Nursing 155-Ch 9, Success Qs
Pad the client's bed rails and head board.
67. The nurse is caring for an eclamptic client. Which of the following is an important action for the nurse to perform?
Magnesium sulfate.
A 28-week-gestation client with intact membranes is admitted with the following findings: Contractions every 5 min 60 sec, 3 cm dilated, 80% effaced. Which of the following medications will the obstetrician likely order?
Presence of abdominal pain.
A 29-week-gravid client is admitted to the labor and delivery unit with vaginal bleeding. To differentiate between placenta previa and abruptio placentae, the nurse should assess which of the following?
Fetal heart rate.
A 38-week-gestation woman is in labor and delivery with a painful, board-like abdomen and progressively larger serial girth measurements. Which of the following assessments is appropriate at this time?
Turn off the oxytocin infusion.
A client, 38 weeks' gestation, is being induced with IV oxytocin (Pitocin) for hypertension and oligohydramnios. She is contracting q 3 min 60 to 90 seconds. She suddenly complains of abdominal pain accompanied by significant fetal heart bradycardia. Which of the following interventions should the nurse perform first?
Begin oxytocin drip rate at 0.5 millunits/min.
A labor nurse is caring for a client, 38 weeks' gestation, who has been diagnosed with symptomatic placenta previa. Which of the following physician orders should the nurse question
Client has no grand mal seizures.
A nurse administers magnesium sulfate via infusion pump to an eclamptic woman in labor. Which of the following outcomes indicates that the medication is effective? 1. Client has no patellar reflex response.
Check the fetal heart rate of a client who just ruptured membranes.
A nurse is caring for four clients on the labor and delivery unit. Which of the following actions should the nurse take first?
G5P1211, cocaine abuser.
A nurse is caring for four laboring women. Which of the women will the nurse carefully monitor for signs of abruptio placentae?
Signs of preterm labor.
The nurse is caring for a 30-week-gestation client whose fetal fibronectin (fFN) levels are positive. It is essential that she be taught about which of the following? 1. How to use a blood glucose monitor
Primigravida with a transverse lie (baby lying transverse)
The physician has ordered oxytocin (Pitocin) for induction for 4 gravidas. In which of the following situations should the nurse refuse to comply with the order?
Age 25, G4P3003, last delivery by cesarean section.
There are four clients in active labor in the labor suite. Which of the women should the nurse monitor carefully for the potential of uterine rupture?
A client with cardiac disease.
Three 30-week-gestation clients are on the labor and delivery unit in preterm labor. For which of the clients should the nurse question a doctor's order for beta agonist tocolytics?
Platelets 75,000.
Which of the following lab values should the nurse report to the physician as being consistent with the diagnosis of HELLP syndrome?
Shoulder dystocia.
Which of the following situations is considered a vaginal delivery emergency?