NCLEX National Council Licensure Examination - -RN NCLEX-RN Dumps in PDF

Free NCLEX NCLEX-RN Real Questions (page: 53)

Which of the following signs might indicate a complication during the labor process with vertex presentation?

  1. Fetal tachycardia to 170 bpm during a contraction
  2. Nausea and vomiting at 8­10 cm dilation
  3. Contraction lasting 60 seconds
  4. Appearance of dark-colored amniotic fluid

Answer(s): D

Explanation:

(A) Fetal tachycardia may indicate fetal hypoxia; however, 170 bpm is only mild tachycardia. (B) Nausea and vomiting occur frequently during transition and are not a complication. (C) Contractions frequently last 60­90 seconds during the transitional phase of labor and are not considered a complication as long as the uterus relaxes completely between contractions. (D) Passage of meconium in a vertex presentation is a sign of fetal distress; this may be normal in a breech presentation owing to pressure on the presenting part.



Which of the following signs might indicate a complication during the labor process with vertex presentation?

  1. Fetal tachycardia to 170 bpm during a contraction
  2. Nausea and vomiting at 8­10 cm dilation
  3. Contraction lasting 60 seconds
  4. Appearance of dark-colored amniotic fluid

Answer(s): D

Explanation:

(A) Fetal tachycardia may indicate fetal hypoxia; however, 170 bpm is only mild tachycardia. (B) Nausea and vomiting occur frequently during transition and are not a complication. (C) Contractions frequently last 60­90 seconds during the transitional phase of labor and are not considered a complication as long as the uterus relaxes completely between contractions. (D) Passage of meconium in a vertex presentation is a sign of fetal distress; this may be normal in a breech presentation owing to pressure on the presenting part.



Assessment of parturient reveals the following: cervical dilation 6 cm and station 22; no progress in the last 4 hours. Uterine contractions decreasing in frequency and intensity. Marked molding of the presenting fetal head is described. The physician orders, "Begin oxytocin induction at 1 mU/min." The nurse should:

  1. Begin the oxytocin induction as ordered
  2. Increase the dosage by 2 mU/min increments at15-minute intervals
  3. Maintain the dosage when duration of contractions is 40­60 seconds and frequency is at 212­4 minute intervals
  4. Question the order

Answer(s): D

Explanation:

(A) Oxytocin stimulates labor but should not be used until CPD (cephalopelvic disproportion) is ruled out in a dysfunctional labor. (B) This answer is the correct protocol for oxytocin administration, but the medication should not be used until CPD is ruled out. (C) This answer is the correct manner to interpret effective stimulation, but oxytocin should not be used until CPD is ruled out. (D) This answer is the appropriate nursing action because the scenario presents adysfunctional labor pattern that may be caused by CPD. Oxytocin administration is contraindicated in CPD.



Assessment of parturient reveals the following: cervical dilation 6 cm and station 22; no progress in the last 4 hours. Uterine contractions decreasing in frequency and intensity. Marked molding of the presenting fetal head is described. The physician orders, "Begin oxytocin induction at 1 mU/min." The nurse should:

  1. Begin the oxytocin induction as ordered
  2. Increase the dosage by 2 mU/min increments at15-minute intervals
  3. Maintain the dosage when duration of contractions is 40­60 seconds and frequency is at 212­4 minute intervals
  4. Question the order

Answer(s): D

Explanation:

(A) Oxytocin stimulates labor but should not be used until CPD (cephalopelvic disproportion) is ruled out in a dysfunctional labor. (B) This answer is the correct protocol for oxytocin administration, but the medication should not be used until CPD is ruled out. (C) This answer is the correct manner to interpret effective stimulation, but oxytocin should not be used until CPD is ruled out. (D) This answer is the appropriate nursing action because the scenario presents adysfunctional labor pattern that may be caused by CPD. Oxytocin administration is contraindicated in CPD.



A client in active labor asks the nurse for coaching with her breathing during contractions. The client has attended Lamaze birth preparation classes. Which of the following is the best response by the nurse?

