W&N Final study
A nursing instructor is teaching students about preexisting illnesses and how they can complicate a pregnancy. The instructor recognizes a need for further education when one of the students makes which statement?
"A pregnant woman does not have to worry about contracting new illnesses during pregnancy."
A woman diagnosed with gestational trophoblastic disease is to undergo human chorionic gonadotropin (hCG) testing after suction curettage to evacuate the abnormal trophoblast cells. The nurse determines that the client has understood the instructions for testing based on which client statement?
"After the first 2 weeks, I need levels drawn each week until negative."
A pregnant client at 32 weeks' gestation with preterm labor is being discharged home after successful cessation of labor. The nurse is teaching the client about ways to help prevent a recurrence. The nurse determines that the teaching was successful based on which client statement? Select all that apply.
"I need to drink about 8 to 10 glasses of water each day." "I should call my health care provider immediately if my water breaks." "I'll be able to catch up on my reading so I'm not so bored."
A pregnant woman is diagnosed with iron-deficiency anemia and is prescribed an iron supplement. After teaching her about the prescribed iron supplement, which statement indicates successful teaching?
"I need to drink plenty of fluids to prevent constipation."
A pregnant client's labor has been progressing slower than normal. The client is visibly anxious and tense, telling the nurse, "I am so worried about what is going to happen. And I am so tired and feel so helpless." Other underlying issues that may be contributing to the client's slow labor progress have been ruled out. Which response(s) by the nurse would be appropriate? Select all that apply.
"I will keep you updated often on how you and your baby are doing." "Things are moving along but sometimes it can take a little longer." "Maybe dimming the lights or some soft music will help you relax a bit."
The nurse is caring for a primipara with PROM who appears extremely anxious and reveals that she is scared her birthing process will be extremely painful because it will be "dry". Which is the best response from the nurse?
"No birth is ever really dry, because amniotic fluid continues to be manufactured."
The nurse is teaching a prenatal class on potential problems during pregnancy to a group of expectant parents. The risk factors for placental abruption (abruptio placentae) are discussed. Which comment validates accurate learning by the parents?
"Placental abruption is quite painful and I will need to let the doctor know if I begin to have abdominal pain."
A client experiencing a threatened abortion is concerned about losing the pregnancy and asks what she can do to help save her baby. What is the most appropriate response from the nurse?
"Restrict your physical activity to moderate bed rest."
A woman's baby is HIV positive at birth. She asks the nurse if this means the baby will develop AIDS. Which statement would be the nurse's best answer?
"The antibodies may be those transferred across the placenta; the baby may not develop AIDS."
A pregnant client at 38 weeks' gestation is to undergo external cephalic version. The client asks the nurse, "What exactly will happen with this procedure?" Which response by the nurse is appropriate?
"The practitioner will gently press on your abdomen to turn your baby so the head is facing down."
A nursing student is learning about fetal presentation. The nursing instructor realizes a need for further instruction when the student makes which of the following statements?
"Transverse lie is the same as when the fetal buttocks present to the birth canal."
A client in her first trimester arrives at the emergency room with reports of severe cramping and vaginal spotting. On examination, the health care provider informs her that no fetal heart sounds are evident and orders a dilatation and curettage (D&C). The client looks frightened and confused and states that she does not believe in induced abortion (medical abortion). Which statement by the nurse is best?
"Unfortunately, the pregnancy is already lost. The procedure is to clear the uterus to prevent further complications."
A client is at 26 weeks' gestation with twins. What teaching is most important regarding this client's food intake?
"You should eat foods that are high in iron."
A client with asthma is confused by her primary care provider continuing her medication while she is pregnant, since she read online the medications can cause birth defects. What is the nurse's best response?
"Your primary care provider will order safe doses of your medication."
What is the fetal station of a fetus at 2 cm below the ischial spines?
-2
Describe weight loss post delivery
12-14 lbs is lost with delivery. Another 5-15 lbs lost in early postpartum period due to fluid loss.
In which age range are women most vulnerable for intimate partner violence?
16 to 24 years
What is a normal temperature range for a newborn?
97.7°F to 99.5°F (36.5°C to 37.5°C)
What criteria would the practitioner base a decision on to begin insulin therapy for a mother with gestational diabetes?
A 2-hour postprandial glucose level cannot be kept below 120 mg/dl.
What is retinopathy of prematurity (ROP)?
A form of retinopathy (degenerative disease of the retina) commonly associated with the preterm newborn, particularly infants born at less than 28 weeks gestation. Immature retinal blood vessels grow abnormally, often resulting in retinal scarring or detachment
The nurse is caring for a client in the transition stage of labor. In which scenario would the nurse predict the use of forceps may be used to assist with the birth?
Abnormal position of the fetal head
A G4P3 client with a history of controlled asthma is upset her initial prenatal appointment is taking too long, making her late for another appointment. What is the nurse's best response when the client insists she knows how to handle her asthma and needs to leave?
Acknowledge her need to leave but ask her to demonstrate the use of inhaler and peak flow meter before she goes; remind her to take regular medications.
A pregnant client is admitted to a health care unit with disseminated intravascular coagulation (DIC). Which prescription is the nurse most likely to receive regarding the therapy for such a client?
Administer cryoprecipitate and platelets.
While the placenta is being delivered after labor, a client experiences an amniotic fluid embolism. What should the nurse do first to help this client?
Administer oxygen by nasal cannula.
Which initial interview technique would be least effective in gathering information from a suspected abuse victim?
Ask the client to strip down and show you where she has been hurt.
A client's membranes have just ruptured. Her fetus is presenting breech. Which action should the nurse do immediately to rule out prolapse of the umbilical cord in this client?
Assess fetal heart sounds.
The nurse in a busy L & D unit is caring for a woman beginning induction via oxytocin drip. Which prescription should the nurse question with regard to titrating the infusion upward for adequate contractions?
Begin infusion at 10 milliunits (mu)/min and titrate every 15 minutes upward by 5 mu/min.
A shoulder dystocia situation is called in room 4. The nurse enters the room to help and the health care provider says to the nurse, "McRoberts maneuver." What does the nurse do next?
Bring the client's knees back toward the shoulders, causing hyperflexion of the hips and rotation of the pubic symphysis
A 17-year-old G2 P0010 patient develops hypertension at 32 weeks' gestation and is required to limit her intake of sodium and increase her protein intake. The client is out of work and does not attend school. Her time is spent primarily at the local shopping mall with friends. The best dietary suggestion that the home visiting nurse can make to this client is:
Bring water and a lunch from home rather than eating at the food court.
