Page 751 - Saunders Comprehensive Review For NCLEX-RN

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228. A client arrives at a birthing center in active labor. After examination, it is
determined that her membranes are still intact and she is at a −2 station. The
primary health care provider prepares to perform an amniotomy. What will
the nurse relay to the client as the most likely outcomes of the amniotomy?
Select all that apply.
1. Less pressure on her cervix

2. Decreased number of contractions

3. Increased efficiency of contractions

4. The need for increased maternal blood pressure monitoring

5. The need for frequent fetal heart rate monitoring to detect the
presence of a prolapsed cord
229. The nurse is monitoring a client in labor. The nurse suspects umbilical cord
compression if which is noted on the external monitor tracing during a
contraction?
1. Variability
2. Accelerations
3. Early decelerations
4. Variable decelerations
230. A client in labor is transported to the delivery room and prepared for a
cesarean delivery. After the client is transferred to the delivery room table,
the nurse should place the client in which position?
1. Supine position with a wedge under the right hip
2. Trendelenburg’s position with the legs in stirrups
3. Prone position with the legs separated and elevated
4. Semi-Fowler’s position with a pillow under the knees
231. The nurse is monitoring a client in active labor and notes that the client is

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