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Tuesday, February 24, 2009

NURSE LICENSURE EXAMINATION RESULTS RELEASED IN FIFTY-THREE (53) WORKING DAYS

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NURSE LICENSURE EXAMINATION RESULTS RELEASED IN FIFTY-THREE (53) WORKING DAYS

The Professional Regulation Commission (PRC) announces that 39,455 out of 88,649 passed the Nurse Licensure Examination given by the Board of Nursing in the cities of Manila, Baguio, Cagayan de Oro, Cebu, Davao, Iloilo, Legazpi, Lucena, Tacloban, Tuguegarao, Sulu and Zamboanga last November 2008.

The members of the Board of Nursing are Carmencita M. Abaquin, Chairman; Leonila A. Faire, Betty F. Merritt, Perla G. Po, Marco Antonio C. Sto.Tomas, Yolanda C. Arugay and Amelia B. Rosales.

Those who will register are required to bring the following: duly accomplished Oath Form or Panunumpa ng Propesyonal, current Community Tax Certificate (cedula), 2 pieces passport size picture (colored with white background and complete name tag), 1 piece 1” x 1” picture (colored with white background and complete name tag), 2 sets of metered documentary stamps, and 1 short brown envelope with name and profession; and to pay the Initial Registration Fee of P600 and Annual Registration Fee of P450 for 2009-2012. Successful examinees should personally register and sign in the Roster of Registered Professionals.
The oathtaking ceremony of the successful examinees in the said examination in Manila as well as the previous ones who have not taken their Oath of Professional will be held before the Board on Monday and Tuesday, April 6 and 7, 2009, with morning (8:00 A.M.) and afternoon (1:00 P.M.) sessions at the SMX Convention Center, SM Mall of Asia, Pasay City. All must come in their white gala uniform, nurses cap, white duty shoes, without earrings, hair not touching the collar and without corsage.

Oathtaking tickets for the National Capital Region (NCR) and nearby regions will be available at the Philippines Nurses Association (PNA) at 1663 F.T. Benitez Street, Malate Manila, starting March 2, 2009.






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Sunday, February 22, 2009

11 Key Areas Of Responsibilities

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A. Safe and Quality Nursing Care
1. Demonstrates knowledge based on the health/illness status of individual groups
2. Provides sound decision making in the care of individuals/groups
3. Promotes wholeness and well-being including safety and comfort of patients
4. Sets priorities in nursing care based on patients' need
5. Ensures continuity of care
6. Administers medications and other health therapeutics
7. Utilizes the nursing process as framework for nursing
8. Formulates a plan of care in collaboration with patients and other members of the health team
9. Implements planned nursing care to achieve identified outcomes
10. Evaluates progress toward expected outcomes
11. Responds to the urgency of the patient's condition

B. Management of Resources and Environment
1. Organizes work load to facilitate patient care
2. Utilizes resources to support patient care
3. Ensures availability of human resources
4. Checks proper functioning of equipment/facilities
5. Maintains a safe and therapeutic environment
6. Practices stewardship in the management of resources

C. Health Education
1. Assesses the learning needs of the patient and family
2. Develops health education plan based on assessed and anticipated needs
3. Develops learning materials for health education
4. Implements the health education plan
5. Evaluates the outcome of health education

D. Legal Responsibility
1. Adheres to practice in accordance with the nursing law and other relevant legislation including contracts, informed consent
2. Adheres to organizational policies and procedures, local and national
3. Documents care rendered to patients

E. Ethico-Moral Responsibility
1. Respects the rights of individuals/groups
2. Accepts responsibility and accountability for own decisions and actions
3. Adheres to the national and international code of ethics for nurses

F. Personal and Professional Development
1. Identifies own learning needs
2. Pursues continuing education
3. Gets involved in professional organizations and civic activities
4. Projects a professional image of the nurse
5. Possesses positive attitude towards change and criticism
6. Performs function according to professional standards

G. Quality Improvement
1. Utilizes data for quality improvement
2. Participates in nursing audits and rounds
3. Identifies and reports variances
4. Recommends solutions to identified causes of the problems
5. Recommends improvement of systems and processes

H. Research
1. Utilizes varied methods of inquiry in solving problems
2. Recommends actions for implementation
3. Disseminates results of research findings
4. Applies research findings in nursing practice

