You are planning the care for a 37 week gestation client. Her Bishop Score is 7. Why would we utilize a Bishop Score?

A nurse is admitting a pregnant client to the labor room and attaches an external electronic fetal monitor to the client’s abdomen. After attachment of the monitor, the nurse understands that the most important clinical indicator of overall fetal wellbeing would be shown by which of the following?

You are providing education for a laboring woman whose temperature is 101.1 F. What fetal heart rate pattern reflects this maternal problem?

The nurse is monitoring a fetal heart rate with moderate variability. The nurse notes abrupt decelerations to 80 bpm from a baseline of 135 bpm. The nurse interprets these findings as resulting from which of the following?

The provider orders oxytocin to be started at 1 mu per minute at 0400 and increase by 1 mu every 30 minutes. The pharmacy sends 20 units of oxytocin in 1000 mL of Lactated Ringers. How many mL/hr will the nurse set the pump at 0400?

A nurse is preparing to administer fluconazole 400 mg by intermittent IV bolus daily. Available is fluconazole 400 mg in 0.9% sodium chloride (NaCl) 200 mL to infuse over 2 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest tenth/whole number. Use a leading zero if it applies. Do not use a trailing zero.) **Only answer with numerals.** [BLANK-1]

When performing the Leopold’s Maneuver, the nurse notes that the fetus is in the left sacral anterior position. Which is the best position to place the fetal monitor to hear the fetal heartbeat?

The charge nurse is making assignments in the labor and delivery department. Which client should be assigned to the most experienced nurse?

Read each question carefully. There is only one correct answer unless the stem of the question includes directions that state otherwise. There are 64 items on the exam in which you have 90 minutes to complete the exam. There is no backtracking to complete a skipped question or to change an answer. If you have further questions regarding the exam, please make an appointment with your faculty to discuss. If you have scored below 75, you must complete the remediation paperwork and turn in prior to leaving the computer suite then e-mail your faculty for an appointment to start the remediation process. Grades will be posted on Blackboard within one week of the exam. You may have one sheet of plain paper for scratch and a pen and calculator. 

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