Passpoint - Intrapartum

A client is 37 weeks gestation and is experiencing preeclampsia. The physician has ordered magnesium sulfate, increased fetal surveillance, and increased nursing interventions. The nightshift charge nurse is preparing the patient-nurse assignment before the morning shift begins. Which factors should be the primary factor in the decision surrounding who should care for this client? the most senior nurse on that morning shift client preference complexity of care requirements continuity: the nurse who cared for the client yesterday

Complexity of care requirements Registered nurses are responsible for exhibiting critical thinking skills and caring for clients with fluctuating changes in their condition. This client requires extensive nursing care because she has experienced a change in health status and requires enhanced surveillance. It is critical that the nurse caring for her recognizes if her condition further deteriorates. While it is appropriate to consider senior nursing staff, client wishes and continuity of care, it is the responsibility of nurses to provide safe and ethical care. Therefore, in this context, client safety is the priority and requires that the charge nurse considers the complexity of her care requirements when assigning the appropriate care provider.

A couple arrives at the hospital stating that the client's contractions started 3 hours ago. As they are walking into the room, the client tells the nurse that this is their fifth baby. What is the nurse's first priority while performing the admission? Review the client's obstetrical history. Assess the client's coping skills in labor. Ensure that the client will have a support person in labor. Assess the imminence of birth.

This is the client's fifth baby, and she has been in labor for 3 hours. Given that multiparaclients experience the stages of labor at a significantly faster rate than nullipara clients,it is critical that the nurse assess for the imminence of birth. After this has beenestablished, the nurse will know how much time he/she has to review the obstetricalhistory, assess the client's coping skills, and ensure the presence of a support personfor the labor and birth