Escolar Documentos
Profissional Documentos
Cultura Documentos
Id:
139555
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
A patient who sustained a difficult, lengthy labor and delivery is conversing with the nurse. Suddenly, the
patient complains of chest pain and appears dyspneic. She is cyanotic and tachycardic, and her blood pressure
has decreased to 78/36. What condition should the nurse suspect is developing?
Stimulus
Answer
Choice 1
Placenta accreta
Rationale 1
Placenta accreta occurs when the chorionic villi attach directly to the uterine
myometrium. The major complications of placenta accreta include maternal
hemorrhage and failure of the placenta to separate following birth of the
infant. Signs and symptoms of amniotic fluid embolus include chest pain,
dyspnea, tachycardia, hypotension, and cyanosis.
Answer 1
false
Choice 2
Infection
Rationale 2
This patients symptoms have a severe, sudden onset that is consistent with
amniotic fluid embolus. Signs and symptoms of amniotic fluid embolus
include chest pain, dyspnea, tachycardia, hypotension, and cyanosis.
Answer 2
false
Choice 3
Hypertensive crisis
Rationale 3
The patient is hypotensive and is demonstrating signs and symptoms that are
consistent with amniotic fluid embolus, including chest pain, dyspnea,
tachycardia, hypotension and cyanosis.
Answer 3
false
Choice 4
Rationale 4
Signs and symptoms of amniotic fluid embolus include chest pain, dyspnea,
tachycardia, hypotension, and cyanosis. The condition may progress to
hemorrhage, shock, and death.
Answer 4
true
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Physiological Integrity
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Chapter 22_LO07_Q01
admin
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139556
Id:
139556
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
A 20-year-old woman who is pregnant with her first child has been laboring for 14 hours with very minimal
progress. Cervical dilatation and effacement are slow, and the nurse is unable to verify engagement of the
presenting fetal part. What condition should the nurse suspect may be affecting the patients labor?
Stimulus
Answer
Choice 1
Rationale 1
The nurse should suspect CPD when labor is prolonged, cervical dilatation
and effacement are slow, and engagement of the presenting part is delayed.
Answer 1
true
Choice 2
Prolapsed cord
Rationale 2
A prolapsed cord is an umbilical cord that precedes the fetal presenting part.
Fetal bradycardia is a critical indicator of prolapsed cord. This patient is
demsontrating prolonged labor, slow cervical dilatation and effacement, and
delayed engagement of the presenting fetal part, which are consistent with
cephalopelvic disproportion (CPD).
Answer 2
false
Choice 3
Placenta accreta
Rationale 3
Placenta accreta, in which the chorionic villi attach directly to the uterine
myometrium, is associated with maternal hemorrhage and failed placental
separation after birth. This patient is demonstrating prolonged labor, slow
cervical dilatation and effacement, and delayed engagement of the presenting
fetal part, which are consistent with cephalopelvic disproportion (CPD).
Answer 3
false
Choice 4
Rationale 4
The occiput anterior (OA) fetal position is amenable to delivery and would
not represent a barrier to labor. This patient is demonstrating prolonged
false
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Physiological Integrity
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
admin
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139557
Id:
139557
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The nurse is making patient assignments for the next shift. Which patient is most likely to experience a
complicated labor pattern?
Stimulus
Answer
Choice 1
Rationale 1
Twins at term will cause overdistention of the uterus, putting the patient at
risk for development of a hypotonic labor pattern. Her high parity also
increases the risk for a hypotonic labor pattern.
Answer 1
true
Choice 2
Rationale 2
Answer 2
false
Choice 3
Rationale 3
This patient has an average-sized fetus and no risk factors for either
hypertonic or hypotonic labor pattern development.
Answer 3
false
Choice 4
Rationale 4
Hypertension does not impact labor pattern; this patient has no risk factors
for either hypertonic or hypotonic labor pattern development.
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
admin
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139558
Id:
139558
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
Two hours ago, the 39-weeks-gestation patient was 3 cm dilated, 40% effaced, and +1 station. Frequency of
contractions was every five minutes with duration 40 seconds and intensity 50 mmHg. The current assessment
is 4 cm dilated, 40% effaced, and +1 station. Frequency of contractions is now every three minutes with 4050
seconds duration with intensity of 40 mmHg. The priority intervention would be:
Stimulus
Answer
Choice 1
Rationale 1
Answer 1
true
Choice 2
Rationale 2
Answer 2
false
Choice 3
Rationale 3
Answer 3
false
Choice 4
Rationale 4
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
admin
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139559
Id:
139559
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The primiparous patient is at 42 weeks gestation. What order should the nurse question?
Stimulus
Answer
Choice 1
Rationale 1
Answer 1
false
Choice 2
Rationale 2
The nonstress test is a commonly used assessment for the post-term fetus.
Answer 2
false
Choice 3
Rationale 3
Answer 3
false
Choice 4
Rationale 4
Answer 4
true
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
admin
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
LO02 - Describe the risks and clinical therapy in determining the nursing care
management of post-term pregnancy on the childbearing family.
