OB Unit 2
When caring for a client during the active phase of labor without continuous electronic fetal monitoring, the nurse would intermittently assess FHR every: A. 15 to 30 minutes B. 5 to 10 minutes C. 45 to 60 minutes D. 60 to 75 minutes
A. 15 to 30 minutes
After a vaginal examination, the nurse determines that the client's fetus is in an occiput posterior position. The nurse would anticipate that the client will have: A. Intense back pain B. Frequent leg cramps C. Nausea and vomiting D. A precipitous birth
A. Intense back pain
The nurse is admitting a pregnant client to the labor room and attaches an external electronic fetal monitor to the client's abdomen. After attachment of the electronic fetal monitor, that is the next nursing action? A. Identify the types of accelerations B. Assess the baseline fetal heart rate C. Determine the intensity of the contractions D. Determine the frequency of the contractions
B. Assess the baseline fetal heart rate
The nurse is assisting a client undergoing induction of labor at 41 weeks of gestation. The client's contractions are moderate and occurring every 2 to 3 minutes, with a duration of 60 seconds. An internal fetal heart rate monitor is in place. The baseline fetal heart rate has been 120 to 122 beats/minute for the past hour. What is the priority nursing action? A. Notify the health care provider B. Discontinue the infusion of oxytocin C. Place oxygen on at 8 to 10 L/minute via face mask D. Contact the client's primary support person(s) if not currently present
B. Discontinue the infusion of oxytocin
During the fourth stage of labor, the nurse assesses the woman at frequent intervals after giving childbirth. What assessment data would cause the nurse the most concern? A. Moderate amount of dark red lochia drainage on peripad B. Uterine fundus palpated to the right of the umbilicus C. An oral temperature reading of 100.6°F D. Perineal area bruised and edematous beneath her ice pack
B. Uterine fundus palpated to the right of the umbilicus
The client is receiving intravenous magnesium sulfate at two grams/hr to stop premature labor. Which client assessments should the nurse determine to be most important to determine the presence of magnesium toxicity? A. Intake and output, level of consciousness, and blood pressure B. Blood pressure, pulse and uterine activity C. Deep tendon reflexes, hourly urine output, and respiratory rate D. Intake and output, blood pressure, and reflexes
C. Deep tendon reflexes, hourly urine output, and respiratory rate
The nurse working with a client in labor should determine that fetal distress is occurring after noting which clinical sign? A. Moderate amount of bloody show B. Pink-tinged amniotic fluid C. Meconium-stained amniotic fluid D. Acceleration of fetal heart rate with each contraction
C. Meconium-stained amniotic fluid
During augmentation of labor with intravenous oxytocin, a client who is multiparous becomes pale and diaphoretic and reports severe lower abdominal pain with a tearing sensation. Fetal distress is noted on the monitor. What complication should the nurse expect? A. Precipitate labor B. Amniotic fluid embolus C. Rupture of the uterus D. Uterine prolapse
C. Rupture of the uterus
When a client in labor is fully dilated, which instruction would be most effective to assist her in encouraging effective pushing? A. Hold your breath and push through entire contraction. B. Use chest-breathing with the contraction. C. Pant and blow during each contraction. D. Wait until you feel the urge to push.