A client has been admitted to the hospital with a diagnosis of preeclampsia with severe features. Which nursing intervention is the priority?
Confine the client to bed rest in a darkened room.
An 18-year-old pregnant client is hospitalized as she recovers from hyperemesis gravidarum. The client reveals she wanted to have an abortion (elective termination of pregnancy) but her cultural background forbids it. She is very unhappy about being pregnant and even expresses a wish for a miscarriage. Which action by the nurse is most appropriate?
Contact the health care provider to report the client's feelings.
The nurse is assessing a new client who is being admitted with gestational hypertension. Which nursing diagnosis should the nurse prioritize for this client?
Deficient fluid volume related to vasospasm of arteries
A client with heart disease who is 28 weeks pregnant asks the nurse why office appointments have been scheduled every week for the next 4 weeks. What should the nurse respond to the client?
During weeks 28 and 32, blood volume peaks, and heart function can be affected.
What is the best way to decrease the risk of thrombophlebitis in a cesarean patient?
Early ambulation
A client tells that nurse in the doctor's office that her friend developed high blood pressure on her last pregnancy. She is concerned that she will have the same problem. What is the standard of care for preeclampsia?
Have her blood pressure checked at every prenatal visit.
What can be given to help keep a patient stable during a cesarean?
IV fluids
An infant is born to a mother with gestational diabetes. Which long-term maternal complication is associated with this diagnosis?
Increased risk of development of type 2 diabetes
What are important supplements to take during pregnancy?
Iron and folate
What can the nurse teach a patient to help heal and strengthen pelvic muscles after delivery?
Kegal exercises
The nurse is caring for a client in labor whose fetus is in an occiput posterior position. Which intervention should the nurse use to reduce this client's discomfort?
Massage the lower back.
Describe a newborn respiratory assessment
Measure RR every 30 minutes during the first 30 minutes. Signs of respiratory distress: grunting, noise upon exhalation, nostril flaring, retractions, and tachypnea
When can opioids be given to a pregnant woman in labor?
More than 3 hours away from birth, allowing the peak action of the drug in the fetus to have passed by the time of birth
Is bleeding a normal finding in pregnancy?
No, might mean mucus plug has been lost which should occur just prior to labor
What is a major risk factor for postpartum infection?
Nonelective cesarean birth
What are s/s that an ectopic pregnancy has ruptured?
Pallor, dizziness, abdominal pain, rapid thready pulse
A 32-year-old gravida 3 para 2 at 36 weeks' gestation comes to the obstetric department reporting abdominal pain. Her blood pressure is 164/90 mm Hg, her pulse is 100 beats per minute, and her respirations are 24 per minute. She is restless and slightly diaphoretic with a small amount of dark red vaginal bleeding. What assessment should the nurse make next?
Palpate the fundus and check fetal heart rate.
What causes jaundice in a newborn?
Pathologic and physiologic
A client with a multiple gestation has come to a health care facility for a regular antenatal check-up. When educating the client on pregnancy, about which complication should the nurse inform the client?
Placental dysfunction
A woman in labor suddenly reports sharp fundal pain accompanied by slight dark red vaginal bleeding. The nurse should prepare to assist with which situation?
Premature separation of the placenta
A 17-year-old primigravida at 37 weeks' gestation has been unable to maintain adequate control of blood glucose throughout their pregnancy. The nurse should prioritize which action after the health care provider suspects the fetus has macrosomia based on the recent ultrasound?
Prepare for assessment of fetal lung maturity.
The nurse is admitting a client in labor. The nurse determines that the fetus is in a transverse lie by performing Leopold maneuvers. What intervention should the nurse provide for the client?
Prepare the client for a cesarean birth.
What are the results of a full bladder on the uterus?
Prevents the uterus from contracting and can lead to extra bleeding. The uterus can also deviate to one side
What is the function of the ovaries?
Produce female gametes or ova and secrete female sex hormones
What are the main hormones involved in breastfeeding?
Prolactin helps produce breast milk and oxytocin stimulates letdown during breastfeeding
The maternal health nurse is caring for a group of high-risk pregnant clients. Which client condition will the nurse identify as being the highest risk for pregnancy?
Pulmonary hypertension
What is the function of the uterus?
Receives the fertilized ovum and provides housing and nourishment for the fetus.
What is a sign of thrombophebitis?
Red and swollen calf
A woman at 28 weeks' gestation has been hospitalized with moderate bleeding that is now stabilizing. The nurse performs a routine assessment and notes the client sleeping, lying on the back, and electronic fetal heart rate (FHR) monitor showing gradually increasing baseline with late decelerations. Which action will the nurse perform first?
Reposition the client to left side.
What medication will a woman who is Rh-negative and experiencing a spontaneous abortion be given?
Rho (D) immune globulin
A woman who had preterm labor and preterm PROM successfully halted has reached week 36 of pregnancy and is doing well on home care. Which of the following nursing diagnoses should the nurse prioritize for this client?
Risk for fetal infection related to early rupture of membranes
Describe postpartum anxiety
SOB, chest pain, and tightness
What is the care for a myelomeningocele?
Spina bifida with a protrusion of the spinal cord and the meninges, with nerve roots embedded in the wall of the cyst. Keep newborn on stomach and myelomeningocele moist with normal saline
What is the most common treatment of a ruptured ectopic pregnancy?
Surgical removal of the affected tube and products of conception
Which statement describes why hypertonic contractions tend to become very painful?
The myometrium becomes sensitive from the lack of relaxation and anoxia of uterine cells.
A woman arrives at the prenatal clinic and is accompanied by her partner. Which behaviors would be suggestive of intimate partner violence (IPV)? Select all that apply.
The partner is overly protective of the pregnant client. Poor weight gain during the pregnancy and low-birth-weight infant. The partner answers questions for the pregnant client.
How can a mother tell if a newborn is getting enough to eat with bottle and breastfeeding?
Time spent feeding, fullness of breasts, child feeling full, s/s of not being hungry, weight gain, sucking ability
What is the function of the vagina?
To receive sperm, provide and exit for menstrual flow, and serve as the birth canal
Why is Vitamin K recommended for a newborn?
To stimulate appropriate clotting
What is the best way to provide education to a woman who does not speak the dominant language?
Using preprinted materials in the client's language
A client reporting she recently had a positive pregnancy test has reported to the emergency department stating one-sided lower abdominal pain. The health care provider has prescribed a series of tests. Which test will provide the most definitive confirmation of an ectopic pregnancy?
abdominal ultrasound
A woman experiences an amniotic fluid embolism as the placenta is delivered. The nurse's first action would be to:
administer oxygen by mask.
