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48.
a.
b.
c.
d.
Nurse Julia is aware that Labor is divided into how many stages?
Five
Three
Two
Four
49.
Jannah, who is in labor receives epidural anesthesia. The nurse should
assess carefully for which adverse reaction to the anesthetic agent?
a. Hypotensive crisis
b. Fetal tachycardia
c. Renal toxicity
d. Increased beat-to-beat variability in the fetal heart rate (FHR)
50. To promote comfort during labor, Nurse Michelle advises a client to assume
certain positions and avoid others. Which position may cause maternal
hypotension and fetal hypoxia?
a. Lateral position
b. Squatting position
c. Supine position
d. Standing position
Rationale
1. Answer D. An increased pulse rate followed by an increased respiratory rate
and decreased blood pressure may be the first signs of postpartum hemorrhage
and hypovolemic shock.
2. Answer A. Care should be taken in the administration of bolus of oxytocin
because it can cause hypertension
3. Answer A. inversion of the uterus
4. Answer C. The infant's physical condition is a priority at on eand five minutes
after delivery. The physical assessment done at this time is known as Apgar
scoring.
5. Answer D. The passage of two small blood clots from a multiparous woman 1
hour after a vaginal delivery is not an unusual occurrence. The nurse should
continue to monitor the client and document this as a normal finding. The nurse