I. Record Management
1. Maintains accurate and updated documentation of patient care
2. Records outcome of patient care
3. Observes legal imperatives in record keeping
4. Maintains an effective recording and reporting system

J. Communication
1. Utilizes effective communication in relating with clients, members with the team and the public in general
2. Utilizes effective communication in therapeutic use of self to meet the needs of clients
3. Utilizes formal and informal channels
4. Responds to needs of individuals, families, groups and communities
5. Uses appropriate information technology to facilitate communication

K. Collaboration and Teamwork
1. Establishes collaborative relationship with colleagues and other members of the health team for the health plan
2. Functions effectively as a team player






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Friday, February 20, 2009

PRC in lockdown for nursing results (November 2008 NLE)

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Alex Villafania
INQUIRER.net

MANILA — All is quiet around the premises of the Professional Regulation Commission as officials are quarantined at the third floor of the PRC building.

Bulletin boards are clear of postings except for the old list of locations where applicants can take their nursing licensure board exams.

Guards are posted in entrances and deny entry to anyone. When asked if media can enter, the guards said not even they are allowed to go upstairs.

“It’s strictly quarantined,” one guard said in Filipino.

But in the coming hours tens of thousands anxious would-be nurses will flood the PRC building and even the commission’s official website to await for the results of the exam.

Thousands of them will find work abroad while some will work for local medical institutions.

Statistics until 2007 from the Philippine Overseas Employment Administration showed that between 8,000 and 13,000 nurses work abroad each year since 2000.

SOURCE


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Maternal & Child Nursing: Intrapartum Disorders Sata Questions For Nclex

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1. The nurse is monitoring a client who is receiving oxytocin (Pitocin) to induce labor. The nurse should be prepared for which maternal adverse reactions?

Select all that apply:

1. Hypertension
2. Jaundice
3. Dehydration
4. Fluid overload
5. Uterine tetany
6. Bradycardia


2. A client who is 29 weeks pregnant comes to the labor and delivery unit. She states that she's having contractions every 8 minutes. The client is also 3 cm dilated. Which medications can the nurse expect to administer?

Select all that apply:

1. Folic acid (Folvite)
2. Terbutaline (Brethine)
3. Betamethasone
4. Rho (D) immune globulin (Rhogam)
5. I.V. fluids
6. Meperidine (Demerol)


3. The nurse is evaluating a client who is 34 weeks pregnant for premature rupture of the membranes (PROM). Which findings indicate that PROM has occurred?

Select all that apply:

1. Fernlike pattern when vaginal fluid is placed on a glass slide and allowed to dry
2. Acidic pH of fluid when tested with nitrazine paper
3. Presence of amniotic fluid in the vagina
4. Cervical dilation of 6 cm
5. Alkaline pH of fluid when tested with nitrazine paper
6. Contractions occurring every 5 minutes


Maternal & Child Nursing: Intrapartum Disorders Sata Questions For Nclex Answer Key:

1. 1, 4, 5
2. 2, 3, 5
3. 1, 3, 5


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Sunday, February 15, 2009

Neonatal Disorders: Nclex Select All That Applies Questions (SATA)

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1. What information should the nurse include when teaching postcircumcision care to parents of a neonate before discharge from the hospital?

Select all that apply:

1. The infant must void before being discharged home.
2. Petroleum jelly should be applied to the glans of the penis with each diaper change.
3. The infant can take tub baths while the circumcision heals.
4. Any blood noted on the front of the diaper should be reported.
5. The circumcision will require care for 2 to 4 days after discharge.


2. A 28-year-old client is admitted with inflammatory bowel syndrome (Crohn's disease). Which therapies should the nurse expect to be part of the care plan?

Select all that apply:

1. Lactulose therapy
2. High-fiber diet
3. High-protein milkshakes
4. Corticosteroid therapy
5. Antidiarrheal medications


3. The nurse is assisting in the discharge planning for a client with alcoholism. Which of the following should be included in the discharge plan?

Select all that apply:

1. Strongly encourage participation in Alcoholics Anonymous (AA).
2. Provide nutritional information and counseling.
3. Establish an exercise program.
4. Discuss relapse prevention.
5. Have the client introduce himself slowly to people from his former lifestyle.


