Page 224 - Critical Maternity & Newborn Health Nursing
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7. You are examining a term patient in the labor and delivery (L&D)

                   suite. Which of the following signs and symptoms is most likely to

                   indicate ruptured membranes

                   a. Vaginal pool pH of 6.5

                   b. Yellow-green color on nitrazine test

                   c. Ferning on a specimen from the vaginal pool

                   d. Superficial squamous cells in the vaginal pool


                   8.  When the umbilical  cord lies in front  of the presenting part and the

                   membranes are ruptured, it is known as which of the following?


                   a. Cord prolapse.


                   b. Cord presentation

                   c. Cord pulsation

                   d. Cord delivery


                   9.  The nurse  is taking care of a multipara  who is at 42 weeks of

                   gestation and in active labor, her membranes ruptured spontaneously

                   2 hours ago. While auscultating the fetal heart tones, the nurse counts
                   100 beats per minute. Which of the following would be the immediate

                   nursing action?



                    a. Start oxygen by mask to reduce fetal distress.

                    b. Examine the woman for signs of a prolapsed cord.

                    c. Turn the woman on her left side to increase placental perfusion.

                    d.  Take the woman’s radial pulse while still auscultating the FHR


                   10.  What this photo show? (1 mark)




                   …………………………………….




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