EDAPT Nursing Care: Intrapartum Period
What does the nurse anticipate is occurring with this client?
Active labor
Drag the indications, route, and dosing to the corresponding medications.
oxytocin: Dosage is increased at regular intervals Used when contractions have not started or are not regular and strong, but the cervix is favorable Prevents postpartum hemorrhage Administered intravenously
After reviewing the medical record, which induction method does the nurse anticipate?
Dinoprostone
The nurse is caring for a client in labor who is receiving oxytocin. Which assessment finding requires immediate action?
6 contractions in 10 minutes
The nurse is caring for a laboring client and evaluates the characteristics of contractions. Which questions should the nurse ask? Select that all apply.
"How long are your contractions lasting?" "When did your contractions start?" "How often do you have contractions right now?"
The nurse has received prescriptions from the healthcare provider. Select the prescriptions that the nurse should implement immediately.
1000 mL lactated Ringer's intravenous (IV) bolus now Assess cervical status with vaginal examination
When admitting a client to the labor and delivery unit, which is the priority assessment?
Contraction frequency and duration
For each assessment finding below, click to specify if the finding indicates that the client's condition has improved, has not changed, or has declined. Select only one answer in each row.
Improved: Pain 2/10 after epidural placement Resting comfortably with head of bed slightly elevated Vaginal exam: 8 cm dilated, 100% effaced No change: Fetal heart rate 135 bpm with moderate variability and early decelerations Contractions every 3-4 minutes, lasting 85-90 seconds Declined: Blood pressure 92/67, pulse rate 110 T 99.9º F (37.7º C)
Select and drag the four findings that require follow-up from the left column and drop them in the right column.
Increasing pain and pressure Vital signs Thinks her water broke History of gestational hypertension
For each potential nursing intervention, click to specify whether the intervention is indicated, nonessential or contraindicated for the client. Select only one answer for each row.
Indicated: Monitor temperature hourly. Continuous electronic fetal monitoring. Non essential: Prepare the client for delivery. Initiate supplemental oxygen.
A woman in labor asks the nurse if she can walk around in the halls. What information should the nurse assess before granting this request? For each item, indicate whether it is needed or not needed.
Information not needed: Intravenous (IV) fluids running
When caring for a laboring woman who is a survivor of sexual abuse, special considerations are needed. From the statements provided, identify which are special considerations and which are not a special consideration.
Not a special consideration: The woman may wish to be kept uninformed in order to cope with the stress of labor.
What are indications for labor induction? Select all that apply.
Post-term gestation History of precipitous labor Prolonged rupture of membranes
Why is it important for a client in labor to maintain an empty bladder? Select all that apply.
To prevent damage to the bladder from uterine compression To ensure that fetal descent is not impaired
What are possible complications associated with oxytocin for induction of labor? Select all that apply.
Uterine hyperstimulation Hypertension Decreased urine output Fetal distress
The nurse plans care for the client. Complete the following sentence by using the list of options. The nurse should first____.
address ambulation to the bathroom
