Quiz 3 OB
The laboring client who is at 3 cm dilation and 25% effaced is asking for analgesia. The nurse explains the analgesia usually is not administered prior to the establishment of the active phase. What is the appropriate rationale for this practice?
This may prolong labor and increase complications.
During labor, progressive fetal descent occurs. Place the stations listed in their proper sequence from first to last. All options must be used.
-4 station -2 station 0 station +2 station +4 station
The nurse assesses a client in labor and finds that the fetal long axis is longitudinal to the maternal long axis. How should the nurse document this finding?
lie
When assessing fetal heart rate patterns, which finding would alert the nurse to a possible problem?
prolonged decelerations
A nurse is caring for a pregnant client in labor in a health care facility. The nurse knows that which sign marks the termination of the first stage of labor in the client?
dilation of cervix diameter to 10 cm
A woman is lightly stroking her abdomen in rhythm with her breathing during contractions. The nurse identifies this technique as:
effleurage.
A woman is in the fourth stage of labor. During the first hour of this stage, the nurse would assess the woman's fundus at which frequency?
every 15 minutes
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 bestresponse from the nurse?
"No birth is ever really dry, because amniotic fluid continues to be manufactured."
A gravida 1 client is admitted in the active phase of stage 1 labor with the fetus in the LOA position. The nurse anticipates noting which finding when the membranes rupture?
Clear to straw-colored fluid
The nursing instructor is preparing a class discussing the role of the nurse during the labor and birthing process. Which intervention should the instructor point out has the greatest effect on relieving anxiety for the client?
Continuous labor support
A nurse places an external fetal monitor on a woman in labor. Which instruction would be best to give her?
Lie on her side so she is comfortable.
At midpoint during pregnancy, you review beginning signs of labor with a patient. One of the beginning signs of labor you would review is
a sudden gush of clear fluid from the vagina.
A nurse is caring for several women in labor. The nurse determines that which woman is in the transition phase of labor?
contractions every 1 minute, cervical dilation 9 cm
A nurse is providing care to a client in labor. A pelvic exam reveals a vertex presentation with the presenting part tilted toward the left side of the mother's pelvis and directed toward the anterior portion of the pelvis. When developing this client's plan of care, which intervention would the nurse include?
implementing measures for a vaginal birth
A pregnant woman at 37 weeks gestation calls the clinic to say she thinks that she is in labor. The nurse instructs the woman to go to the health care facility based on the client's report of contractions that are:
occurring about every 5 minutes
A low-risk client is in the active phase of labor. The nurse evaluates the fetal monitor strip at 10:00 a.m. and notes the following: moderate variability, FHR in the 130s, occasional accelerations, and no decelerations. At what time should the nurse reevaluate the FHR?
10:30 a.m.