4. The nurse receives a change-of-shift report for a 76-year-old client who had a total hip replacement. The client is not oriented to time, place, or person and is attempting to get out of bed and pull out an I.V. line that's supplying hydration and antibiotics. The client has a vest restraint and bilateral soft wrist restraints. Which action by the nurse would be appropriate?

Select all that apply:

1. Assess and document the behavior that requires continued use of restraints.
2. Tie the restraints in quick-release knots.
3. Tie the restraints to the side rails of the bed.
4. Ask the client if he needs to go to the bathroom and provide range-of-motion exercises every 2 hours.
5. Position the vest restraints so that the straps are crossed in the back.


5. The nurse is performing a Denver Developmental Screening Test II on a 4 1/2-year-old child. What behaviors should the nurse expect the child to demonstrate?

Select all that apply:

1. He balances on each foot for at least 6 seconds.
2. He copies a square using straight lines and square corners.
3. He prepares his own cereal without help.
4. He copies a circle that's closed or very nearly closed.
5. He speaks clearly.
6. He draws a person with at least three body parts.


6. The nurse is caring for a 45-year-old married woman who has undergone hemicolectomy for colon cancer. The woman has two children. Which concepts about families should the nurse keep in mind when providing care for this client?

Select all that apply:

1. Illness in one family member can affect all members.
2. Family roles don't change because of illness.
3. A family member may have more than one role at a time in a family.
4. Children typically aren't affected by adult illness.
5. The effects of an illness on a family depend on the stage of the family's life cycle.
6. Changes in sleeping and eating patterns may be signs of stress in a family.


Neonatal Disorders: Nclex Select All That Applies Questions (SATA) Answer Key:

1. 1, 2, 5
2. 4, 5
3. 1, 2, 3, 4
4. 1, 2, 4
5. 3, 4, 5, 6
6. 1, 3, 5, 6



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Tuesday, February 10, 2009

Nursing News: Health group hits Arroyo's 'rural nurses' program

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The government should offer long-term solutions, not knee-jerk reactions, to the financial crisis currently affecting the economy, a group of health professionals said Tuesday.

Health Alliance for Democracy (HEAD) Secretary General Geneve Rivera said short-term measures such as temporary and low-paying jobs will only cause bigger problems not only for workers, but also for the economy.

"The government should offer jobs which can actually provide for the daily needs of Filipinos and their families. It's not enough that they only provide jobs. It's not enough to give temporary and low-paying jobs for workers. Because at the end of the day, the problem will go back," Rivera said in an interview at ABS-CBN's "Umagang Kay Ganda."

Rivera made the statement in response to President Arroyo's launch on Monday of the Nurses Assigned in Rural Areas (NARS) program, which will provide employment to nurses from six months to one year in various provinces.

"It only provides temporary jobs for nurses. They are only given six months to one year to work. After that period, they won't have jobs again, and the provinces will again lack nurses and health care professionals," she said.

In the Multi-Sectoral Jobs Summit at the Heroes Hall in MalacaƱang, President Arroyo said the NARS program mainly targets fresh nursing graduates who have passed the board examination but lack work experience to find jobs abroad.

Those who will be hired under the program, the President said, will each receive P8,000 from the national government aside from a P2,000 stipend given by local governments to rural nurses. However, Rivera said such compensation is not enough for the qualified nurses.

"Our nurses will be getting very low wages. According to the Nursing Act of 2002, a nurse's beginning salary should be P15,000 or salary grade 15. The government's offer is P8000 from the national government, and a P2000 stipend from the local government. It's way too low. And we all know that the local government doesn't have enough budget to provide compensation," she said.


READ MORE



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Nursing Employment: Gov't to launch P500-million program to hire nurses for poor municipalities

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President Gloria Macapagal-Arroyo said today that the government will launch the Nurses Assigned in Rural Areas (NARS), a P500-million program to help Filipino nurses land short-term jobs in the country as part of their preparation for employment abroad.

Under the program, 5,000 Filipino nurses would be deployed to the country's 1,000 poorest municipalities at five nurses a municipality.

In her speech during the multi-sectoral jobs summit dubbed, "Joining Hands Against the Global Crisis" this morning at the Heroes’ Hall of Malacanang, the President said the nurses would be paid a monthly allowance of P8,000.