D. Wait until you feel the urge to push.
Interventions that are underutilized in promoting a normal birth. Select all that apply. A. Oral nutrition and fluids in labor B. Open glottis pushing in the second stage of labor C. Skin-to-skin contact after birth for infant bonding D. Routine artificial rupture of membranes (amniotomy) E. Labor induction with Pitocin given intravenously F. Routine episiotomy to shorten labor length
A. Oral nutrition and fluids in labor B. Open glottis pushing in the second stage of labor C. Skin-to-skin contact after birth for infant bonding
Which observation should indicate to the nurse that the client is exhibiting a sign of impending placental separation and expulsion? A. Steady trickle of blood with an unchanged cord length B. Lengthening of the cord with associated cord tear C. Small gush of blood with lengthening of the cord D. Small gush of blood with an unchanged cord length
C. Small gush of blood with lengthening of the cord
The shortest but most intense phase of labor is the: A. Latent phase B. Active phase C. Transition phase D. Placental expulsion phase
C. Transition phase
Which intervention should be the highest priority of the nurse who is caring for the client who is in labor? A. Offering pain relief measures that are acceptable to the client B. Involvement of the client's partner with the labor and delivery C. Monitoring of appropriate fluid intake D. Assessment of fetal response to the labor
D. Assessment of fetal response to the labor
A laboring woman is admitted to the labor and birth suite at 6 cm dilation. She would be in which phase of the first stage of labor? A. Latent B. Active C. Transition D. Early
B. Active
Following amniotomy, the nurse should carry out which interventions as important nursing actions? Select all that apply. A. Assist the mother into a lithotomy position for delivery B. Place clean bedding and under pads on the bed C. Assess and document fetal heart tones D. Observe and document the color and consistency of the amniotic fluid E. Take vital signs every four hours to monitor for infection
B. Place clean bedding and under pads on the bed C. Assess and document fetal heart tones D. Observe and document the color and consistency of the amniotic fluid
The nurse performs a vaginal examination and determines that the fetus is in a sacrum anterior position. The nurse should draw which conclusion from this assessment data? A. The fetal sacrum is toward the maternal symphysis pubis B. The fetal sacrum is toward the maternal sacrum C. The fetal face is toward the maternal sacrum D. The fetal face is toward the maternal symphysis pubis
A. The fetal sacrum is toward the maternal symphysis pubis
The nurse notes on the antepartal history that the pregnant client has a android pelvis. The nurse should conclude that this client is at an increased risk for which event? A. A prolonged labor B. Occiput posterior position C. Precipitous delivery D. Postpartum hemorrhage
A. A prolonged labor
When determining the frequency of contractions, the nurse would measure which of the following? A. Start of one contraction to the start of the next contraction B. Beginning of one contraction to the end of the same contraction C. Peak of one contraction to the peak of the next contraction D. End of one contraction to the beginning of the next contraction
A. Start of one contraction to the start of the next contraction
The nurse has been working with a laboring client and notes that she has been pushing effectively for 1 hour. What is the client's primary physiological need at this time? A. Ambulation B. Rest between contractions C. Change positions frequently D. Consume oral food and fluids
B. Rest between contractions
The nurse is caring for a client in labor. Which assessment findings indicate to the nurse that the client is beginning the second stage of labor? Select all that apply. A. The contractions are regular B. The membranes have ruptured C. The cervix is dilated completely D. The client begins to expel clear vaginal fluid E. The spontaneous urge to push is initiated from perineal pressure
C. The cervix is dilated completely E. The spontaneous urge to push is initiated from perineal pressure
After performing a vaginal exam the nurse discussed the results with the client and her partner. The nurse later concludes that client teaching was effective when the partner shouts, "She must be crowning; this means it will be soon", after making which observation? A. A little of the baby's head is pushing though the cervical opening B. The baby's head recedes upward between pushing contractions C. The perineum is thin and stretching around the occiput D. The mouth and nose are being suctioned
C. The perineum is thin and stretching around the occiput
Which of the following observations would suggest that placental separation is occurring? A. Uterus stops contracting altogether. B. Umbilical cord pulsations stop. C. Uterine shape changes to globular. D. Maternal blood pressure drops.
C. Uterine shape changes to globular.
The nurse is reviewing true and false labor signs with a multiparous client. The nurse determines that the client understands the signs of true labor is she makes which statement? A. "I won't be in labor until my baby drops" B. "My contractions will be felt in my abdominal area" C. "My contractions will not be as painful if I walk around" D. "My contractions will increase in duration and intensity"
D. "My contractions will increase in duration and intensity"
The pregnant client is 7 cm dilated, 100% effaced, and at a +1 station. The fetus is in a vertex presentation. The nurse should conclude that client teaching has been effective when the client's husband makes which statements? Select all that apply. A. "Our baby will come out face first" B. "So, a cesarean delivery is very likely" C. "Our baby will come out buttocks first" D. "Our baby will come out with the back of the head first" E. "So, transition is coming soon"
