Chapter 21: Nurse Management of Labor and Birth at Risk
When educating the postterm pregnant client, what should the nurse be sure to include to prevent fetal complications? Be sure to monitor fetal movements daily. Be sure to measure 24-hour urine output daily. Increase fluid intake to prevent dehydration. Monitor bowel movements.
Be sure to monitor fetal movements daily. Explanation: The nurse should be sure to teach the postterm client to monitor fetal movements daily.
A nurse is teaching a 42-week nulliparous pregnant woman about labor induction which is being recommended by her health care provider. The nurse determines that the woman needs additional teaching when she identifies which assessment as being done before induction? fetal dating amniotic fluid studies Leopold's maneuver Bishop scoring
Leopold's maneuver Explanation: Before labor induction is started, fetal maturity (dating, ultrasound, amniotic fluid studies) and cervical readiness (vaginal examination, Bishop scoring) must be assessed. Both need to be favorable for a successful induction. Leopold's maneuver is a technique for determining the position of the fetus as it moves through the labor process.
A woman's nurse-midwife tells her that the woman has developed dystocia. The nurse explains that this term means: high blood pressure related to difficult labor. potential for placental detachment. muscle weakness related to prolonged labor. difficult or abnormal labor.
difficult or abnormal labor Explanation: Dystocia is a general term used to describe difficult or abnormal labor. Dystocia does not indicate high blood pressure related to difficult labor, a potential for placental detachment, nor muscle weakness related to prolonged labor.
The client is 35 weeks of gestation and is being admitted for vaginal bleeding. She is stable at the time of admission. The priority nursing assessment for the client is for: fetal heart tones. signs of shock. infection. uterine stabilization
fetal heart tones. Explanation: When a client is admitted for vaginal bleeding and is stable, the next priority assessment is to determine if the fetus is viable. The other options are not a higher priority than fetal heart tones.
A nursing student has learned that precipitous labor is when the uterus contracts so frequently and with such intensity that a very rapid birth will take place. This means the labor will be completed in which span of time? less than 4 hours less than 8 hours less than 3 hours less than 5 hours
less than 3 hours Explanation: Precipitous labor is completed in less than 3 hours.