"If they are paid an allowance of P8,000 a month, and you have two six-month tours of duties of nurses, five nurses for each of the 1,000 poorest municipalities, that will cost less than half a billion pesos," the President said.

She called on Binalonan, Pangasinan Mayor Ramon Guico, president of the League of Municipalities of the Philippines (LMP), to make LGUs come up with a counterpart fund of at least P2,000.

"I ask corporations to chip in as well – shirts can come from manufacturers, insurance, vitamins from pharmaceuticals, cellphones that will make the program truly a national enterprise with private equity," the President said.

The nurses would be deployed to rural areas to enable them gain the necessary training and experience needed for overseas employment.

Calling them "warriors for wellness," the President said nurses to be hired would be mobilized in their hometowns to undertake the three I's:

* Initiate primary health, school nutrition, maternal health programs, first-line diagnosis etc.;
* Inform, inform about community water sanitation practices and do health surveillance; and third,
* Immunize, immunize children and mothers.

"They shall also serve as roving nurses for rural schools," the President added.

SOURCE


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Substance Abuse & Eating Disorders Nclex Sata Questions

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1. A client is receiving chlordiazepoxide (Librium) to control the symptoms of alcohol withdrawal. The chlordiazepoxide has been ordered as needed. Which symptom may indicate the need for an additional dose of this medication?

Select all that apply:

1. Tachycardia
2. Mood swings
3. Elevated blood pressure and temperature
4. Piloerection
5. Tremors
6. Increasing anxiety


2. The nurse is assisting in the discharge planning for a client with alcoholism. Which of the following should be included in the discharge plan?

Select all that apply:

1. Strongly encourage participation in Alcoholics Anonymous (AA).
2. Provide nutritional information and counseling.
3. Establish an exercise program.
4. Discuss relapse prevention.
5. Have the client introduce himself slowly to people from his former lifestyle.


3. The nurse is caring for a client with anorexia nervosa who has a nursing diagnosis of Imbalanced nutrition: Less than body requirements related to dysfunctional eating patterns. Which of the following interventions would be supportive for this client?

Select all that apply:

1. Provide small, frequent meals.
2. Monitor weight gain.
3. Allow the client to skip meals until the antidepressant levels are therapeutic.
4. Encourage the client to keep a journal.
5. Monitor the client during meals and for 1 hour after meals.
6. Encourage the client to eat three substantial meals per day.


4. When assessing a client diagnosed with impulse control disorder, the nurse observes violent, aggressive, and assaultive behavior. Which assessment is the nurse also likely to find?

Select all that apply:

1. The client functions well in other areas of his life.
2. The degree of aggressiveness is out of proportion to the stressor.
3. The violent behavior is most often justified by a stressor.
4. The client has a history of parental alcoholism and chaotic abusive family life.
5. The client has no remorse about the inability to control his behavior.


Substance Abuse & Eating Disorders Nclex Sata Questions Answer Key:

1. 1, 3, 5, 6
2. 1, 2, 3, 4
3. 1, 2, 4, 5
4. 1, 2, 4





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Monday, February 9, 2009

November 2008 Nursing Licensure Examination NLE Update

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The PRC are in their final state of deliberation with regards to the November 2008 NLE results. The Board of Nursing have started quarantine yesterday, February 08, 2009.

Results for the November 2008 Nursing Licensure Examination will be out around the next 10 days. Inorder for you to easily view the exam as it will be usually in a PDF format, we encourage you to download and install Adobe Acrobat Reader.

If you have not subscribed to our email alert, please do so inorder to get the latest updates with regards to November 2008 Nursing Licensure Examination NLE which will be release by the PRC sometime soon.

Note: We release the results of the examination the day before the national release (newspapers).

Wish you all the best of luck and God bless.


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Sunday, February 8, 2009

Maternal & Child Nursing: Intrapartum Disorder Nursing Review

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Port-wine-colored amniotic fluid isn't normal and may indicate abruptio placentae.

A fetal blood pH less than 7.2 is an indication of fetal hypoxia. During labor, a fetal pH range of 7.2 to 7.3 is considered normal.

Dizziness, circumoral numbness and slurred speech indicate anesthesia overdose.

The average length of time a primigravida neds to push is approximately 2 hours.

