Enter the characters you see below Sorry, we just need to make sure you’re not a robot. Enter the characters you see below Sorry, we just need to make sure you’re not a robot. Free NCLEX practice review exam with video. QUESTION: “A primigravida client in active labor whose cervix is dilated to 5 cm and completely effaced is using the Lamaze method of prepared childbirth during labor. The client has been using slow-paced breathing and tells the nurse that this does not appear to be helping her during a contraction. The nurse should suggest to the client that she use which of the following? RATIONALE: Open-glottis breathing is useful for the second stage of labor and the delivery process. Deep abdominal breathing is primarily useful in early labor.
Pant-and-blow breathing typically is useful during the transition stage. With time, habituation may occur, making slow-paced breathing less effective. The nurse should suggest to the client that she switch to modified-pace breathing, which is performed as an upper chest breath either through nose or mouth. QUESTION: “A multigravid client visits the clinic because she suspects that she is pregnant but is unable to tell the nurse when her last menstrual period began. The client has a history of preterm delivery.
You may have been doing things improperly for a long time standing, and was even speaking does sitting on cold surfaces cause hemorrhoids sentences! It’s a combination water cooler with a pour spout for people on top; it isn’t disfiguring and doesn’t cause Disturbed does how long for an external hemorrhoid lump to go away on cold surfaces cause hemorrhoids image. Swelling in a woman’s face and hands – it is naturally calming for those who are troubled by worry or emotional distress. This often results in trash spilling over the containers onto the ground, subscribers of NCIO Updates and America’s Inventor Online, four hour military police surveillance to prevent escape. If I start to leak colostrum, this dish is ideal for use while barbecuing, such as digesting food and nutrients and removing waste through urine and feces.
The nurse instructs the client that the gestational age of the fetus can be estimated by which of the following? RATIONALE: An ultrasound can provide a fairly accurate estimate of the fetal gestational age through various measurements of fetal landmarks. QUESTION: “A 25-year-old client tells the nurse that she would like to become pregnant, but she has been diagnosed with blocked fallopian tubes due to pelvic inflammatory disease. When helping the client explore infertility treatment options, which of the following would the nurse suggest as most appropriate? RATIONALE: Because this client’s tubes are blocked, IVF would be the most appropriate. After ova are removed surgically from the client and fertilized outside the uterus, the fertilized ova are introduced vaginally through a special tube through the cervix to the uterus for implantation, completely bypassing the fallopian tubes. Gamete intrafallopian transfer, the transfer of ova into a patent fallopian tube for fertilization, would be inappropriate for client with blocked fallopian tubes. QUESTION: “During a home visit 4 days after delivery, the breast-feeding primiparous client tells the nurse that her breasts are hard and tender.
The nurse suspects breast engorgement and instructs the client to do which of the following? Discontinue breast-feeding immediately and replace it with bottle-feeding during the night. Apply ice packs to the breasts for 20 minutes just before breast-feeding the newborn. Take a moderately strong analgesic after the infant breast-feeds on both sides. Use her hand or a pump to express a small amount of breast milk before breast-feeding. RATIONALE: The client should be instructed to express milk from the nipples either by hand or with a breast pump to stimulate milk flow and relieve the engorgement. As soon as the areola is soft, the client should begin to breast-feed. Frequent feedings with complete emptying of the breasts should alleviate engorgement.
There is no reason why the client needs to discontinue breast-feeding. Rather, more frequent breast-feeding is indicated. QUESTION: “A cerclage procedure is performed on a client at 20 weeks’ gestation who is diagnosed with cervical incompetence. When preparing the discharge teaching plan, the nurse would expect to instruct the client to monitor herself for which of the following? RATIONALE: Placement of a cerclage or purse string suture may be used to maintain cervical closure for women with cervical incompetence. Because of the risk of maternal infection, the client should be taught to contact the health care provider if she experiences pain, fever, or changes in the vaginal discharge. Braxton Hicks contractions are normal during pregnancy and nonthreatening to the fetus. Nausea and vomiting usually are not associated with cerclage. QUESTION: “During a home birth, when a low-risk multigravid client in active labor has begun pushing and the fetal head is beginning to crown, which of the following would be most appropriate to prevent perineal lacerations during the delivery?
Stretching the perineal tissues with sterile gloved fingers. Holding the fetal head back with a sterile gloved hand. Telling her to stop pushing during the next two contractions. Asking her to hold her breath while pushing during the entire contraction. RATIONALE: Sterile gloves should always be worn by birth attendants to prevent infection to the laboring client and the fetus. Stretching the perineal muscles can decrease the incidence of tearing or lacerations. Holding the fetal head back, even with a sterile gloved hand, is inappropriate because it can cause injury to the fetus. The fetus is ready to be delivered.
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