D. "Our baby will come out with the back of the head first" E. "So, transition is coming soon"
Fetal distress is occurring with a laboring client. As the nurse prepares the client for cesarean birth, what is the most important nursing action? A. Slow the intravenous flow rate B. Continue the oxytocin drip if infusing C. Place the client in a high Fowler's position D. Administer oxygen 8 to 10 L/minute, via face mask
D. Administer oxygen 8 to 10 L/minute, via face mask
The nurse determines that a client has an understanding of the planned cesarean delivery when the client makes which statements? Select all that apply. A. "An indwelling urinary catheter will be inserted before surgery" B. "My husband can be present during birth" C. "I may be given an antacid before surgery" D. "I will receive a blood transfusion during surgery" E. "I will not need an IV because I will have epidural anesthesia"
A. "An indwelling urinary catheter will be inserted before surgery" B. "My husband can be present during birth" C. "I may be given an antacid before surgery"
Which client statements should indicate to the nurse that the client who is in labor needs further education? A. "Because this is my first labor, I will need an epidural" B. "Labor can be long and difficult sometimes" C. "I should keep taking at least ice chips throughout labor" D. "My partner can help me stay relaxed and focused"
A. "Because this is my first labor, I will need an epidural"
The nurse in the labor room is caring for a client in the active stage of the first phase of labor. The nurse is assessing the fetal patterns and notes a late deceleration on the monitor strip. What is the most appropriate nursing action? A. Administer oxygen via face mask B. Place the mother in a supine position C. Increase the rate of the oxytocin intravenous infusion D. Document the findings and continue to monitor the fetal patterns
A. Administer oxygen via face mask
A client's amniotic fluid is greenish-tinged and fetal presentation is vertex. Fetal heart rate (FHR) and uterine activity have remained within normal limits. At the time of delivery, the nurse should anticipate the need for which equipment? A. An infant laryngoscope and suction catheters B. Forceps C. A transport isolette D. Emergency cesarean setup
A. An infant laryngoscope and suction catheters
A client who is multiparous and in labor for almost three hours suddenly announces that the baby is coming. The nurse sees the infant crowning. What should be the initial action by the nurse? A. Ask the woman to pant while preparing to place gentle counterpressure on the infant's head as it is delivered B. Quickly obtain sterile gloves and a towel and drape the perineum C. Retrieve the precipitous delivery tray from the nursing station D. Telephone the healthcare provider using the bedside phone
A. Ask the woman to pant while preparing to place gentle counterpressure on the infant's head as it is delivered
An ultrasound is performed on a client at term gestation who is experiencing moderate vaginal bleeding. The results of the ultrasound indicate that abruptio placentae is present. On the basis of these findings, the nurse should prepare the client for which anticipated prescription? A. Delivery of the fetus B. Strict monitoring of intake and output C. Complete bed rest for the remainder of the pregnancy D. The need for weekly monitoring of coagulation studies until the time of delivery
A. Delivery of the fetus
Which of the following practices would not be included in a physiologic birth? A. Early induction of labor <39 weeks' gestation B. Freedom of movement for the laboring woman C. Continuous presence and support throughout labor D. Encouraging spontaneous pushing when urge felt
A. Early induction of labor <39 weeks' gestation
The client's vagina examination reveals that the cervix is three centimeters dilated, 80% effaced, and position is vertex at zero station. The woman is talkative and appears excited. The nurse should interpret that the client is in which stage and phase of labor? A. First stage, latent phase B. First stage, active phase C. Second stage, latent phase D. Third stage, transition phase
A. First stage, latent phase
A pregnant client is receiving a tocolytic drug to stop contractions and prevent premature labor. Which assessments should the nurse make to monitor for side or adverse drug effects in this client? Select all that apply. A. Lung sounds B. Flushing and headache C. Eye movements D. Excessive energy and euphoria E. Deep tendon reflexes
A. Lung sounds B. Flushing and headache
Earlier in the day, the baseline fetal heart rate (FHR) on a client in labor's fetus was 140. It is now 170. The nurse should consider that which of the factors could be an explanation for this change? Select all that apply. A. Maternal fever B. Opioid analgesic administration C. Fetal movement D. Utero-placental insufficiency E. Fetal distress
A. Maternal fever E. Fetal distress
The nurse is monitoring a client in active labor and notes that the client is having contractions every 3 minutes that last 45 seconds. The nurse notes that the fetal heart rate between contractions is 100 beats/minute. Which nursing action is most appropriate? A. Notify the heathy care provider (HCP) B. Continue monitoring the fetal heart rate C. Encourage the client to continue pushing with each contraction D. Instruct the client's coach to continue to encourage breathing techniques
A. Notify the heathy care provider (HCP) * Normal is between 110 - 160 bpm (this is fetal bradycardia) *
A nurse in the labor room is preparing to care for a client with hypertonic uterine dysfunction. The nurse is told that the client is experiencing uncoordinated contractions that are erratic in their frequency, duration, and intensity. What is the priority nursing action? A. Provide pain relief measures B. Prepare the client for an amniotomy C. Promote ambulation every 30 minutes D. Monitor the Pitocin infusion closely