Question 139560
Id:
139560
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The multiparous patient at term has arrived to the labor and delivery unit in active labor with intact
membranes. Leopolds maneuver indicates the fetus is in a transverse lie with a shoulder presentation. What
physician order is most important?
Stimulus
Answer
Choice 1
Rationale 1
Answer 1
false
Choice 2
Rationale 2
Answer 2
false
Choice 3
Rationale 3
Answer 3
false
Choice 4
Rationale 4
This is the highest priority because of the transverse lie and the risk of fetal
hypoxia secondary to prolapsed cord if the membranes rupture.
Answer 4
true
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Physiological Integrity
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Chapter 22_LO03_Q06
admin
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139561
Id:
139561
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The nurse should anticipate the labor pattern for a fetal occiput posterior position to be:
Stimulus
Answer
Choice 1
Rationale 1
Answer 1
false
Choice 2
Rationale 2
The malposition does not allow the smallest diameter of the fetal head to
come down the birth canal, and this can prolong the overall length of labor.
Answer 2
true
Choice 3
Rationale 3
Answer 3
false
Choice 4
Precipitous.
Rationale 4
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
admin
Meta 4
Learning Outcome 1:
Question 139562
Id:
139562
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The patient has undergone an ultrasound, which estimated fetal weight at 4,500 g (9 pounds, 14 ounces).
Which statement indicates that additional teaching is needed? Because my baby is big:
Stimulus
Answer
Choice 1
Rationale 1
Because of the excessive size of the uterus with a macrosomic fetus, uterine
atony leading to postpartum hemorrhage is a risk.
Answer 1
false
Choice 2
Rationale 2
Answer 2
true
Choice 3
Rationale 3
Answer 3
false
Choice 4
Rationale 4
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Chapter 22_LO04_Q08
admin
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139563
Id:
139563
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The laboring patient has experienced spontaneous rupture of membranes. The fluid is meconium-stained. The
fetal heart tones are 100105. Which nursing action is most important?
Stimulus
Answer
Choice 1
Rationale 1
Improving uterine blood flow to increase fetal oxygenation is the top priority
when fetal bradycardia is present. Left lateral position increases uterine
blood flow.
Answer 1
true
Choice 2
Rationale 2
If a cesarean is needed, a Foley catheter will be needed. But at this time, this
is a low priority.
Answer 2
false
Choice 3
Rationale 3
The decision to go to cesarean birth is a medical decision. The nurse may not
make medical decisions.
Answer 3
false
Choice 4
Rationale 4
Increasing IV fluids will facilitate uterine blood flow and fetal oxygenation if
the patient is hypotensive. Decreasing the IV rate will not improve fetal heart
tones.
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Physiological Integrity
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Chapter 22_LO05_Q09
admin
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
LO05 - Relate the maternal implications, clinical therapy, prenatal history, and
conditions that may be associated with nonreassuring fetal status to the
nursing care of the mother and fetus.
Question 139564
Id:
139564
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The nurse is caring for a gravida 5 in active labor. The membranes spontaneously rupture with a large amount
of clear amniotic fluid. Which nursing action is most important to undertake at this time?
Stimulus
Answer
Choice 1
Rationale 1
Answer 1
false
Choice 2
Rationale 2
Answer 2
false
Choice 3
Rationale 3
Answer 3
false
Choice 4
Rationale 4
Checking the cervix will determine whether the cord prolapsed when the
membranes ruptured. A prolapsed cord leads to rapid onset of fetal hypoxia,
which can lead to fetal death within minutes if not treated.
Answer 4
true
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Physiological Integrity
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Chapter 22_LO06_Q10
Meta 4
admin
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
LO06 - Describe the nursing care for the mother and fetus with a prolapsed
umbilical cord.
Question 139565
Id:
139565
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The charge nurse is reviewing charting on patients in the maternalchild triage unit. Which entry requires
immediate intervention?
Stimulus
Answer
Choice 1
Rationale 1
Answer 1
false
Choice 2
Rationale 2
Answer 2
false
Choice 3
Primip at 41 weeks: Patient reports leaking clear fluid from her vagina for
seven hours.
Rationale 3
Leakage of clear fluid is normal; leaking for several hours can lead to
oligohydramnios, which in turn can lead to variable decelerations. This
patient might be experiencing a complication, but it is a lower priority than
the patient with the possibility of a prolapsed cord.
Answer 3
false
Choice 4
Rationale 4
Active labor in a preterm multip with the presenting part high in the pelvis is
at high risk for prolapse of the cord when the membranes rupture. This
patient should be on bed rest until the membranes rupture and the presenting
part has descended well into the pelvis. This patient is at the highest risk for
physical complication (cord prolapse) and therefore is the highest priority.
