthesia is not initiated until a good labor pattern has been established. Which of the following explanations should the nurse include?

Answer 1

Correct Answers:

"Given too soon, epidural anesthesia can prolong labor.".

Rationale :

🟢 Epidural anesthesia can slow uterine contractions if started before active labor is established.

🟢 Early use may decrease maternal urge to push and diminish contraction strength.

🟢 Waiting ensures effective labor progress before pain control is maximized.

🟢 Prolonged labor increases risk for interventions like cesarean birth.

🟢 Nurses reinforce the importance of timing for optimal outcomes.

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Answer 2

Correct Answers:

Cover the client with warm blankets.

Rationale :

🔷 Chills postpartum are common due to fluid shifts and body regulation.

🔷 Warm blankets provide comfort and help stabilize temperature.

🔷 Determining temperature is important, but warmth relieves non-infectious chills immediately.

🔷 No seizure risk unless other neuro symptoms present.

🔷 Routine comfort measures are often sufficient.

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Answer 3

Correct Answers:

"You must be feeling very scared.".

Rationale :

🟡 Empathy acknowledges the client’s fear, opening communication.

🟡 Therapeutic responses address emotions, not just facts.

🟡 Dismissing or providing false reassurance is not supportive.

🟡 Emotional support reduces anxiety and builds trust.

🟡 Validating feelings is part of patient-centered care

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Answer 4

Correct Answers:

Umbilical cord compression.

Rationale :

💚 Variable decelerations on fetal heart tracing are most often caused by cord compression.

💚 This results in abrupt drops and returns in heart rate.

💚 May be seen with oligohydramnios or cord prolapse.

💚 Fetal head compression causes early, not variable, decelerations.

💚 Monitoring and timely intervention prevent fetal hypoxia.

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Answer 5

Correct Answers:

Umbilical cord compression.

Rationale :

🔴 Variable decelerations = abrupt changes due to cord compression

🔴 umbilical cord is most common cause.

🔴 Requires ongoing monitoring and possibly position changes.

🔴 Prompt detection prevents complications.

🔴 Cord reposition or amnioinfusion may be needed.

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Answer 6

Correct Answers:

Excessive uterine enlargement.

Rationale :

🟠 Hydatidiform mole (molar pregnancy) causes rapid or excessive uterine growth for gestational age.

🟠 The uterus grows faster than expected because of abnormal trophoblastic tissue.

🟠 hCG levels usually rise rapidly, not drop.

🟠 No fetal heart tones or fetus on ultrasound.

🟠 May also see vaginal bleeding, but not white discharge.

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Answer 7

Correct Answers:

This medication prevents the formation of Rh antibodies by a woman who is Rh-negative.

Rationale :

🔵 Rho(D) immune globulin prevents Rh-negative mothers from developing antibodies.

🔵 Prevents sensitization and hemolytic disease in future pregnancies.

🔵 Does not destroy antibodies already formed or treat the baby directly.

🔵 Given after delivery or certain procedures if the baby is Rh-positive.

🔵 Timing and indication are key to effectiveness.

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Answer 8

Correct Answers:

Place the client in a knee-chest or Trendelenburg position.

Rationale :

🟡 Prolapsed cord is an emergency; position shifts fetus off the cord to restore blood flow.

🟡 Knee-chest/Trendelenburg uses gravity to relieve pressure.

🟡 Immediate intervention reduces fetal hypoxia.

🟡 Covering the cord with saline gauze is next, not first.

🟡 Rapid action preserves fetal oxygenation until surgery.

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Answer 9

Correct Answers:

"The purpose of this medication is to boost fetal lung maturity.".

Rationale :

💠 Betamethasone accelerates fetal lung development by increasing surfactant production.

💠 Reduces risk of respiratory distress in preterm infants.

💠 Does not affect heart rate, contractions, or cervical dilation directly.

💠 Given between 24–34 weeks if preterm birth risk exists.

💠 Timing critical for effectiveness before delivery.

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Answer 10

Correct Answers:

Umbilical cord compression.

Rationale :

🔷 Variable decelerations indicate cord compression (consistent with Q4/Q5).

🔷 Pattern may be relieved by position changes or amnioinfusion.

🔷 Not caused by fever, polyhydramnios, or head compression.

🔷 Ongoing assessment is required to prevent fetal distress.

🔷 Recognize and act early for best outcomes.