A late deceleration is U-shapred and occurs after the first half of the contraction, indicating uteroplacental insufficiency.

A steady trickle of blood on the perineal pad of a client with a well-constracted uterus may indicate a vaginal, cervical or perineal laceration.

Normal short-term variability - 2 to 3 beats per amplitude -- is the single most reliable indicator of fetal well-being on an EFM strip.

Oxytocin has an antidiuretic effect; prolonged I.V infusion may lead to server fluid retention, resulting in seizures, coma and even death.

The initial action immediately following the birth of the baby is drying the infant to stabilize the infant's temperature. Aspiration of the infant's nose and mouth occurs at the time of delivery.

A nontreponemal test screens the client for syphilis. The positive test result, along with the lymphadenopathy and rash, indicate that the client has secondary syphilis.

Ritodrine (Yutopar) and other beta-adrenergic agonists may cause tacycardia, hypotension, brocial dilation, increase plasma volumn, increased cardiac output, arrhythmias, myocardial ischemia, reduced urine output, restlessness, headache, nausea, and vomiting.

Variable decelerations are decreases in fetal heart rate that aren't related to the timing of contractions.

Primigravidas will efface and then dilate, while multigravidas will efface and dilate at the same time.

For an epidural block, the nurse should anticipate that the anesthesiologist will inject a local anesthetic agent into the epiduarl space, located between the dura mater and the ligamentum flavum in the lumbar region of the spinal column.

When administering a spinal block, the anesthesiologist injects the anesthetic agent into the subarachnoid space.

Internal EFM can be used only after the client's membranes rupture, when the cervix is dilated at least 2 cm and when the presenting part is at least at -1 station.

Etidocaine (Duranest) is least likely to cross the placenta.

Direct fetal scalp electrode placement is the most accurate way to assess FHR. Documentation should include the time the electrode was placed, the name of the physician or nurse practioner who performed the procedure, and the FHR.

Based on research, the latent phase may be considered prolonged if it exceeds 20 hours in a nulliparous client or 14 hours in a multiparous client.

During the second stage of labor, the nurse should assess the strength, frequency, and duration of contractions every 15 minutes.

Fetal position refers to the relationship of the fetus's presenting part to the mother's pelvis.

Fetal posture refers to "attitude"

Presentation refers to the part of the fetus at the cervical os.

Lie refers to the relationship of the fetal long axis to that of the mother's long axis.

The normal for the fetal hear rate is 120 to 160 beats/minute. Tachycardia is defined as a fetal heart rate greater than 160 beasts/minute for more than 10 minutes.

Ritodrine reduces frequency and intensity of uterine contractions by stimulating B2 receptors in the uterine smooth muscle. Its the drug of choice when trying to inhibit labor.

Oxytocin should be discontinued when contractions occur less than 2 minutes apart or last longer than 90 seconds.

Fetal heart rate variability most reliably indicates uteroplacental and fetal perfusion; an average variablity of 5 to 10 beats per minute is considered acceptable.

Oxytocin administration causes stronger, more uncomfortable contractions, which peak more abruply than spontaneous contractions.

Because magnesium has chemical properties similar to those of calcium, it will assume the role of calcium at the neural muscular junction.



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Tuesday, February 3, 2009

Lippincott's Nclex-RN Review Software: Antepartum Period Nclex Bullets

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With iron deficiency anemia, the Hb level is below 11 g/L and HCT drops below 32%.

A client with lactose intolerance must take lactase replacement drops or tablets whenever milk or a milk product is consumed. The drops must be added to a carton of milk at least 24 hours before the milk is consumed to ensure proper action.

Maternal alcohol use during pregnancy may cause fetal and neonatal central nervous system deficits such as learning disabilities. It also may lead to characteristic physical anomalies and growth retardation.

Braxton Hicks' contractions typically begin between 23 and 27 weeks' gestation.

The fundal height measurement in centimeters equals the approximate gestational age in weeks, until week 32. Thus, fundal height at 12 weeks is 12 cm;

Based on human chorionic gonadotropin (hCG) levels in the blood and urine, pregnancy can be diagnosed as early as 8 days after conception.

When the fetus is in the cephalic postion (head down), fetal heart tones are best ausculated midway between the symphysis pubis and the umbilicus.