The clinic nurse teaches a client with pregestational type 1 diabetes that maintaining a constant insulin level is very important during pregnancy. The nurse tells the client that the best way to maintain a constant insulin level is to use:
an insulin pump.
A woman's obstetrician prescribes vitamin K supplements for a client who is on antiepileptic medications beginning at 36 weeks' gestation. The mother asks the nurse why she is taking this medication. The nurse's best response would be:
antiepileptic therapy can lead to vitamin K-deficient hemorrhage of the newborn.
A woman who is Rh negative asks the nurse how many children she will be able to have before Rh incompatibility causes them to die in utero. The nurse's best response would be that:
as long as she receives Rho(D) immune globulin, there is no limit.
A nurse is teaching a 30-year-old gravida 1 who has sickle cell anemia. Providing education on which topic is the highest nursing priority?
avoidance of infection
A nurse working with a woman in preterm labor receives a telephone report for the fetal fibronectin test done 10 hours ago. The report indicates an absence of the protein, which the nurse knows indicates:
birth is unlikely within the 2 next weeks.
A client with severe preeclampsia is receiving magnesium sulfate as part of the treatment plan. To ensure the client's safety, which compound would the nurse have readily available?
calcium gluconate
A pregnant client is hospitalized because of preeclampsia. Magnesium sulfate is ordered to prevent eclampsia. When preparing to administer the magnesium sulfate, the nurse would ensure that which medication would be readily available?
calcium gluconate
A pregnant client at 42 weeks' gestation is undergoing a scheduled induction of labor based on consideration of which factors? Select all that apply.
cervical ripeness, gestational age, fetal size
A 16-year-old client has been in the active phase of labor for 14 hours. An ultrasound reveals that the likely cause of delay in dilation (dilatation) is cephalopelvic disproportion. Which intervention should the nurse most expect in this case?
cesarean birth
The nurse is assessing a pregnant client with a known history of congestive heart failure who is in her third trimester. Which assessment findings should the nurse prioritize?
dyspnea, crackles, and irregular weak pulse
A nurse is caring for a client who is a 22-year-old gravida 1 para 0 in labor. The client has been in labor for 10 hours. The nurse assesses the fetal monitor, and the client has contractions every 3 to 5 minutes, lasting 40 to 45 seconds, and are palpated moderately. The vaginal examination is completed, and the client is only 3 cm, at 60% effacement, and at -3 station. The client states that the pain level is 7 out of 10.0. The nurse determines the client is experiencing _____ due to _____
dystocia, cervical dilation at 3 cm
A woman with an incomplete abortion is to receive misoprostol. The woman asks the nurse, "Why am I getting this drug?" The nurse responds to the client, integrating understanding that this drug achieves which effect?
ensures passage of all the products of conception
A woman at 9 weeks' gestation was unable to control the nausea and vomiting of hyperemesis gravidarum through conservative measures at home. With nausea and vomiting becoming severe, the woman was omitted to the obstetrical unit. Which action should the nurse prioritize?
establish IV for rehydration
The health care provider has diagnosed a pregnant client with megaloblastic anemia and has prescribed treatment. When questioned by the client as to what this means, which is the best response from the nurse?
folic acid deficiency anemia
A woman at 10 weeks' gestation comes to the clinic for an evaluation. Which assessment finding should the nurse prioritize?
fundal height measurement of 18 cm
A novice nurse asks to be assigned to the least complex antepartum client. Which condition would necessitate the least complex care requirements?
gestational hypertension (most common complication of pregnancy)
A nurse is taking a history of a client at 5 weeks' gestation in the prenatal clinic; however, the client is reporting dark brown vaginal discharge, nausea, and vomiting. Which diagnosis should the nurse suspect?
gestational trophoblastic disease
A pregnant client at 8 weeks' gestation comes to the facility for vaginal bleeding. Assessment reveals that the client has experienced an incomplete spontaneous abortion (miscarriage) for which suction curettage is planned. While preparing the client for the procedure, the nurse would closely monitor for which possible complication?
hemorrhage
A woman at 8 weeks' gestation is admitted for ectopic pregnancy. She is asking why this has occurred. The nurse knows that which factor is a known risk factor for ectopic pregnancy?
history of endometriosis
The nursing instructor is pointing out the various complications that can occur during pregnancy in women with diabetes mellitus. The instructor determines the session is successful after the students correctly choose which complication that can occur if the diabetes is not kept under control?
hydramnios
A 25-year-old client at 22 weeks' gestation is noted to have proteinuria and dependent edema on her routine prenatal visit. Which additional assessment should the nurse prioritize and convey to the RN or health care provider?
initial BP 100/70 mm Hg; current BP 140/90 mm Hg
A nurse is caring for a 28-year-old female client in the emergency department (ED) who is accompanied by their partner. The client reports accidentally falling down stairs. Assessment reveals bruising at multiple stages of healing on upper extremities, back, and abdomen. X-ray reveals a right wrist fracture. The client does not make eye contact with the nurse and allows their partner to answer most of the questions. Complete the following sentence(s) by choosing from the lists of options. The nurse suspects the client is experiencing ______ as evidence by ________
intimate partner violence, stages of bruising
Which change in insulin is most likely to occur in a woman during pregnancy?
less effective than normal
A pregnant client diagnosed with hyperemesis gravidarum is prescribed intravenous fluids for rehydration. When preparing to administer this therapy, which solution would the nurse anticipate being prescribed initially?
normal saline
A client with hyperemesis gravidarum is admitted to the facility after being cared for at home without success. What would the nurse expect to include in the client's plan of care?
nothing by mouth
A pregnant client with preeclampsia with severe features has developed HELLP syndrome. In addition to the observations necessary for preeclampsia, what other nursing intervention is critical for this client?
observation for bleeding
The nurse explains to a pregnant client that she will need to take iron during her pregnancy after being diagnosed with iron-deficiency anemia. The nurse suggests that absorption of the supplemental iron can be increased by taking it with which substance?
orange juice
A client is experiencing dysfunctional labor that is prolonging the descent of the fetus. Which teaching should the nurse prepare to provide to this client?
oxytocin therapy
The fetus of a client in labor is determined to be in a persistent occiput posterior position. Which intervention will the nurse prioritize?
