The nurse is caring for the client in labor. Which assessment finding

Free NCLEX Maternity Questions

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Question 1 of 5.

The nurse is caring for the client in labor. Which assessment finding would help the nurse determine whether the client is in the third stage of labor?

A. Lengthening of fetal cord

B. Increased bloody show

C. A strong urge to push

D. More frequent contractions

Explanation: The third stage of labor lasts from the birth of the baby until the placenta is expelled. Lengthening of the fetal cord is one of several signs indicating placental separation. Bloody show is pink and mucoid in nature and occurs during the first and second stages of labor. During the third stage, there may be increased vaginal bleeding that is bright or dark red. A strong urge to push may occur during the first and second stages of labor. More frequent contractions occur during the first and second stages of labor.

Question 2 of 5.

To improve sperm production, the nurse should instruct the client's husband to avoid which activities? Select all that apply.

A. Swimming in chlorinated water

B. Sitting in hot tubs

C. Wearing boxer shorts

D. Wearing colored underwear

E. Smoking cigarettes

F. Refraining from strenuous exercise

Explanation: High temperatures from hot tubs can impair sperm production by overheating the testes. Smoking cigarettes negatively affects sperm quality and quantity.

Question 3 of 5.

Which response by the nurse about Chadwick's sign is most accurate?

A. It's a bluish discoloration of the cervix, vagina, and vulva that occurs as a result of the presence of an increased number of blood vessels.

B. It's a softening of the cervix that occurs because of an increased amount of blood flowing to the reproductive organs.

C. It's a dark brown line extending from the umbilicus to the symphysis pubis that occurs as a result of hormonal changes.

D. None of the above

Explanation: Chadwick's sign is the bluish discoloration of the cervix, vagina, and vulva due to increased vascularity, a probable sign of pregnancy.

Question 4 of 5.

Using Naegele's Rule, the nurse can assume the client's expected delivery date to be approximately which date?

A. 13-Nov

B. 23-Nov

C. 3-Dec

D. 20-Dec

Explanation: Naegele's Rule: Subtract 3 months from the first day of the last menstrual period (March 13) and add 7 days, resulting in December 3.

Question 5 of 5.

Which fetal heart rate must the nurse report immediately to the physician?

A. 100 beats/minute

B. 120 beats/minute

C. 140 beats/minute

D. 160 beats/minute

Explanation: A fetal heart rate of 100 beats/minute is below the normal range (110-160 bpm) and may indicate fetal distress, requiring immediate reporting.