Practice Questions "The Birth Experience"

The primigravida client is at +1 station and 9cm dilated. Based on this Data what should the nurse do first? 1. Ask anesthesiologist to increase epidural infusion rate 2. Assist the client to push if she feels the need to do so 3. Instruct the client to breath through the urge to push 4. Support family members in providing comfort measures

3. The urge to push is often felt when the baby reaches the + stations

The healthcare provider (HCP) prescribes intermittent fetal heart rate monitoring for a 20-year-old obese primigravida client at 40 weeks gestation in the first stage of labor. The nurse should monitor the fetal heart rate pattern at which interval? 1. Every 15 minute during the latent phase 2. Every 30 minutes during the active phase 3. Every 60 minutes during the pushing phase 4. Every 2 hours during the transition phase

2. During the active phase of labor fetal heart rate monitoring is done every 30 minutes to assess for changes

The nurse is managing care of a primigravida at full term who is in active labor. What should be in the clients plan of care? 1. oxygen saturation monitoring every half hour 2. supine positioning on back, if it is comfortable 3. anesthesia/ pain level assessment every 30 minutes 4. vaginal bleeding, rupture of membranes assessment every shift

3. The nurse should monitor anesthesia/ pain levels every 30 minutes during active labor.