OB

A 40-year-old G5P1031 is attending a childbirth education class. During the class, the woman says, "The worst part of contractions with my last labor was when they were at the peak of intensity." The nurse educator correctly explains that the woman is identifying which part of a contraction?

The shortest part of the contraction

The nurse is counseling a 15-year-old pregnant patient at her first prenatal appointment. Which patient teaching by the nurse is appropriate?

"Your response to pregnancy, labor, and delivery will differ from that of an adult because your cognitive development is not yet complete."

The nurse is caring for a 24-year-old woman who is G1P0 at 40 weeks, 1 day gestation and in active labor. She has just received an epidural and now complains of "an itchy feeling all over." Her vitals are as follows: HR 120, RR 12, BP 130/74, T 98.8, and O2 sat 98%. Which action should the nurse take first?

Call the health care provider regarding the patient's pruritus to order an antipruritic medication.

The nurse is reviewing the chart of a 35-year-old G4P2012 woman. The patient is at 38 weeks, 4 days and is in active labor with SROM clear fluid 2 hours ago. What action should the nurse take?

Help the patient change her position from side to side every 30 minutes.

The patient is having an unmedicated childbirth and has begun to bear down. She vocalizes, "The baby is coming!" Which action should the nurse take?

Have the patient assume a comfortable and upright position.

The nurse is caring for a patient in active labor with significant back pain. The patient has requested non-pharmacologic methods of pain relief. The nurse thinks that sterile water injections may help with her pain management. Which of the following explanations should the nurse explain to the patient?

"We will inject 0.5 mL of sterile water subcutaneously, and it will last for an hour to 90 minutes."

The nurse is caring for a 34-year-old woman who is G2P1001 at 39 weeks and 1 day. The patient is an observant Muslim and is in active labor. Which outcome would be the most effective form of applying culturally sensitive communication?

Assuring the patient that her baby is less than 9 lbs

The nurse educator is in a childbirth education class discussing non-pharmacological ways nurses can assist to enhance labor and spontaneous vaginal delivery. Which of the following facts regarding non-pharmacologic approaches will the nurse use to help illustrate its benefits

Effleurage is performed in rhythm with breathing during a contraction.

The nursing preceptor asks the nursing student how to best determine the intensity of contractions before placing the patient on an electronic fetal monitoring strip. How would the nurse assess this?

Palpate the maternal abdomen during a contraction.

The nurse is caring for a 31-year-old female patient who is pregnant at 37 weeks and 5 days gestation. The patient is having contractions every 3 minutes and was found to have a platypelloid pelvis upon examination. The fetus has an estimated fetal weight of 7 lbs and is in the LOA position. This patient is laboring on the birth ball, and her mother-in-law is helping her labor. The nurse is concerned about the five Ps and their effect on the patient's labor. Which P is the nurse most likely concerned about based on the patient's history?

Passage

The nurse is reading the patient's chart, which indicates the patient has a "gynecoid pelvis." What finding is expected in this patient?

Wider outlet