A. Provide pain relief measures
The client has refused sedation prescribed by the healthcare provider for hypertonic contractions and prolonged latent-phase labor for fear that her labor will stop. The nurse may help by providing which explanation to the client? A. Sedation helps to provide needed rest and allows time for the uterine contractions to become coordinated so that labor is progressive B. If the woman is experiencing true labor, contractions will not stop even with sedation C. If contractions continue without cervical effacement and dilation, the fetus is at risk for hypoxia D. Sedation will stop contractions that are uncoordinated and provide more time to determine if a cesarean delivery is needed
A. Sedation helps to provide needed rest and allows time for the uterine contractions to become coordinated so that labor is progressive
A client in labor is transported to the delivery room and prepared for a cesarean delivery. After the client is transferred to the delivery room table, the nurse should place the client in which position? A. Supine position with a wedge under the right hip B. Trendelenburg's position with the legs in stirrups C. Prone position with the legs separated and elevated D. Semi-Fowler's position with a pillow under the knees
A. Supine position with a wedge under the right hip
The client has been having contractions every five minutes for seven hours. Which factor should the nurse consider to determine if this is true labor? A. The cervix is showing a pattern of effacement and dilation B. The client has given birth to three children previously C. The contractions increasing in intensity and duration D. There was a spontaneous rupture of membranes
A. The cervix is showing a pattern of effacement and dilation
The maternal newborn nurse notes a deceleration of the fetal heart rate from 130 to 70 beats per minute with contractions followed by a rapid return to a normal baseline rate. The nurse should conclude that this is most likely a response to which condition? A. Umbilical cord compression B. Fetal head compression C. Severe fatal hypoxia D. Utero-placental insufficiency
A. Umbilical cord compression
The nurse is monitoring a client during a vaginal delivery of a breech infant. Which adverse event should the nurse consider to be the greatest risk to the fetus during delivery? A. Umbilical cord prolapse B. Intracranial hemorrhage C. Meconium aspiration D. Fracture of the clavicle
A. Umbilical cord prolapse
The nurse should determine that teaching has been effective when a client who is in labor makes which statement? A. "Effacement is the opening of my cervix" B. "My cervix will probably efface before it dilates, because this is my first pregnancy" C. "Effacement is measured from 0 to 10 centimeters D. "My cervix will efface and dilate at the same time because this is my first pregnancy"
B. "My cervix will probably efface before it dilates, because this is my first pregnancy"
The pregnant client is receiving oxytocin to induce labor. The nurse should monitor the client for which adverse maternal effects? Select all that apply. A. Bradycardia B. Decreased urine output C. Dehydration D. Jaundice E. Uterine hyperstimulation
B. Decreased urine output E. Uterine hyperstimulation
The nurse is performing an assessment of a client who is scheduled for a cesarean delivery at 39 weeks of gestation. Which assessment finding indicates the need to contact the health care provider (HCP)? A. Hemoglobin of 11 g/dL (110mmol/L) B. Fetal heart rate of 180 beats/minute C. Maternal pulse rate of 85 beats/minute D. White blood cell count of 12,000 mm3
B. Fetal heart rate of 180 beats/minute
The nurse determines that a client in labor is exhibiting signs of increased anxiety. The nurse should anticipate that this may have which consequence to the client? A. A rapid progression of labor B. Increased pain during the labor process C. Lack of a support from support person or system D. The need for an episiotomy
B. Increased pain during the labor process
Which fetal lie is most conducive to a spontaneous vaginal birth? A. Transverse B. Longitudinal C. Perpendicular D. Oblique
B. Longitudinal
The nurse has created a plan of care for a client experiencing dystocia and includes several nursing actions in the plan of care. What is the priority nursing action? A. Providing comfort measures B. Monitoring the fetal heart rate C. Changing the client's position frequently D. Keeping the significant other informed of the progress of the labor
B. Monitoring the fetal heart rate
As labor progresses, the nurse should expect to assess that a client's contractions are developing which characteristics? A. More intense, less frequent, and of longer duration B. More intense, more frequent, and of longer duration C. Constant in intensity, more frequent, and of shorter duration D. Constant in intensity and frequency, but of shorter duration
B. More intense, more frequent, and of longer duration
The nurse in a labor room is performing a vaginal assessment on a pregnant client in labor. The nurse notes the presence of the umbilical cord protruding from the vagina. What is the first nursing action with this finding? A. Gently push the cord into the vagina B. Place the client in Trendelenburg position C. Find the closest telephone and page for the health care provider stat D. Call the delivery room to notify the staff that the client will be transported immediately
B. Place the client in Trendelenburg position
As the nurse is explaining the difference between true versus false labor to her childbirth class, she states that the major difference between them is: A. Discomfort level is greater with false labor. B. Progressive cervical changes occur in true labor. C. There is a feeling of nausea with false labor. D. There is more fetal movement with true labor.