pain relief measures
Labor pain follows a _____
pattern
A client at 7 months' gestation presents to the emergency department with reports of a large gush and continuous leaking of fluid from her vagina. She does have some slight pelvic pressure but denies any contractions. This client is showing clinical signs of which of the following?
premature rupture of membranes
The nurse is admitting a G3 P2 client at 38 weeks' gestation who arrived reporting painless bleeding from the vagina leading to the diagnosis of placenta previa. When questioned by the client as to what caused this, which most likely factor should the nurse point out in her answer?
previous cesarean birth
The nurse is caring for a client with preeclampsia and understands the need to auscultate this client's lung sounds every 2 hours to detect which condition?
pulmonary edema
A nurse is providing care to a pregnant client hospitalized with preeclampsia. The nurse immediately notifies the health care provider that the client has developed eclampsia based on which finding?
seizure activity
A client with preterm labor is receiving terbutaline therapy. Which assessment will the nurse take?
serum potassium levels
The nurse is appraising the medical record of a pregnant client who is resting in a darkened room and receiving betamethasone and magnesium sulfate. The nurse recognizes the client is being treated for which condition?
severe preeclampsia
The nurse is concerned that a pregnant client is experiencing abruptio placentae. What did the nurse assess in this client?
sharp fundal pain and discomfort between contractions
The nurse is caring for a woman at 32 weeks' gestation with severe preeclampsia. Which assessment finding should the nurse prioritize after the administration of hydralazine to this client?
tachycardia
What are signs of impending shock?
tachycardia and falling blood pressure
A woman in week 16 of her pregnancy calls her primary care provider's office to report that she has experienced abdominal cramping, vaginal spotting, and the passing of tissue. The nurse instructs the client to bring the passed tissue to the hospital with her. What is the correct rationale for this instruction?
to determine whether gestational trophoblastic disease is present
A 17-year-old client comes to the clinic because of irregular menstrual bleeding and facial acne. The client is overweight, despite exercising daily, and has excessive hair growth on the chin and abdomen. The nurse explains to the client that blood will be drawn for which purposes? Select all that apply.
to screen for insulin resistance, to obtain fasting cholesterol levels, and to measure androgen level
The nurse is assessing a client in labor. On which complication of labor as identified within the 2030 National Health Goals will the nurse focus?
uterine rupture
A woman in labor is experiencing dysfunctional labor (hypotonic uterine dysfunction). Assessment reveals no fetopelvic disproportion. Which group of medications would the nurse expect to administer?
uterine stimulants
The obstetric nurse is caring for a pregnant client who has been diagnosed with a hydatidiform mole. What assessment should the nurse prioritize?
vaginal bleeding
A 35-year-old client is seen for her 2-week postoperative appointment after a suction curettage was performed to evacuate a hydatidiform mole. The nurse explains that the human chorionic gonadotropin (hCG) levels will be reviewed every 2 weeks and teaches about the need for reliable contraception for the next 6 months to a year. The client states, "I'm 35 already. Why do I have to wait that long to get pregnant again?" What is the nurse's best response?
"A contraceptive is used so that a positive pregnancy test resulting from a new pregnancy will not be confused with the increased level of hCG that occurs with a developing malignancy."
A young client with a cardiac problem wants to get pregnant and tells the nurse that she is sad that she will never be able to have a baby. What is the best response by the nurse?
"Because of improved management, more women with cardiac problems can complete pregnancies successfully."
A woman of 16 weeks' gestation telephones the nurse because she has passed some "berry-like" blood clots and now has continued dark brown vaginal bleeding. Which action would the nurse instruct the woman to do?
"Come to the health facility with any vaginal material passed."
The nurse provides education to a postterm pregnant client. What information will the nurse include to assist in early identification of potential problems?
"Continue to monitor fetal movements daily."
The nurse instructs a pregnant client with sickle cell anemia on ways to prevent a crisis. Which client statement indicates that teaching has been effective?
"I should drink eight glasses of water every day."
A pregnant woman with chronic hypertension is entering her second trimester. The nurse is providing anticipatory guidance to the woman about measures to promote a healthy outcome. The nurse determines that the teaching was successful based on which client statement(s)? Select all that apply.
"I should take my blood pressure frequently at home and report any high readings." "I should try to lie down and rest on my left side for about an hour each day." "I will start doing daily counts of my baby's activity at about 24 weeks' gestation."
A pregnant client with iron-deficiency anemia is prescribed an iron supplement. After teaching the woman about using the supplement, the nurse determines that more teaching is needed based on which client statement?
"I will take the iron with milk instead of orange or grapefruit juice."
A pregnant women calls the clinic to report a small amount of painless vaginal bleeding. What response by the nurse is best?
"Please come in now for an evaluation by your health care provider."
A pregnant woman who has had cardiovascular disease for the last 3 years asks the nurse why this disorder makes her pregnancy an "at-risk" pregnancy. What is the nurse's best response?
"Pregnancy taxes the circulatory system of every woman."
What is a normal range for heart rate?
120 to 160 bpm
A primipara at 36 weeks' gestation is being monitored in the prenatal clinic for risk of preeclampsia. Which sign or symptom should the nurse prioritize?
A dipstick value of 2+ for protein
What is the function of the clitoris?
A small erectile structure that response to sexual stimulation
A pregnant client with type 1 diabetes is in labor. The client's blood glucose levels are being monitored every hour and she has a prescription for an infusion of regular insulin as needed based on the client's blood glucose levels. Her levels are as follows: 1300: 105 mg/dL (5.83 mmol/L) 1400: 100 mg/dL (5.55 mmol/L) 1500: 120 mg/dL (6.66 mmol/L) 1600: 106 mg/dl (5.88 mmol/L) Based on the recorded blood glucose levels, at which time would the nurse likely administer the regular insulin infusion?
1500
The nurse is caring for a pregnant woman determined to be at high risk for gestational diabetes. The nurse prepares to rescreen this client at which time frame?
24 to 28 weeks
How many weeks may a woman be at if her fundal height measures at 28 cm?
28 weeks
Which days is a woman at highest risk of pregnancy?
3 days before and until 2 days after ovulation
What is a normal respiratory rate range for a newborn?
30-60 breaths
A postpartum mother has the following lab data recorded: a negative rubella titer. What is the appropriate nursing intervention?
Administer rubella vaccine before discharge.
Do most cases of late postpartum hemorrhage occur before or after the woman leaves the health care or birthing facility?
After leaving
When is it important to monitor for umbilical cord prolapse?
After rupture of membranes
What are the different types of analgesia?
