FA25 NUR 404 W Exam Two at Massachusetts College of Pharmacy and Health Sciences
Access The Exact Questions for FA25 NUR 404 W Exam Two at Massachusetts College of Pharmacy and Health Sciences
💯 100% Pass Rate guaranteed
🗓️ Unlock for 1 Month
Rated 4.8/5 from over 1000+ reviews
- Unlimited Exact Practice Test Questions
- Trusted By 200 Million Students and Professors
Starting from
$30/month
What’s Included:
- Unlock Actual Exam Questions and Answers for FA25 NUR 404 W Exam Two at Massachusetts College of Pharmacy and Health Sciences on monthly basis
- Well-structured questions covering all topics, accompanied by organized images.
- Learn from mistakes with detailed answer explanations.
- Easy To understand explanations for all students.
Score Perfect Grades Using FA25 NUR 404 W Exam Two Real Exam Questions with Answers Complete Package
Free FA25 NUR 404 W Exam Two at Massachusetts College of Pharmacy and Health Sciences Questions
1. After an emergency cesarean birth, the client tells the nurse that she was hoping for a natural childbirth but is glad that she and her baby are healthy. Which postpartum phase of adjustment does this statement reflect?
- A) Taking-in
- B) Taking-hold
- C) Working-through
- D) Letting-go
Explanation
The letting-go phase occurs when the mother reconciles her birth experience with her expectations and begins to accept her new role. In this stage, the mother processes emotions about how birth occurred (e.g., grieving a desired natural birth) while simultaneously expressing gratitude for her and her baby’s well-being. Acceptance and emotional adjustment to the reality of childbirth and motherhood define this phase.
2. What is the priority nursing action when caring for a client who has had an amniotomy and the fetal heart rate immediately decreases from 140 to 80 beats/min?
- A) Administer oxygen
- B) Increase the intravenous fluids
- C) Inspecting the vagina
- D) Placing the client in the knee-chest position
Explanation
A sudden fetal heart rate drop after amniotomy strongly suggests umbilical cord prolapse. The immediate priority is to relieve pressure off the cord. Placing the client in the knee-chest position (or Trendelenburg if necessary) uses gravity to shift the fetus upward, reducing cord compression and restoring fetal oxygenation while emergency measures are initiated.
3. On the third postpartum day after an unexpected cesarean birth, the nurse finds the client crying. The client states, "I know my baby is fine, but I can't help crying. I wanted a natural childbirth so much. Why did this have to happen to me?" What is the nurse's best response to the client?
- A) A woman can feel upset after an urgent cesarean birth. Can you tell me more about your feelings?
- B) Your feelings about this will improve after you have bonded more with your infant. I'm sorry you're upset.
- C) You are probably suffering from postpartum depression. Do you want a referral to counseling?
- D) Most women understand a cesarean birth is a possible outcome during birth. Did you discuss this during your prenatal visits?
Explanation
This mother is expressing grief, disappointment, and emotional adjustment after an unexpected cesarean birth — a normal part of the taking-hold to letting-go phase. The best response acknowledges her feelings and encourages further communication, providing emotional support and validating her experience. Offering an open-ended question allows her to express and process the experience safely.
4. The nurse is concerned that a pregnant client is developing polyhydramnios in the second trimester. What assessment findings confirm this concern? Select all that apply.
- A) Increased pain with urination
- B) Tense (firm) uterus
- C) Difficulty auscultating heart sounds
- D) Sudden weight loss
- E) Maternal shortness of breath
- F) Uterus larger than expected for gestational week
Explanation
B. Tense (firm) uterus With excessive amniotic fluid, the uterus becomes overdistended and feels unusually firm or tense on palpation. This increased pressure is due to the large volume of fluid filling the uterus, which can make it difficult for the uterus to relax between assessments. C. Difficulty auscultating heart sounds Excess fluid cushions fetal movements and heart sounds, making it harder for the nurse to hear fetal heart tones. Polyhydramnios increases the distance between the fetus and abdominal wall, reducing clarity of auscultation. E. Maternal shortness of breath The enlarged uterus presses upward on the diaphragm, restricting lung expansion. This leads to maternal dyspnea, especially in the second and third trimesters as fluid volume increases significantly. F. Uterus larger than expected for gestational week A uterus measuring larger than gestational age is one of the hallmark findings of polyhydramnios. Fundal height will exceed expected measurements due to excessive amniotic fluid volume.
5. A client at 31 week's gestation is admitted in preterm labor. Which medication would the nurse provide education for?
- A) An analgesic
- B) A corticosteroid
- C) A tocolytic
- D) An oxytocic
Explanation
A tocolytic is given in preterm labor to suppress uterine contractions and delay delivery, typically to allow time for fetal lung maturity interventions such as corticosteroids. At 31 weeks gestation, delaying labor can significantly improve neonatal outcomes by reducing the risks of respiratory distress syndrome, intraventricular hemorrhage, and other prematurity-related complications.
