29) A primigravida is admitted for induction

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29) A primigravida is admitted for induction. A new nurse is being supervised by the preceptor. Of the following medications which one would the preceptor instruct the new RN to administer to the patient first?

a.   Pitocin

b.   Cervidil

c.   Terbutaline

d.   Methergine

30. The pregnant patient is receiving Pitocin (oxytocin) to induce labor. The nurse should monitor the patient for which adverse maternal effect?

a.   Increasingly slow heart rate

b.   Yellowing of the skin

c.   Dehydration

d.   Uterine hyperstimulation

31. The nurse is performing Leopold Maneuver on a primigravida admitted in labor at 40 weeks gestation ... is noted in a breech position. Which of the following complications should the nurse observe ... for this patient?

a.   Premature rupture of membranes

b.   Postmaturity syndrome

c.   Prolapsed umbilical cord

d.   Precipitous labor

32. A woman who is 41 weeks pregnant is about to undergo a biophysical profile (BPP) to evaluate her fetus's well-being. The woman ask what does the BPP look at? The nurse's teaching will include which of the following? (Select all that apply)

a.   Femur length

b.   Fetal tone

c.   Fetal breathing

d.   Biparietal diameter

e.   Amniotic fluid volume

33. A laboring patient becomes hypotensive following administration of an epidural. The nurse administers a bolus of lactated ringers by within 2-3 minutes the blood pressure has not yet recovered. Which of the following should the nurse do next?

a.   Administer IV morphine to increase respiratory and heart rate

b.   Bolus the patient with another 1000ml of lactated ringers

c.   Administer the standing order for ephedrine to the patient

d.   Change the patient's position to increase oxygenation to the fetus

34. In caring for an immediate postpartum patient the nursing assessment reveals facial petechiae and oozing of blood from the patient's IV site. Which of the following should the nurse closely monitor the patient for?

a.   Amniotic fluid embolism

b.   Hemorrhage

c.   Disseminated intravascular coagulation

d.   HELLP syndrome

35. A nursing assistant is working with the RN in the nursery. It would be appropriate to delegate which task to the nursing assistant?

a.   Admission vital signs on a new infant

b.   Patient teaching of a newborn bath to a new mother

c.   Placement of a collection urine bag onto a newborn

d.   Hourly blood glucose assessment on a newborn