Analgesia are medications used to reduce the sensation of pain. There are opioids, epidural analgesia, intrathecal anesthesia (spinal block), Opioids are most commonly given IV (meperidine, fentanyl, and morphine) and give a short duration.
A client with asthma who is 32 weeks' pregnant is concerned that the health care provider has reduced the doses of asthma maintenance medications. How should the nurse respond to this client's concern?
Asthma medication may reduce labor contractions and should be reduced.
What symbolizes the end of the third stage of labor?
At the time of the placental delivery
A client with type 2 diabetes mellitus is planning to become pregnant within the next several months. What should the nurse instruct the client to support the 2020 National Health Goals of reducing the complications of pregnancy from diabetes?
Avoid episodes of hyperglycemia.
How can a late pregnant woman prevent supine hypotension syndrome?
By laying on their left side
In preparing a class for a group of pregnant couples, the nurse includes information about possible newborn complications associated with smoking during pregnancy. Which complications will the nurse include? Select all that apply.
Cerebral palsy, low birth weight, cleft lip and palate, SIDS
Between her regularly scheduled visits, a woman in her first trimester of pregnancy who is taking iron supplements for anemia calls the nurse at her obstetrician's office reporting constipation. She reports that she has never had this problem before and asks for some advice about how to get relief. What is the best advice the nurse can give her?
Continue taking iron supplements but increase fluids and high-fiber foods; exercise more.
What is the function of amniotic fluid?
Cushions your baby to prevent injury, regulates temperature, and allows the fetus to move freely inside which allows normal musculoskeletal development of the fetus
A nurse is caring for a young woman who is in her 10th week of gestation. She comes into the clinic reporting vaginal bleeding. Which assessment finding best correlates with a diagnosis of hydatidiform mole?
Dark red, "clumpy" vaginal discharge
Describe newborn sleep
Deep sleep: quiet, not restless, hard to awaken. Light sleep: appears asleep with eyes closed, some activity is noted, may show sucking behavior. Drowsy: eyes may be open or closed, looks sleepy but has intermittent periods of light activity or fussiness. Quiet alert: eyes are open and is attentive to people and things that are in close proximity; great time for interaction. Active alert: eyes are open and responds to stimuli with activity. Crying
Why would a new mother wake up drenched in sweat?
Diaphoresis occurs in postpartum woman as a way to get rid of both excess water and waste through the skin
A woman at 37 weeks' gestation presents to the labor and delivery area with symptoms of placental abruption (abruptio placentae). Which action should the nurse prioritize?
Ensure that large-bore IV access is obtained
How often would you assess the woman's fundus in the fourth stage of labor?
Every 15 minutes, than every 30 minutes for the next hour
A G2P1 woman with type 1 diabetes is determined to be at 8 weeks' gestation by her health care provider. The nurse should point out which factor will help the client maintain glycemic control?
Exercise
A nurse is providing care to a pregnant woman with preterm prelabor rupture of membranes (PPROM). On admission, the client's baseline information was as follows: temperature, 97.6°F (36.5°C); pulse, 76 beats/minute; fetal heart rate, 136 beats/minute; white blood cell count, 7 x 103cells/mm3 (7.0 x 109/L). Now, 8 hours later, assessment reveals the following: temperature, 99.6°F (37.7°C); pulse, 82 beats/minute; fetal heart rate, 180 beats/minute; white blood cell count, 8.5 x 103 cells/mm3 (8.5 X 109/L). The nurse suspects a possible infection based on the change in which parameter?
Fetal HR
What should be done if a fetus has variable decelerations caused by cord compression?
Help the woman change positions
Many women develop iron-deficient anemia during pregnancy. What diagnostic criteria would the nurse monitor for to determine anemia in the pregnant woman?
Hematocrit of 32% or less
A 24-year-old woman presents with vague abdominal pains, nausea, and vomiting. An urine hCG is positive after the client mentioned that her last menstrual period was 2 months ago. The nurse should prepare the client for which intervention if the transvaginal ultrasound indicates a gestation sac is found in the right lower quadrant?
Immediate surgery
What are the risks vs benefits of a cesarean delivery?
Indications: previous cesarean, labor dystocia (failure to progress in labor), non-reassuring fetal status, fetal malpresentation. Risk: anesthesia-related complications, thromboembolic and wound complications, infection, fetal respiratory distress
The maternal health nurse is caring for a pregnant client with sickle cell disease. Which action(s) will the nurse take to help the client prevent complications related to her disease? Select all that apply.
Instruct the client on the warning signs of stroke. Observe the client's lower extremities for ulcers at every prenatal visit. Obtain a urine sample at every prenatal visit.
A woman calls the obstetrician's office to inquire how long she needs to wait to get pregnant following a seizure she had last week. The nurse would tell her to wait how long?
It is recommended that she wait 6 months after seizures are under control before getting pregnant.
A client recovering from an uneventful vaginal delivery is prescribed Rho(D) immune globulin. What should the nurse explain to the client regarding the purpose of this medication?
It prevents maternal D antibody formation.
When planning health care education for a community, what does the nurse need to do first?
Know the needs of the audience
A woman who is 10 weeks' pregnant calls the physician's office reporting "morning sickness" but, when asked about it, tells the nurse that she is nauseated and vomiting all the time and has lost 5 pounds. What interventions would the nurse anticipate for this client?
Lab work will be drawn to rule out acid-base imbalances.
What is the largest contributing factor to poor pregnancy outcome?
Lack of prenatal care
A client who is 10 weeks' pregnant reports during a social assessment interview that she has two indoor cats, lives alone, fixes her own meals and enjoys gardening. What precautions would the nurse recommend the woman take to prevent the possibility of contracting toxoplasmosis? Select all that apply.
Make sure meats are cooked to 152ºF (66.7℃); do not eat raw or rare meats. Hire someone to empty the litter box in the house. Use gloves when planting her vegetable garden.
What should be done for a postpartum client two hours after birth who is bleeding heavily with large clots?
Massage the fundus firmly
A client at 25 weeks' gestation presents with a blood pressure of 152/99 mm Hg, pulse 78 beats/min, no edema, and urine negative for protein. What would the nurse do next?
Notify the health care provider
A pregnant woman diagnosed with diabetes should be instructed to perform which action?
Notify the primary care provider if unable to eat because of nausea and vomiting.
The nurse is assessing a multipara client who presents to the hospital after approximately 2 hours of labor and notes the fetus is in a transverse lie. After notifying the RN and primary care provider, which action should the LPN prioritize?
Prepare to assist with external version.