B. Progressive cervical changes occur in true labor.
The fetal head is determined to be presenting in a position of complete extension. The maternal newborn nurse should anticipate which type of labor and delivery? A. Precipitous labor and delivery B. Prolonged labor and possible cesarean delivery C. Normal labor and spontaneous vaginal delivery D. Forceps-assisted vaginal delivery
B. Prolonged labor and possible cesarean delivery
The nurse is caring for a woman experiencing hypertonic uterine dystocia. The woman's contractions are erratic in their frequency, duration, and of high intensity. The priority nursing intervention would be to: A. Encourage ambulation every 30 minutes B. Provide pain relief measures C. Monitor the Pitocin infusion rate closely D. Prepare the woman for an amniotomy
B. Provide pain relief measures
The maternal newborn nurse should use which description of the fetal position when explaining to the mother the occurrence of a frank breech position? A. "Both hips and the knees are flexes" B. "The hips are extended, and the knees are flexed" C. "The hips are flexed, and the knees are extended" D. "Both the hips and the knees are extended"
C. "The hips are flexed, and the knees are extended"
Which statement by the nurse would be most therapeutic in talking with a client and her family following emergency cesarean birth? A. "I'm sorry that you couldn't have a normal delivery" B. "Your baby was really in danger, I think he is doing better now" C. "You did so well during the delivery. I'm sorry I didn't have more time to explain things" D. "I know you never expected this to happen. Maybe things will work out better next time"
C. "You did so well during the delivery. I'm sorry I didn't have more time to explain things"
On performing Leopold maneuvers on a client who is multiparous in early labor, the nurse finds no fetal parts in the fundus or above the symphysis. The fetal head is palpated in the right mid quadrant. The nurse notifies the admitting healthcare provider and should anticipate which event? A. An external version B. An internal version C. A cesarean delivery D. Prolonged labor
C. A cesarean delivery * baby is transverse *
The nurse should formulate which general goal when developing childbirth education classes for pregnant women in the community? A. Provide education for all pregnant clients B. Ensure a normal spontaneous vaginal delivery C. Assist clients to know what to expect during labor D. Prepare the couple for any possible complications
C. Assist clients to know what to expect during labor
Which assessment would indicate that a woman is in true labor? A. Membranes are ruptured and fluid is clear. B. Presenting part is engaged and not floating. C. Cervix is 4cm dilated, 90% effaced. D. Contractions last 30 seconds, every 5 to 10 minutes.
C. Cervix is 4cm dilated, 90% effaced.
The nurse notes the presence of transient fetal accelerations on the fetal monitoring strip. Which intervention would be most appropriate? A. Reposition the client on the left side. B. Begin 100% oxygen via face mask. C. Document this as indicating a normal pattern. D. Call the health care provider immediately.