  1. "Keep breathing with your abdominal muscles as long as you can."
  2. "Make sure you take a deep cleansing breath as the contractions start, focus on an object, and breathe about 16­20 times a minute with shallow chest breaths."
  3. "Find a comfortable position before you start a contraction. Once the contraction has started, take slow breaths using your abdominal muscles."
  4. "If a woman in labor listens to her body and takes rapid, deep breaths, she will be able to deal with her contractions quite well."

Answer(s): B

Explanation:

(A) Lamaze childbirth preparation teaches the use of chest, not abdominal, breathing. (B) In Lamaze preparation, every patterned breath is preceded by a cleansing breath; as labor progresses, shallow, paced breathing is found to be effective. (C) It is important to assume a comfortable position in labor, but the Lamazeprepared laboring woman is taught to breathe with her chest, not abdominal, muscles. (D) When deep chest breathing patterns are used in Lamaze preparation, they are slowly paced at a rate of 6­9 breaths/min.



Share your comments for NCLEX NCLEX-RN exam with other users:

S
SB
9/12/2023 5:15:00 AM

i was hoping if you could please share the pdf as i’m currently preparing to give the exam.

J
Jagjit
8/26/2023 5:01:00 PM

i am looking for oracle 1z0-116 exam

S
S Mallik
11/27/2023 12:32:00 AM

where we can get the answer to the questions

P
PiPi Li
12/12/2023 8:32:00 PM

nice questions

D
Dan
8/10/2023 4:19:00 PM

question 129 is completely wrong.

G
gayathiri
7/6/2023 12:10:00 AM

i need dump

D
Deb
8/15/2023 8:28:00 PM

love the site.

M
Michelle
6/23/2023 4:08:00 AM

can you please upload it back?

A
Ajay
10/3/2023 12:17:00 PM

could you please re-upload this exam? thanks a lot!

H
him
9/30/2023 2:38:00 AM

great about shared quiz

S
San
11/14/2023 12:46:00 AM

goood helping

W
Wang
6/9/2022 10:05:00 PM

pay attention to questions. they are very tricky. i waould say about 80 to 85% of the questions are in this exam dump.

M
Mary
5/16/2023 4:50:00 AM

wish you would allow more free questions

T
thomas
9/12/2023 4:28:00 AM

great simulation

S
Sandhya
12/9/2023 12:57:00 AM

very g inood

A
Agathenta
12/16/2023 1:36:00 PM

q35 should be a

M
MD. SAIFUL ISLAM
6/22/2023 5:21:00 AM

sap c_ts450_2021

S
Satya
7/24/2023 3:18:00 AM

nice questions

S
sk
5/13/2023 2:10:00 AM

ecellent materil for unserstanding

G
Gerard
6/29/2023 11:14:00 AM

good so far

L
Limbo
10/9/2023 3:08:00 AM

this is way too informative

T
Tejasree
8/26/2023 1:46:00 AM

very helpfull

Y
Yolostar Again
10/12/2023 3:02:00 PM

q.189 - answers are incorrect.

S
Shikha Bakra
9/10/2023 5:16:00 PM

awesome job in getting these questions

K
Kevin
10/20/2023 2:01:00 AM

i cant find aws certified practitioner clf-c01 exam in aws website but i found aws certified practitioner clf-c02 exam. can everyone please verify the difference between the two clf-c01 and clf-c02? thank you

D
D Mario
6/19/2023 10:38:00 PM

grazie mille. i got a satisfactory mark in my exam test today because of this exam dumps. sorry for my english.

B
Bharat Kumar Saraf
10/31/2023 4:36:00 AM

some of the answers are incorrect. need to be reviewed.

J
JP
7/13/2023 12:21:00 PM

so far so good

K
Kiky V
8/8/2023 6:32:00 PM

i am really liking it

T
trying
7/28/2023 12:37:00 PM

thanks good stuff

E
exampei
10/4/2023 2:40:00 PM

need dump c_tadm_23

E
Eman Sawalha
6/10/2023 6:18:00 AM

next time i will write a full review

J
johnpaul
11/15/2023 7:55:00 AM

first time using this site

O
omiornil@gmail.com
7/25/2023 9:36:00 AM

please sent me oracle 1z0-1105-22 pdf

AI Tutor 👋 I’m here to help!