A client at 27 weeks' gestation is admitted to the obstetric unit after reporting headaches and edema of her hands. Review of the prenatal notes reveals blood pressure consistently above 136/90 mm Hg. The nurse anticipates the health care provider will prescribe magnesium sulfate to accomplish which primary goal?
Prevent maternal seizures
A woman with known cardiac disease is in labor. In what position would the nurse place the client?
Semi-recumbent with a pillow under one hip
The nurse would prepare a client for amnioinfusion when which action occurs?
Severe variable decelerations occur and are due to cord compression.
The nurse is assessing a 37-year-old woman who has presented in active labor and notes the client has an increased risk for placental abruption (abruptio placentae). Which assessment finding should the nurse prioritize?
Sharp fundal pain and discomfort between contractions
The nurse is conducting a class for pregnant women on problems associated with infections seen in women during gestation. One mother tells the nurse that she has never had chickenpox (varicella) and is worried she will contract it before she delivers. What would the nurse explain to this mother to ease her anxiety?
She can receive her varicella vaccine immediately after delivery, followed by a second dose at her 6-week postpartum visit.
The nurse is monitoring a pregnant client who is receiving intravenous magnesium sulfate for eclampsia. During the last assessment, the nurse was unable to elicit a patellar reflex. What should the nurse do?
Stop the current infusion.
A woman receiving an oxytocin infusion for labor induction develops contractions that occur every minute and last 75 seconds. Uterine resting tone remains at 20 mm Hg. Which action would be most appropriate?
Stop the infusion immediately.
The nurse is caring for a client in active labor. Which assessment finding should the nurse prioritize and report to the team?
Sudden shortness of breath
A nurse working at the local health district clinic assists numerous adolescents who become pregnant. Which factor will the nurse tell the teens is crucial for a positive pregnancy outcome?
Support network
Describe postpartum psychosis
Symbolized by confusion, hallucinations and delusions
During a prenatal examination the nurse observes bruises on the client's arms and a black eye. When asked about the bruises, the client states, "It was an accident. My spouse just had a bad day at work, and I was late getting dinner prepared. But my spouse is being so kind now; my spouse brought me flowers yesterday. My spouse is looking for a new job, so it will not happen again." This client is in which phase of the cycle of violence?
The honeymoon phase
A young woman presents at the emergency department reporting lower abdominal cramping and spotting at 12 weeks' gestation. The primary care provider performs a pelvic examination and finds that the cervix is closed. What does the care provider suspect is the cause of the cramps and spotting?
Threatened abortion
The nurse is assisting with a G2P1, 24-year-old client who has experienced an uneventful pregnancy and is now progressing well through labor. Which action should be prioritized after noting the fetal head has retracted into the vagina after emerging?
Use McRoberts maneuver.
A G2P1 woman is in labor attempting a VBAC, when she suddenly complains of light-headedness and dizziness. An increase in pulse and decrease in blood pressure is noted as a change from the vital signs obtained 15 minutes prior. The nurse should investigate further for additional signs or symptoms of which complication?
Uterine rupture
The nurse is caring for a client who has remained in stable condition at 37 weeks' gestation. The client's condition suddenly changes. Which assessment change should the nurse prioritize?
Vaginal bleeding and no pain
A pregnant client with a history of heart disease has been admitted to a health care center reporting breathlessness. The client also reports shortness of breath and easy fatigue when doing ordinary activity. The client's condition is markedly compromised. The nurse would document the client's condition using the New York Heart Association (NYHA) classification system as which class?
class III
A pregnant client with preeclampsia is being treated with intravenous magnesium sulfate. The nurse assesses the client's deep tendon reflexes and grades them as 4+. The nurse notifies the health care provider about this finding, describing them using which term to ensure accurate communication?
clonus
A pregnant woman comes to the birthing center, stating she is in labor and does not know far along her pregnancy is because she has not had prenatal care. A primary care provider performs an ultrasound that indicates oligohydramnios. When the client's membranes rupture, meconium is in the amniotic fluid. What does the nurse suspect may be occurring with this client?
complications of a post-term pregnancy
A pregnant client with multiple gestation arrives at the maternity clinic for a regular antenatal check up. The nurse would be aware that client is at risk for which perinatal complication?
congenital anomalies
Which intervention would be most important when caring for the client with breech presentation confirmed by ultrasound?
continuing to monitor maternal and fetal status
A client comes to the emergency department with moderate vaginal bleeding. She says, "I have had to change my pad about every 2 hours and it looks like I may have passed some tissue and clots." The woman reports that she is 9 weeks' pregnant. Further assessment reveals the following: Cervical dilation Strong abdominal cramping Ultrasound positive for products of conception The nurse suspects that the woman is experiencing which type of spontaneous abortion (miscarriage)?
incomplete
A client in her eighth month of pregnancy who has cardiac disease is experiencing profound shortness of breath and a cough that produces blood-speckled sputum, in addition to systemic hypotension. The nurse recognizes that this client most likely is experiencing which condition?
left-sided heart failure
What would be the physiologic basis for a placenta previa?
low placental implantation
After delivery, a client is diagnosed with placenta succenturiata. For what procedure should the nurse prepare this client?
manual removal of accessory lobes
Which medication will the nurse anticipate the health care provider will prescribe as treatment for an unruptured ectopic pregnancy?
methotrexate
The nurse is preparing to teach a pregnant client with iron deficiency anemia about the various iron-rich foods to include in her diet. Which food should the nurse point out will help increase the absorption of her iron supplement?
orange juice
During a difficult labor of an infant in the face presentation, the nurse notes the infant has a large amount of facial edema with bruising and ecchymosis. Which assessment would be the priority for this infant?
patent airway
The nurse is assessing a woman with class III heart disease who is in for a prenatal visit. What would be the first recognizable sign that this client is in heart failure?
persistent rales in the bases of the lungs
A client at 33 weeks' gestation comes to the emergency department with vaginal bleeding. Assessment reveals the following: Onset of slight vaginal bleeding at 29 weeks with spontaneous cessation Recent onset of bright red vaginal bleeding, more than with previous episode No uterine contractions at present Fetal heart rate within normal range Uterus soft and nontender Based on the assessment findings, which condition would the nurse likely suspect?
placenta previa
During a routine prenatal visit, a client is found to have 1+ proteinuria and a blood pressure rise to 140/90 mm Hg with mild facial edema. The nurse recognizes that the client has which condition?
preeclampsia without severe features
A nurse is reviewing a client's history and physical examination findings. Which information would the nurse identify as contributing to the client's risk for an ectopic pregnancy?
