Answers to the "NCLEX Obstetrics" Quiz
Take the NCLEX Obstetrics Quiz!
Marijke Durning | Scrubs Magazine
December 21, 2010
8. The client is admitted with fetal demise. A diagnosis of missed abortion requires that the fetus be evacuated by induction of labor. If the physician uses prostaglandin, the nurse should anticipate that the client will:
• Complain of nausea
• Become constipated
• Need treatment with potassium supplementation
• Require that a Foley catheter be inserted
Prostaglandin can lead to nausea and vomiting. Answer B is incorrect because prostaglandin can cause diarrhea, not constipation. Answer C is an incorrect statement. Answer D is incorrect because the client should be instructed to void every two hours. She will not require a treatment with a Foley catheter.
9. The client is experiencing a drop in the fetal heart rate. The decelerations are V-shaped and do not correlate to the contractions. The nurse is aware that this type of deceleration is which of the following?
• Expected during the transition phase of labor
• Ominous and requires intervention
• Related to fetal head compression
• Likely caused by uteroplacental insufficiency
A V-shaped deceleration that occurs randomly in relation to the contractions is a variable deceleration. This type of deceleration is caused by cord compression and requires intervention. Answer A is incorrect because there is no data that indicates that the client is in the transition phase of labor. Answer C is incorrect because an early deceleration is caused by head compression. Answer D is incorrect because fetal hypoxia and uteroplacental insufficiency cause late decelerations.
10. The client has decided to use epidural anesthesia to control pain during labor. Prior to the epidural anesthesia, the nurse should:
• Offer liquids by mouth
• Insert a Foley catheter
• Offer pain medications
• Bolus the client with 2,000 mL of intravenous fluids
Clients having spinal or epidural anesthesia often experience hypotension. To decrease the potential for hypotensive crises, the nurse should give the client 2,000 mL of intravenous fluid. Answer A is incorrect because offering oral liquids will not prevent hypotension. Answer B is incorrect because inserting a Foley catheter is not necessary. Answer C is incorrect because offering pain medication is not necessary and can further lead to hypotension.
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