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QLexNursing

1 :
A nurse is reinforcing teaching with a client who is in labor about why epidural anesthesia is not initiated until a good labor pattern has been established. Which of the following explanations should the nurse include?

2 :
A nurse is caring for a client who is experiencing shaking chills during the immediate postpartum period. Which of the following actions should the nurse take?

3 :
A nurse is assisting with the care of a client who is at 32 weeks of gestation and in labor. The client asks the nurse, "Will my baby be okay?”. Which of the following responses should the nurse make?

4 :
A nurse is assisting with the monitoring of a client who is in the first stage of labor, with an external fetal monitor in place and IV fluids infusing. Which of the following factors will cause variable decelerations in the fetal heart rate?

5 :
A nurse is assisting with the monitoring of a client who is in the first stage of labor, with an external fetal monitor in place and IV fluids infusing. Which of the following factors will cause variable decelerations in the fetal heart rate?

6 :
A nurse is caring for a client who might have a hydatidiform mole. The nurse should monitor the client for which of the following findings?.

7 :
A nurse is reinforcing teaching with a client who is pregnant and has a prescription for Rho(D) immune globulin. Which of the following information should the nurse include?

8 :
A nurse is assisting with the care of a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take first?

9 :
A nurse is assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone. Which of the following statements should the nurse make?

10 :
A nurse is assisting in the care of a client who is in active labour. The nurse notes variable decelerations of the FHR. The nurse should identify which of the following is a cause of variable decelerations.

QLexNursing

1 : A nurse is reinforcing teaching with a client who is in labor about why epidural anesthesia is not initiated until a good labor pattern has been established. Which of the following explanations should the nurse include?

2 : A nurse is caring for a client who is experiencing shaking chills during the immediate postpartum period. Which of the following actions should the nurse take?

3 : A nurse is assisting with the care of a client who is at 32 weeks of gestation and in labor. The client asks the nurse, "Will my baby be okay?”. Which of the following responses should the nurse make?

4 : A nurse is assisting with the monitoring of a client who is in the first stage of labor, with an external fetal monitor in place and IV fluids infusing. Which of the following factors will cause variable decelerations in the fetal heart rate?

5 : A nurse is assisting with the monitoring of a client who is in the first stage of labor, with an external fetal monitor in place and IV fluids infusing. Which of the following factors will cause variable decelerations in the fetal heart rate?

6 : A nurse is caring for a client who might have a hydatidiform mole. The nurse should monitor the client for which of the following findings?.

7 : A nurse is reinforcing teaching with a client who is pregnant and has a prescription for Rho(D) immune globulin. Which of the following information should the nurse include?

8 : A nurse is assisting with the care of a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take first?

9 : A nurse is assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone. Which of the following statements should the nurse make?

10 : A nurse is assisting in the care of a client who is in active labour. The nurse notes variable decelerations of the FHR. The nurse should identify which of the following is a cause of variable decelerations.

1 :
A nurse is reinforcing teaching with a client who is in labor about why epidural anesthesia is not initiated until a good labor pattern has been established. Which of the following explanations should the nurse include?

2 :
A nurse is caring for a client who is experiencing shaking chills during the immediate postpartum period. Which of the following actions should the nurse take?

3 :
A nurse is assisting with the care of a client who is at 32 weeks of gestation and in labor. The client asks the nurse, "Will my baby be okay?”. Which of the following responses should the nurse make?

4 :
A nurse is assisting with the monitoring of a client who is in the first stage of labor, with an external fetal monitor in place and IV fluids infusing. Which of the following factors will cause variable decelerations in the fetal heart rate?

5 :
A nurse is assisting with the monitoring of a client who is in the first stage of labor, with an external fetal monitor in place and IV fluids infusing. Which of the following factors will cause variable decelerations in the fetal heart rate?

6 :
A nurse is caring for a client who might have a hydatidiform mole. The nurse should monitor the client for which of the following findings?.

7 :
A nurse is reinforcing teaching with a client who is pregnant and has a prescription for Rho(D) immune globulin. Which of the following information should the nurse include?

8 :
A nurse is assisting with the care of a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take first?

9 :
A nurse is assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone. Which of the following statements should the nurse make?

10 :
A nurse is assisting in the care of a client who is in active labour. The nurse notes variable decelerations of the FHR. The nurse should identify which of the following is a cause of variable decelerations.