NCLEX-RN Practice Test

NCLEX-RN Practice Test practice questions, page 34 of 35, with answer review and explanations.

Question 166

Which of the following signs might indicate a complication during the labor process with vertex presentation?

  1. Fetal tachycardia to 170 bpm during a contraction
  2. Nausea and vomiting at 8–10 cm dilation
  3. Contraction lasting 60 seconds
  4. Appearance of dark-colored amniotic fluid

Question 167

A client is admitted to the hospital for an induction of labor owing to a gestation of 42 weeks confirmed by dates and ultrasound. When she is dilated 3 cm, she has a contraction of 70 seconds. She is receiving oxytocin. The nurses first intervention should be to:

  1. Check FHT
  2. Notify the attending physician
  3. Turn off the IV oxytocin
  4. Prepare for the delivery because the client is probably in transition

Question 168

During a clients first postpartum day, the nurse assessed that the fundus was located laterally to the umbilicus. This may be due to:

  1. Endometritis
  2. Fibroid tumor on the uterus
  3. Displacement due to bowel distention
  4. Urine retention or a distended bladder

Question 169

The nurse would be concerned if a client exhibited which of the following symptoms during her postpartum stay?

  1. Pulse rate of 50–70 bpm by her third postpartum day
  2. Diuresis by her second or third postpartum day
  3. Vaginal discharge or rubra, serosa, then rubra
  4. Diaphoresis by her third postpartum day

Question 170

A postpartum client complains of rectal pressure and severe pain in her perineum; this may be indicative of:

  1. Afterbirth pains
  2. Constipation
  3. Cystitis
  4. A hematoma of the vagina or vulva