Complications of Labor Nursing Care in Labor
100
D. Is a systematic method for palpating the fetus through the maternal abdominal wall
Leopolds maneuvers will be performed on a pregnant client. The client asks the nurse about the procedure. The nurse responds, knowing that this procedure:
A. Measures the height of the fundus
B. Determines the "lie" and "attitude" of the fetus
C. Is a sys
100
A nurse reports that her contractions started about 1 hour ago and decreased after drinking 2 glasses of water and walking. She reports the contractions occur every 10 to 15 min and that she hasnt had any fluid leaking or vaginal bleeding. The nurse shoul
A. Braxton Hicks Contractions
200
A nurse is assigned to care for a client who is in early labor. When collecting data from the client, it is most important for the nurse to first determine which of the following?
A. Baseline fetal heart rate
B. Intensity of contractions
C. Maternal blood
A. Baseline fetal heart rate
200
A nurse is reinforcing nonpharmacologic pain interventions for lower back pain due to occiput posterior presentation with a group of clients. Which of the following statements regarding nonpharmacological interventions indicated the client understands an
B. I will get my husband to apply sacral counterpressure during labor
300
After a preceptious delivery, a nurse notes that the new mother is passive and only touches her newborn infant briefly with her fingertips. The nurse would do which of the following to help the woman process what has happened?
A. Encourage the mother to b
B. Support the mother in her reaction to the newborn infant
300
A nurse is assisting with the care of a primipara in active labor who receives meperidine (Demerol) 50 mg IV bolus for pain 30 min prior to preceptious delvery. The nurse is aware that naloxone (Narcan) is to be administered to the newborn for which of th
C. Respiratory depression
400
A primigravida's membranes rupture spontaneously. The nurses first reaction is to:
A. Determine the fetal heart rate
B. Prepare for immediate delivery
C. Monitor the contraction pattern
D. Note the amount, color, and odor of the amniotic fluid
A. Determine the fetal heart rate
400
A nurse is assisting with the management of a client who is in active labor. Which of the following findings should the nurse report following epidural placement?
A. Blood pressure 89/54
B. 2+ pedal edema
C. Early decelerations
D. Fetal heart rate 160
A. Blood pressure 89/54
500
A woman in active labor has contractions every 2 to 3 minutes that last for 45 seconds. The fetal heart rate between contractions is 100 beats per minute. On the basis of these findings, the priority nursing intervention is to:
A. Monitor the maternal vit
B. Notify the registered nurse (RN) immediately
500
A nurse is collecting data from a client in labor following epidural placement. Which of the following findings are adverse effect from the epidural?
A. Pruritis
B. Hypertension
C. Urinary frequency
D. Maternal temperature
A. Pruritis






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