Maternal insulin requirement usually decrease during the first trimester from rapid fetal growth and maternal metabolic changes, necessitating adjustment of the insulin dosage.

TORCH refers to Toxoplasmosis, Other Rubella virus, Cytomegalovirus and Herpes simplex virus .

When performing a vaginal or rectovagianl examination, the nurse may assess Hegar's sign (softening of the uterine isthmus) between the 6th and 8th weeks of pregnancy. The fetal outline may be palpated after 24 weeks.

Quickening typically is reported after 16 to 20 weeks.

Castor oil can initiate premature uterine contractions in pregnant women.

An abnormally high AFP level in the client's serum or amniotic fluid suggests a neural tube defect such as spinal bifida.

Signs and symptoms of ectopic pregnancy include amenorrhea and adnexal fullness and tenderness.

Tocolytic drugs are used to arrest preterm labor.

The BPP evaluates fetal health by assessing five variables: fetal breathing movements, gross body movements, fetal tone, reactive fetal heart rate, and qualitative amniotic fluid volume.

In a client with gestational trophoblastic disease, an ultrasound performed after the 3rd month shows grapelike clusters of transparent vesicles rather than a fetus.

Iron deficiency anemia is a common complication of adolescent pregnancies.

Braxton Hicks contractions cause pulling or thightening sensations, primarily over the pubic bone.

HCG is teh hormone responsible for maintaining the pregnancy until the placenta is in place and functioning.

Relaxin is an ovarian hormone that causes the mother to feel tired, thus promoting her to seek rest.

For a client entering pregnancy in her ideal weight range, a gain of 24 to 32 lbs is adequte to meet her needs and the needs of the fetus.

Using Doppler ultrasound, fetal heart tones may be heard as early as the 11th week of pregnancy. Using a stethoscope, fetal heart tones maybe heard between 17 and 20 weeks of gestation.

As the uterus grows in early pregnancy, it deviates physically to the right. This shift, or dextrorotation, is due to the presence of the rectosigmoid colon in the left lower quadrant. As a result, many woman complain of pain in the right lower quadrant.





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Sunday, February 1, 2009

AntePartum Period: Nclex Sata Questions Examined

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1. Assessment of a client progressing through labor reveals the following findings. Order the findings in the most likely sequence in which they would have occurred.

Select all that apply:

1. Uncontrollable urge to push
2. Cervical dilation of 7 cm
3. 100% cervical effacement
4. Strong Braxton-Hicks contractions
5. Mild contractions lasting 20 to 40 seconds


2. A client who is 32 weeks pregnant is being monitored in the antepartum unit for pregnancy-induced hypertension. She suddenly complains of continuous abdominal pain and vaginal bleeding. Which nursing interventions should be included in the care of this client?

Select all that apply:

1. Evaluate vital signs.
2. Prepare for vaginal delivery.
3. Reassure the client that she'll be able to continue the pregnancy.
4. Evaluate fetal heart tones.
5. Monitor the amount of vaginal bleeding.
6. Monitor intake and output.


3. A pregnant client at 32 weeks' gestation has mild preeclampsia. She is discharged home with instructions to remain on bed rest. She should also be instructed to call her doctor if she experiences which symptoms?

Select all that apply:

1. Headache
2. Increased urine output
3. Blurred vision
4. Difficulty sleeping
5. Epigastric pain
6. Severe nausea and vomiting

4. A woman who is 15 weeks pregnant comes to the clinic for amniocentesis. The nurse knows that this test can be used to identify which characteristics or problems?

Select all that apply:

1. Fetal lung maturity
2. Gestational diabetes
3. Chromosomal defects
4. Neural tube defects
5. Polyhydramnios
6. Sex of the fetus

5. A client who is 41 weeks pregnant is about to undergo a biophysical profile (BPP) to evaluate her fetus's well-being. The nurse knows that which components are included in a BPP?

Select all that apply:

1. Fetal tone
2. Fetal breathing movements
3. Femur length
4. Amniotic fluid volume
5. Biparietal diameter
6. Crown-rump length


AntePartum Period: Nclex Sata Questions Examined Answer Key

1. 45231
2. 1, 4, 5, 6
3. 1, 3, 5, 6
4. 3, 4, 6
5. 1, 2, 4





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