Answer 4
true
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Physiological Integrity
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Source Chapter Number:
Source Chapter Title:
Source Au Title Ed:
Source Usage:
Chapter 22_LO07_Q11
admin
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139566
Id:
139566
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The patient at term has a suspected small pelvis. The fetus has an estimated weight of 4,200 g (9 pounds, 4
ounces). Spontaneous labor has begun, and the patient is now at 6 cm. The nurse understands that the most
important nursing action for this patient is to:
Stimulus
Answer
Choice 1
Rationale 1
Squatting increases the diameter of the pelvic outlet and might facilitate
vaginal birth when cephalopelvic disproportion is a risk.
Answer 1
true
Choice 2
Rationale 2
Answer 2
false
Choice 3
Rationale 3
The cervix is normally assessed when the patients labor status appears to
have changed, or in order to determine whether cervical change is taking
place. The cervix would be assessed more frequently if a patient was in the
active phase of labor and cephalopelvic disproportion was a risk. Every eight
hours is too far apart.
Answer 3
false
Choice 4
Rationale 4
Although it is true that labor with a large fetus and a small pelvis could be
prolonged, informing the couple of this fact is a psychosocial intervention.
false
Global Rationale
Meta 1
Cognitive Level:
Analyzing
Client Need:
Physiological Integrity
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Chapter 22_LO08_Q12
admin
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139567
Id:
139567
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The patient gave birth to a 7 pound, 14 ounce female 30 minutes ago. The placenta has not yet delivered.
Manual removal of the placenta is planned. The nurse should prepare to:
Stimulus
Answer
Choice 1
Rationale 1
The patient undergoing manual removal of the placenta will need either IV
sedation or general anesthesia. An IV is necessary.
Answer 1
true
Choice 2
Rationale 2
Answer 2
false
Choice 3
Rationale 3
The patients partner or family member, or a nursery nurse, can feed the
infant. The patient is at risk for excessive blood loss due to retained placenta,
and preparation for manual removal of the placenta is a higher priority at this
time.
Answer 3
false
Choice 4
Rationale 4
The placenta might be sent to pathology after it is removed, but preparing the
patient for manual removal of the placenta now is a higher priority.
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Physiological Integrity
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Chapter 22_LO09_Q13
admin
Special Handling:
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
LO09 - Identify common complications of the third and fourth stages of labor.
Question 139568
Id:
139568
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The nurse is caring for a laboring patient with known cephalopelvic disproportion (CPD). The woman
develops tachysystolic labor patterns. Which possible course of treatment should the nurse anticipate?
Stimulus
Answer
Choice 1
Oxytocin administration
Rationale 1
Answer 1
false
Choice 2
Cesarean section
Rationale 2
Answer 2
true
Choice 3
Nipple stimulation
Rationale 3
Answer 3
false
Choice 4
Amniotomy
Rationale 4
false
Global Rationale
Meta 1
Cognitive Level:
Evaluating
Client Need:
Physiological Integrity
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
admin
Royalty:
Stakes:
Special Handling:
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
Question 139569
Id:
139569
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The patient has delivered a 4,200g fetus. The physician performed a midline episiotomy, which extended into a
third-degree laceration. The patient asks the nurse where she tore. Which response is best? The episiotomy
extended and tore:
Stimulus
Answer
Choice 1
Rationale 1
Answer 1
false
Choice 2
Rationale 2
Answer 2
false
Choice 3
Rationale 3
Answer 3
false
Choice 4
Rationale 4
Answer 4
true
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Chapter 22_LO09_Q15
Meta 4
admin
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
LO09 - Identify common complications of the third and fourth stages of labor.
Question 139570
Id:
139570
Type:
MCSA
Calculator
:
false
Question
Title:
Difficulty
Level:
Question Stem
The multiparous patient at 33 weeks has experienced an intrauterine fetal demise. What finding requires
immediate intervention?
Stimulus
Answer
Choice 1
Temperature 99.0F
Rationale 1
Women with intrauterine fetal demise can become infected, but this
temperature is not high enough to indicate infection.
Answer 1
false
Choice 2
Rationale 2
Answer 2
false
Choice 3
Rationale 3
Answer 3
true
Choice 4
Rationale 4
Answer 4
false
Global Rationale
Meta 1
Cognitive Level:
Applying
Client Need:
Content Area:
Content Area
Sub:
Meta 2
Clinical Domain:
Topical Category:
Topical SubCategory:
Pearson Nursing Taxonomy #:
Taxonomy Category Comments:
Key
Terms:
Strategy:
Meta 3
Reference:
Source Id:
Chapter 22_LO10_Q16
admin
Comments:
Meta 4
Learning Outcome 1:
Learning Outcome 2:
Learning Outcome 3:
Learning Outcome 4:
Learning Outcome 5:
Learning Outcome 6:
Learning Outcome 7:
Learning Outcome 8:
Learning Outcome 9:
Learning Outcome 10:
Learning Outcome 11:
Learning Outcome 12:
Standard 1:
Standard 2:
Standard 3:
Standard 4:
Standard 5:
Standard 6:
LO10 - Explain the etiology, diagnosis, and phases of grief in determining the
nursing care management of the family experiencing perinatal loss.