C. Document this as indicating a normal pattern.
Which assessment following an amniotomy should be conducted first? A. Cervical dilation B. Bladder distention C. Fetal heart rate pattern D. Maternal blood pressure
C. Fetal heart rate pattern
By the end of the second stage of labor, the nurse would expect which of the following events? The A. Cervix is fully dilated and effaced B. Placenta is detached and expelled C. Fetus is born and on mother's chest D. Woman to request pain medication
C. Fetus is born and on mother's chest
A client who was in active labor and whose cervix had dilated to 4 cm experiences a weakening in the intensity and frequency of her contractions and exhibits no further progress in labor. The nurse interprets this as a sign of: A. Hypertonic labor B. Precipitate labor C. Hypotonic labor D. Dysfunctional labor
C. Hypotonic labor
A client arrives at a birthing center in active labor. Following examination, it is determined that her membranes are still intact and she is at a -2 station . The health care provider prepares to perform an amniotomy. What will the nurse relay to the client as the most likely outcomes of the amniotomy? Select all that apply. A. Less pressure on her cervix B. Decreased number of contractions C. Increased efficiency of contractions D. The need for increased maternal blood pressure monitoring E. The need for frequent fetal heart rate monitoring to detect the presence of a prolapsed cord
C. Increased efficiency of contractions E. The need for frequent fetal heart rate monitoring to detect the presence of a prolapsed cord
Physiologic preparation for labor would be demonstrated by: A. Decrease in Braxton Hicks contractions felt by mother B. Weight gain and increase in appetite by mother C. Lightening, whereby the fetus drops into true pelvis D. Fetal heart rate accelerations and increased movements
C. Lightening, whereby the fetus drops into true pelvis
The nurse is developing a plan of care for a woman experiencing dystocia. Which of the following nursing interventions would be the nurse's high priority? A. Changing the woman's position frequently B. Providing comfort measures to the woman C. Monitoring the fetal heart rate patterns D. Keeping the couple informed of the labor progress
C. Monitoring the fetal heart rate patterns
The nurse is reviewing the health care provider's prescriptions for a client admitted for premature rupture of the membranes. Gestational age of the fetus is determined to be 37 weeks. Which prescription should the nurse question? A. Monitor fetal heart rate continuously B. Monitor maternal vital signs frequently C. Performs a vaginal examination every shift D. Administer an antibiotic per HCP prescription and per agency protocol
C. Performs a vaginal examination every shift
When managing a client's pain during labor, nurses should: A. Make sure the agents given do not prolong labor B. Know that all pain relief measures are similar C. Support the client's decisions and requests D. Not recommend nonpharmacologic methods
C. Support the client's decisions and requests
During a vaginal examination on a pregnant client, the nurse palpated the fetal head and a large diamond-shaped fontanelle. The nurse should document which fetal presentation in the health record? A. Breech B. Shoulder C. Vertex D. Brow
D. Brow
The nurse discovers a loop of umbilical cord protruding through the vagina when performing a vaginal examination on a client in labor. What should be the priority nursing intervention at this time? A. Call the healthcare provider immediately B. Place a moist, clean towel over the cord to prevent drying C. Immediately turn the client on her side and listen to the fetal heart rate D. Continue with the vaginal examination, and apply upward digital pressure to the presenting part while having the mother assume a knee-chest position
D. Continue with the vaginal examination, and apply upward digital pressure to the presenting part while having the mother assume a knee-chest position
The nurse is caring for a client in labor and is monitoring the fetal heart rate patterns. The nurse notes the presence of episodic accelerations on the electronic fetal monitoring tracing. Which action is most appropriate? A. Notify the health care provider of the findings B. Reposition the mother and check the monitor for changes in the fetal tracing C. Take the mothers vital signs and tell the mother that bed rest is required to conserve oxygen D. Document the findings and tell the mother that the pattern on the monitor indicated fetal well-being
D. Document the findings and tell the mother that the pattern on the monitor indicated fetal well-being
A client who is 34 weeks gestation has been having contractions every 10 minutes regularly. In addition to instructing her to lie down and rest while continuing to time contractions, the nurse should also provide her with which instruction? A. Refrain from eating or drinking anything B. Take slow, deep breaths with each contraction C. Go to the hospital if contractions continue for more than one hour D. Drink three to four cups of water
D. Drink three to four cups of water
When reviewing the medical record of a client, the nurse notes that the woman has a condition in which the fetus cannot physically pass through the maternal pelvis. The nurse interprets this as: A. Cervical insufficiency B. Contracted pelvis C. Maternal disproportion D. Fetopelvic disproportion
D. Fetopelvic disproportion
The nurse in a birthing room is monitoring a client with dysfunctional labor for signs of fetal or maternal compromise. Which assessment finding should alert the nurse to a compromise? A. Maternal fatigue B. Coordinated uterine contractions C. Progressive changes in the cervix D. Persistent nonreassuring fetal heart rate
D. Persistent nonreassuring fetal heart rate
The rationale for using a prostaglandin gel for a client prior to the induction of labor is to: A. Stimulate uterine contractions B. Numb cervical pain receptors C. Prevent cervical lacerations D. Soften and efface the cervix
D. Soften and efface the cervix
The nurse is monitoring a client in labor. The nurse suspects umbilical cord compression if which is noted on the external monitor tracing during a contraction? A. Variability B. Accelerations C. Early decelerations D. Variable decelerations
D. Variable decelerations