recurrent pelvic infections
The following hourly assessments are obtained by the nurse on a client with preeclampsia receiving magnesium sulfate: 97.3oF (36.2oC), HR 88, RR 12 breaths/min, BP 148/110 mm Hg. What other priority physical assessments by the nurse should be implemented to assess for potential toxicity?
reflexes
A client at 37 weeks' gestation presents to the emergency department with a BP 150/108 mm Hg, 1+ pedal edema, 1+ proteinuria, and normal deep tendon reflexes. Which assessment should the nurse prioritize as the client is administered magnesium sulfate IV?
respiratory rate
The nurse is assessing a primigravida woman who reports vaginal itching, a great deal of foamy yellow-green discharge, and pain during intercourse. The nurse suspects the woman has contracted which disorder?
trichomoniasis
A pregnant client at 24 weeks' gestation comes to the clinic for an evaluation. The client called the clinic earlier in the day stating that she had not felt the fetus moving since yesterday evening. Further assessment reveals absent fetal heart tones. Intrauterine fetal demise is suspected. The nurse would expect to prepare the client for which testing to confirm the suspicion?
ultrasound
A pregnant woman at term is in the obstetrics unit for induction in the morning. Her membranes rupture, and the external fetal monitor shows deep variable decelerations. The nurse should immediately check the client for:
umbilical cord prolapse.
A woman in active labor has just had her membranes ruptured to speed up labor. The nurse is concerned the woman is experiencing a prolapse of the umbilical cord when the nurse notices which pattern on the fetal heart monitor?
variable deceleration pattern
A client with diabetes is in the first trimester of pregnancy and is currently having difficulty keeping blood glucose levels within normal limits. The client explains that she has been "eating for two" so the baby is healthy. How should the nurse respond to the client?
"Elevated blood glucose levels in the first trimester have been linked to congenital anomalies."
A nurse is monitoring the serum drug level of a pregnant client with preeclampsia who is receiving a continuous infusion of magnesium sulfate. For which level would the nurse continue the infusion?
6.8 mg/100ml
What is a normal blood pressure range for a newborn?
60/40 mm Hg
A woman in labor is having very intense contractions with a resting uterine tone >20 mm Hg. The woman is screaming out every time she has a contraction. What is the highest priority fetal assessment the health care provider should focus on at this time?
Look for late decelerations on monitor, which is associated with fetal anoxia.
What happens as a woman enters the second stage of labor?
Changes in contractions and a strong urge to push which can be frightening for the mother
The nurse is assessing a 35-year-old woman at 22 weeks' gestation who has had recent laboratory work. The nurse notes fasting blood glucose 146 mg/dl (8.10 mmol/L), hemoglobin 13 g/dl (130 g/L), and hematocrit 37% (0.37). Based on these results, which instruction should the nurse prioritize?
Check blood sugar levels daily.
The maternal health nurse is caring for a pregnant client with a history of epilepsy. The client's antiepileptic drug (AED) levels have been in the non-therapeutic range the last two times the labs were drawn. Which factor does the nurse associate with this finding?
Drug metabolism changes during pregnancy.
Describe postpartum blues
Due to lack of sleep and emotional abilities
A woman with class II heart disease is experiencing an uneventful pregnancy and is now prescribed bed rest at 36 weeks' gestation by her health care provider. The nurse should point out that this is best accomplished with which position?
Lie in a semi-recumbent position.
A nurse is caring for a 33-year-old primigravida client who is obese and near the end of their second trimester. The client has a history of prepregnancy obesity, hypertension, and smoking. Complete the following sentence(s) by choosing from the lists of options. The client is at highest risk for developing ______________ The nurse provides discharge teaching to reduce the risks of developing this condition. Teaching should include ____________
Gestational diabetes, changes in lifestyle
A nurse is caring for a 25-year-old G1P0 at 37 weeks' gestation. The client's history indicates that the client has had alcohol abuse disorder throughout their pregnancy. What signs and symptoms does the nurse expect the newborn to exhibit? The nurse recognizes the newborn is exhibiting signs and symptoms of fetal alcohol syndrome, which include _____, _____, _____, and ______
High-pitched/shrill cry, jitteriness, flat midface, thin upper lip
A nurse in a hospital is caring for a 22-year-old G2P1 client who is at 32 weeks' gestation in active labor. The client calls out, "I think my water broke." The nurse at the bedside pulled back the sheet and found clear fluid with an umbilical cord in the client's vagina. The immediate nursing actions are ____, ____, ____, and ____
Insert a hand to hold up the cord, contact the health care provider, follow the hospital's cord prolapse protocol, and delegate tasks to other nurses
The nurse is preparing information for a client who has just been diagnosed with gestational diabetes. Which instruction should the nurse prioritize in this information?
Maintain a daily blood glucose log
The nurse is caring for a pregnant client with pregestational diabetes. Which goal does the nurse identify as priority during the client's pregnancy?
Maintain glycemic control.
What is cervical dilation?
The extent of opening at the widest diameter
A 25-year-old pregnant client has just been diagnosed with hyperemesis gravidarum. Which instruction should the nurse prioritize during a teaching session?
Take your anti-nausea medicine around the clock.
A 39-year-old multigravida with diabetes presents at 32 weeks' gestation reporting she has not felt movement of her fetus. Assessment reveals the fetus has died. The nurse shares with the mother that the institution takes pictures after the birth and asks if she would like one. What is the best response if the mother angrily says no and starts crying?
Tell her that the hospital will keep the photos for her in case she changes her mind.
Why might a female have light spotting after a vaginal exam?
The cervix is very vascular, so spotting after a pelvic exam is not unusual
What is effacement?
The degree of thinning of the cervix
A woman with a history of crack cocaine use disorder is admitted to the labor and birth area. While caring for the client, the nurse notes a sudden onset of fetal bradycardia. Inspection of the abdomen reveals an irregular wall contour. The client also reports acute abdominal pain that is continuous. Which condition would the nurse suspect?
Uterine rupture
What can be a sign of cord compression?
Variable decelerations
A client who is 36 weeks' pregnant has been taking phenytoin for a seizure disorder. Which supplement should the nurse anticipate being prescribed for this client?
Vitamin K
Describe artificial rupture of membranes
When an MD inserts a plastic hook into the vagina during an exam to snag a hole in the membranes and induce labor
A pregnant client with a history of asthma since childhood presents for a prenatal visit. What statement by the client alerts the nurse to perform further assessment?
"I sometimes get a bit wheezy."