6. A pregnant client in labor is having contractions about 4 minutes apart but rarely higher than 20 mm Hg in strength with resting tone ranging from 5 to 8 mm Hg. The client asks what can be done to make contractions more effective. What is the nurse's best response to the client?
- A) You may need oxytocin to strengthen contractions
- B) Relax, because contractions of this kind will strengthen by themselves
- C) Get some rest, because the contractions are hypertonic
- D) Try sitting up a little more erect to make the contractions more regular
Explanation
The uterine contractions are hypotonic—infrequent and weak (<25 mm Hg), with normal resting tone (5–20 mm Hg). Hypotonic labor pattern typically occurs in active phase labor and leads to ineffective cervical dilation. Oxytocin is commonly ordered to augment labor by increasing contraction strength and frequency, promoting cervical change and labor progression.
7. The nurse is receiving report on a postpartum client who gave birth two days ago after a prolonged rupture of membranes and is currently having an increase in perineal pain. What postpartum complication does the nurse assess for in the client?
- A) Peritonitis
- B) Thrombophlebitis
- C) Infection of perineum
- D) Endometritis
Explanation
A client two days postpartum with increasing perineal pain, especially after a vaginal birth and prolonged rupture of membranes, is most at risk for a perineal infection. Increased pain, swelling, tenderness, foul odor, or purulent discharge at the perineal site are hallmark signs. Prolonged ROM increases bacterial exposure, allowing infection at the perineal wound or laceration repair site.
8. The nurse is assessing the breast of a woman who is 1 month postpartum. The woman reports a painful area on the left breast, a temperature of 38.2°C, and malaise. The nurse notes a local area on the same breast to be red and warm to touch. The nurse calls the healthcare provider to report which suspected issue?
- A) Mastitis
- B) Plugged milk duct
- C) Unilateral engorgement
- D) Breast yeast infection
Explanation
Mastitis is a breast infection often occurring in breastfeeding mothers, typically 2–4 weeks postpartum but can happen anytime during lactation. Symptoms include localized breast pain, redness, warmth, fever, and flu-like malaise. The presence of systemic symptoms (temperature 38.2°C and malaise) alongside localized inflammation strongly indicates mastitis and requires provider notification for antibiotic therapy.
9. A pregnant client has a history of chronic hypertensive disease. Which medication would the nurse not question for this client?
- A) Labetalol
- B) Digoxin
- C) Warfarin
- D) Nitroglycerin
Explanation
Labetalol is a commonly prescribed antihypertensive medication considered safe for use during pregnancy. It is a first-line choice for managing chronic hypertension in pregnant clients because it effectively lowers blood pressure without reducing uteroplacental blood flow. Using safe, pregnancy-approved antihypertensives like labetalol helps prevent maternal complications such as stroke and preeclampsia while supporting fetal well-being.
10. The nurse is caring for a postpartum client with suspected uterine atony. Which interventions would the nurse initiate to improve the patient's status? Select all that apply.
- A) Increase intravenous fluid replacement
- B) Insert an indwelling urinary catheter
- C) Monitor deep tendon reflexes
- D) Initiate a peri-pad count
- E) Perform a fundal massage
- F) Administer tocolytic therapy
Explanation
A. Increase intravenous fluid replacement Increasing IV fluids supports circulatory volume and helps prevent hypovolemic shock during postpartum hemorrhage caused by uterine atony. Restoring fluid volume improves tissue perfusion and stabilizes blood pressure while other interventions address the cause of bleeding. B. Insert an indwelling urinary catheter An indwelling catheter keeps the bladder empty, which promotes effective uterine contraction. A distended bladder can prevent the uterus from contracting well, worsening uterine atony and bleeding. Catheterization helps maintain optimal uterine tone. D. Initiate a peri-pad count Tracking pad saturation provides an objective measure of blood loss. Accurate monitoring is essential for recognizing worsening hemorrhage, determining response to interventions, and guiding clinical decisions. E. Perform a fundal massage Fundal massage is the primary intervention for uterine atony because it stimulates uterine contraction. A firm, contracted uterus reduces bleeding and helps return uterine tone after delivery.
How to Order
1
Select Your Exam
Click on your desired exam to open its dedicated page with resources like practice questions, flashcards, and study guides.Choose what to focus on, Your selected exam is saved for quick access Once you log in.
2
Subscribe
Hit the Subscribe button on the platform. With your subscription, you will enjoy unlimited access to all practice questions and resources for a full 1-month period. After the month has elapsed, you can choose to resubscribe to continue benefiting from our comprehensive exam preparation tools and resources.
3
Pay and unlock the practice Questions
Once your payment is processed, you’ll immediately unlock access to all practice questions tailored to your selected exam for 1 month .