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Maternal blood pressure and deep tendon reflexes are

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Maternal blood pressure and deep tendon reflexes are not appropriate assessmentsfollowing rupture of membranes.DIF: Cognitive Level: Application REF: Page 137 OBJ: 9TOP: Rupture of Membranes KEY: Nursing Process Step: Data CollectionMSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection ofDiseaseMULTIPLE RESPONSE29. While caring for an Arab woman in labor, the nurse should provide cultural sensitivitythrough which interventions? (Select all that apply.)a. Provide for extreme modesty.b. Assign a male caregiver.c. Arrange for the husband/partner to participate in labor.d. Provide adequate pain control.e. Respect protective amulets.ANS: A, D, EArab women are extremely modest, usually have a low pain tolerance, and wear variousprotective and religious amulets. The husband is in attendance but not as a participant.Arabs prefer female caregivers. If a male is in attendance, then the husband will remain inthe room as long as the male is there.DIF: Cognitive Level: Application REF: Page 117, Table 6-1OBJ: 2 TOP: Cultural ConsiderationsKEY: Nursing Process Step: PlanningMSC: NCLEX: Psychosocial Integrity: Psychosocial Adaptation30. What are the advantages of a freestanding birth center? (Select all that apply.)a. Home-like settingb. Designed for high-risk pregnanciesc. Lower costsd. Attended by certified obstetricianse. Immediate emergency accessANS: A, CAdvantages of a freestanding birth center include a homelike setting and lower costsbecause the center does not require expensive departments such as emergency or criticalcare. Freestanding birth centers are not designed for high-risk patients, are not attended bycertified obstetricians, and do not have immediate emergency access.DIF: Cognitive Level: Comprehension REF: Page 116 OBJ: 3TOP: Free-Standing Birth Centers KEY: Nursing Process Step: ImplementationMSC: NCLEX: Physiological Integrity: Basic Care and Comfort
PRIMEXAM.COM31. What do late decelerations indicate? (Select all that apply.)a. A nonreassuring patternb. Uteroplacental insufficiencyc. Fetal heart depressiond. Cord compressione. Head compressionANS: A, B, CThis nonreassuring pattern indicates uteroplacental insufficiency and fetal heartcompression. Prolonged decelerations indicate cord compression and early decelerationsindicate head compressions.DIF: Cognitive Level: Comprehension REF: Page 135 OBJ: 9TOP: Late Decelerations KEY: Nursing Process Step: Data CollectionMSC: NCLEX: Health Promotion and Maintenance: Prevention and Early Detection ofDisease32. A pregnant woman arrives at the emergency department (ED) and reports she is inlabor. After a thorough examination and diagnostic testing, it is determined to be false(prodromal) labor. What signs and symptoms would lead the nurse to suspect false(prodromal) labor? (Select all that apply.)a. Leaking of vaginal fluidb. Contractions intensify with ambulationc. Pink spottingd. Painless tightening of abdominal musclese. Cervix thick and not effacedANS: D, EPainless tightening of abdominal muscles (Braxton-Hicks contractions) and cervix thick andnot effaced lend to the determination of false (prodromal) labor. Leaking of vaginal fluid mayindicate rupture of membranes and is a sign of true labor. Contractions that intensify withambulation and pink spotting (bloody show) are signs of true labor.

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