A nurse is caring for a pregnant client admitted with mild preeclampsia. Which assessment finding should the nurse prioritize?
urine output of less than 15 ml/hr
The nurse is evaluating care provided to a client in the third trimester of pregnancy who has been diagnosed with gestational hypertension. Which finding indicates that treatment has been successful for this client?
urine protein 0
A client with a molar pregnancy is scheduled for a dilatation and curettage (D&C). The nurse is educating that client about postoperative care. The nurse will instruct the client that she will have the first serum hCG level drawn at how many hours after the D&C?
48
The maternal health nurse is caring for a group of pregnant clients with heart disease. Which client will the nurse see first?
6-week pregnant client with pulmonary hypertension
The nurse is orientating in the Labor and Delivery unit and asks her preceptor how to differentiate a client with preeclampsia from one with eclampsia. Which symptoms would the preceptor describe to the new nurse as indicative of severe preeclampsia? Select all that apply.
HTN, nondependent edema, hyperactive deep tendon reflexes
What can lordosis cause in pregnancy?
Lordosis is a spinal curvature which can cause chronic backacke
A 26-year-old primigravida has brought her doula to the birthing center for support during her labor and birth. The doula has been helping her through the past 16 hours of labor. The laboring woman is now 6 cm dilated. She continues to report severe pain in her back with each contraction. The client finds it comforting when her doula uses the ball of her hand to put counterpressure on her lower back. What is the likely cause of the woman's back pain?
Occiput posterior position
A woman who has sickle cell anemia asks the nurse if her infant will develop sickle cell disease. The nurse would base the answer on which information?
Sickle cell anemia is recessively inherited.
Describes ways to promote thermoregulation of a newborn
Skin to skin (Kangaroo) care, drying them, don't allow heat loss from conduction/convection/radiation.
What is the easiest and most cost-effective fertility test to complete?
Sperm analysis
Describe a tubal ligation
Sterilization by fallopian tube obstruction. Doesn't alter menstrual symptoms or flow. Is permanent. Can cause ectopic pregnancy if done after ovulation.
The nurse is teaching a pregnant woman about how to prevent contracting cytomegalovirus (CMV) during pregnancy. What tips would the nurse share with this client? Select all that apply.
Wash your hands thoroughly with soap and water after touching saliva or urine. Do not share food or drinks with young children, especially if they are in day care. If you develop any flu-like symptoms, notify your pratitioner immediately to be evaluated for CMV.
Describe LGA
Weight, length, or head circumference falls above the 90th percentile
Describe AGA
Weight, length, or head circumference falls between the 10th and 90th percentiles
Describe SGA
Weight, length, or head circumference falls under the 10th percentile
Which finding would lead the nurse to suspect that the fetus of a woman in labor is in hypertonic uterine dysfunction?
contractions most forceful in the middle of uterus rather than the fundus
A woman is admitted to the labor suite with contractions every 5 minutes lasting 1 minute. She is postterm and has oligohydramnios. What does this increase the risk of during birth?
cord compression
The nurse is teaching a client who is diagnosed with preeclampsia how to monitor her condition. The nurse determines the client needs more instruction after making which statement?
"If I have changes in my vision, I will lie down and rest." (can mean at risk for seizures)
A pregnant client late in the second trimester comes to the emergency department with a report of painless, bright red vaginal bleeding. The client states, "It started all of a sudden and now it seems to have stopped." Placenta previa is suspected. Which action should the nurse implement immediately for this client?
Determine fetal heart sounds using an external monitor.
How might PID be a source of infertility?
The tubal scarring interferes with the transport of ova (occurs in about 12%)
A client in labor has been diagnosed with shoulder dystocia. Which risk factors would the nurse expect in the prenatal history? Select all that apply.
dates indicating a post-term pregnancy, history of maternal diabetes, measurements indicating fetal macrosomia
A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. The nurse determines that the medication is at a therapeutic level based on which finding?
deep tendons reflexes 2+
A nurse is conducting a program for pregnant women with gestational diabetes that discusses reducing complications during the pregnancy. The nurse determines that the teaching was successful when the group identifies which factor as being most important in helping to reduce complications associated with pregnancy and diabetes?
degree of blood glucose control achieved during the pregnancy
A client is giving birth when shoulder dystocia occurs in the fetus. The nurse recognizes that which condition in the client is likely to increase the risk for shoulder dystocia?
diabetes
The nursing student demonstrates an understanding of dystocia with which statement?
"Dystocia is diagnosed after labor has progressed for a time."
A 32-year-old woman with epilepsy mentions to the nurse during a routine well-visit that she would like to have children and asks the nurse for advice. Which response is most appropriate from the nurse?
"I'll let the doctor know so you can discuss your medications. In the meantime, I'll give you a list of folate-rich foods you can add to your diet."
A pregnant woman with diabetes is having a glycosylated hemoglobin (HgbA1C) level drawn. Which result would require the nurse to revise the client's plan of care?
8.5% (a HgbA1C <7% is considered undercontrol)
A nurse is interviewing a pregnant woman who has come to the clinic for her first prenatal visit. During the interview, the client tells the nurse that she works in a day care center with 2- and 3-year olds. Based on the client's history, the nurse would be alert for the development of which condition?
Cytomegalovirus
The nurse is monitoring a primipara who has been receiving oxytocin and is now in hypertonic labor. If the nurse notes the fetal heart rate has suddenly dropped, which action should the nurse prioritize?
Decrease the oxytocin drip rate.
A pregnant client receiving intravenous oxytocin for 1 hour has contractions lasting 85 seconds. What should the nurse do first for this client?
Discontinue the oxytocin infusion.
A laboring woman is receiving oxytocin IV to augment her labor and 2 hours later begins having contractions every 2 minutes lasting 60 to 90 seconds each with little, if any, rest time in between the contractions. At this time, which interventions would be the priority for the nurse caring for this client? Select all that apply.
Discontinue the oxytocin infusion. Apply oxygen to the woman via mask at 8 to 10 L/min. Administer an IV bolus of fluids.
What kind of stitches are used to fix tears from vaginal birth?
Dissolvable
What factor puts a multiparous client on her first postpartum day at risk for developing hemorrhage?
Uterine atony
A laboring client is experiencing dysfunctional labor or dystocia due to the malfunction of one or more of the "four Ps" of labor. Which scenario best illustrates a power problem?
Uterine contractions are weak and ineffective.
Does a 15 year old have the right to make decisions about her infant's care?
Yes
What is the drug methylergonovine maleate used for?
uterine contraction
