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NURSING 4010 POST SIM EXAM PREP PRACTICE SET 2026 FULL SOLUTION, Exams of Gastroenterology

Liberty University (LU)Gastroenterology

NURSING 4010 POST SIM EXAM PREP PRACTICE SET 2026 FULL SOLUTION

Typology: Exams

2025/2026

Available from 02/04/2026

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NURSING 4010 POST SIM EXAM PREP
PRACTICE SET 2026 FULL SOLUTION
โ—‰ The labor and delivery nurse notices that a laboring woman's
external fetal monitor shows a variable deceleration. what is the
common etiology of this non-reassuring fetal periodic pattern?
Answer: Cord compression
Explanation: Fetal variable decelerations are commonly associated
with umbilical cord ompression
โ—‰ Which of the following statements is true concerning prolapsed
umbilical cord? Answer: It is an emergency that requireds
immediate measures to minimize the fetal mortality or mobidity
from hypoxia
Explanation: The occurence of the prolapsed umbilical cord is
approximately 1 in 300-600 births, or 3% of the cephalic
presentations and 3.7% of breech presentations. A prolapsed
umbilibal cord is an obstetric emergency that requires immediate
attention to prevent acidosis from the fetal hypoxia.
โ—‰ he nurse is admistting a labor woman at 39 weeks gestation.
Which of the following are risk factors for prolapsed umbilical cord
(sata) Answer: Estimated fetal weight of 2,400 g (5 lb, 1 oz)
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NURSING 4010 POST SIM EXAM PREP

PRACTICE SET 2026 FULL SOLUTION

โ—‰ The labor and delivery nurse notices that a laboring woman's external fetal monitor shows a variable deceleration. what is the common etiology of this non-reassuring fetal periodic pattern? Answer: Cord compression Explanation: Fetal variable decelerations are commonly associated with umbilical cord ompression โ—‰ Which of the following statements is true concerning prolapsed umbilical cord? Answer: It is an emergency that requireds immediate measures to minimize the fetal mortality or mobidity from hypoxia Explanation: The occurence of the prolapsed umbilical cord is approximately 1 in 300-600 births, or 3% of the cephalic presentations and 3.7% of breech presentations. A prolapsed umbilibal cord is an obstetric emergency that requires immediate attention to prevent acidosis from the fetal hypoxia. โ—‰ he nurse is admistting a labor woman at 39 weeks gestation. Which of the following are risk factors for prolapsed umbilical cord (sata) Answer: Estimated fetal weight of 2,400 g (5 lb, 1 oz)

Amniotomy performed at station - 2 Multiple gestation Amniotic fluid 2,200 mL Explanation: risk factors for an umbilical cord prolapse incude the following" Low birth weight, being second twins, transverse lie, breech presentation, preterm labor (less than 37 weeks), Poly hydramnios (greater than 2,000 mL), amniotomy (especially when fetus is not engaged), prematuer rupture of the membranes, placenta previa, and a long cord โ—‰ Which of the following nursing measures has the highest priority when an intrapartum woman has a prolapsed umbilical cord? Answer: Place sterile gloved hand into patient's vagina to push the fetus off the umbilical cord Explanation: The immediate concern is to reestablish blood flow through the umbilical cord. Whu, the nurse woulf push the presenting part off the cord to relieve the compression. Position changes to relieve cpmpression: knee-to-chest, trendelenburg, hips higher than chest, modified Sims โ—‰ The nurse takes measures to preserve the integrity of the visible umbilical cord prolapse to maintain blood flow to the fetus. Which of the following are appropriate measures? (sata) Answer: Assess the exposed umbilical cord for color and pulsation

  1. assist the patient into the knee-chest position
  2. administed oxygen by nonrebreather mask at 10 L/min
  3. Explain emergency measuers and rationales to the patient and her support person
  4. Ensure that there are further abnormal fetal heart rate patterns
  5. Document the actions and procedures taken to resolve this situation โ—‰ The nurse is preparing for an emergency cesarean birth for a patient who has prolapsed cord visible at the vulva. Which interventions would the nurse take for this surgical procedure? (SATA) Answer: Obtain an informed consent from the pation or family member Review results for diagnostic tests, including CBC, ABO group, Rh compatability, Urinalysis Explanation: Surgery โ—‰ The nurse received report for Carla Hernandez before taking over her care. What was the most important piece of information communicated to the nurse that expedited care of this patient? Answer: Amniotomy performed by provider to facilitate labor. explanation: peformed amniotomy is a risk factor for prolapsed umbilical cord prolapse.

โ—‰ Carla Hernandez's fetal membranes were ruptured by her provider. Immediately following the procedure, the nurse notes persistent fetal bradycardia on the fetal monitor. This could indicate which of the following? Answer: Compression of the umbilical cord. โ—‰ What is the most important action the nurse would take when a prolapsed cord has been identified? Answer: Apply gloved hand in the vagina to alleviate cord compression. โ—‰ Carla Hernandez was in active labor when the umbilical cord prolapse was identified. The provider ordered a tocolytic agent to relax the uterine smooth muscle. What is the best route for administering terbutaline sulfate to the patient in this situation? Answer: Subcutaneous, back of arm โ—‰ The nurse monitors for adverse effects from terbutaline sulfate, which was given to Carla Hernandez after umbilical cord prolapse was identified. Which of the following are signs of adverse effects of this drug? (select all that apply) Answer: maternal heart rate 154, regular maternal blood pressure 152/94 mm Hg auscultate crackles throughout the lungs

to the baby. I understand that you are concerned about the well- being of your wife and baby. What are you feeling? โ—‰ Which of the following nursing diagnoses has the highest priority in the care of Carla Hernandez during an umbilical cord prolapse? Answer: Impaired gas exchange in the fetus related to decreased blood perfusion. โ—‰