PrepU

The nurse is analyzing the electronic fetal monitoring tracing. which report to the registered nurse is most accurate?

The client is having late decelerations

A maternal health nurse is triaging a pregnant woman who reports vaginal bleeding. Which question made by the nurse best assess the client's condition?

"How many times have you changed sanitary napkins?"

The nurse is caring for a laboring client. the nurse observes that there are early decelerations. the fetal heart rate remains within normal limits with adequate variability. what is the nurse's best action?

Continue to monitor the client and the FHR.

Following a cesarean birth, a woman has 3000 ml of intravenous fluid ordered. the nurse anticipates in the plan of care that she will be kept npo except for minimal ice chips until which time?

Until bowel sounds have returned

A client underwent a cesarean birth due to fetal distress. The medical records reflect a low transverse uterine incision was used. When speaking with the nurse the client questions her ability to give birth vaginally with her next pregnancy. What response by the nurse is most appropriate?

"Having a cesarean birth does not mean you will have a cesarean birth with future births."

A women presents to the labor and delivery unit stating she is in labor. which statement(s) made by the client makes the nurse believe the client is in the second stage of labor? select all that apply.

"the baby is coming." and "I feel like I need to have a bowel movement."

The maternal health nurse is caring for multiple women who wish to attempt a vaginal birth after cesarean (VBAC). Which client will not be able to attempt a VBAC due to contraindications?

28-year-old with a placenta prevue

At which time is it most important to monitor for umbilical cord prolapse?

After rupture of membranes

The nurse is caring for client at risk for requiring a cesarean birth. what action by the nurse may reduce this risk?

Continuous support by a health care provider.

The physician of a patient in labor decides that an emergency cesarean birth is required to safely deliver the fetus. When preparing the operating room suite for this procedure, which medications should the nurse ensure are available for possible use? Select all that apply.

Diazepam, Atropine sulfate, Ephedrine

The nurse is caring for a client experiencing pruritus secondary to opioid medication administration during labor. when reviewing the medication administration record, which medication would the nurse offer the client?

Diphenhydramine

A nursing instructor is conducting a session introducing a group of nursing students to the various pieces of equipment used for intermittent fetal monitoring. the instructor determines the session is successful after the students correctly choose which methods can be used? select all that apply.

Doppler, Fetoscope, External fetal monitor

The nurse caring for pregnant patients is identifying interventions to support the 2020 national health goals regarding pain relief during labor. which interventions support these goals? select all that apply.

Encourage pregnant patients to prepare for childbirth by attending classes, Review the different breathing techniques that help with pain control during labor, explain the various complementary and alternative therapies to help with pain control.

A new mother calls the clinic on her fourth day after delivery and reports difficulty urinating and defecating because of the perineal pain. what does the nurse suspect is causing these problems?

Episiotomy

The nurse is caring for a client for whom a cesarean birth is indicated. the client is currently preoperative. which client concerns) should addressed in the plan of care? select all that apply.

Fear related to impending surgery, Powerlessness related to medical need for cesarean birth, risk for anxiety related to unanticipated circumstances surrounding birth.

When stimulating the fetus via an acoustic vibrator, which action indicates fetal well-being?

Fetal heart rate acceleration occurs.

A nurse is performing leopold maneuvers on a pregnant woman. the nurse determines which information with the first maneuver?

Fetal presentation

The nurse is caring for a client who is diagnosed with a postdural puncture (spinal) headache. when completing a nursing assessment, which position would exacerbate the symptoms?

Fowler position

Which type of anesthesia is anticipated when the delivery of the fetus must be done quickly due to an emergency situation?

General

A nurse is meeting with a client to develop the nursing care plan for her delivery to include the use of an injectable pain medication. when comparing the various options for the client, which advantage of using an intrathecal anesthesia over an epidural anesthesia should the nurse point out?

Intrathecal anesthesia is a simpler technique providing quicker pain relief than epidural anesthesia.

Which nursing assessments are most important following epidural catheter removal in the postpartum period? select all that apply.

Lower extremity motor function, sensation below hips, urinary status

A client in labor has been given an epidural anesthetic. which nursing assessment finding is most important immediately following the administration of epidural anesthesia?

Maternal blood pressure decreases from 130/70 to 98/50 mm Hg.

The nurse is assessing the client who received spinal anesthesia to deliver a healthy fetus. in reviewing the family history, malignant hyperthermia is noted. if noted in the client, which early symptom will the nurse notify the health care provider about immediately?

Muscle rigidity

The nurse notes that the client has a moderate amount of bleeding after birth. which instruction is anticipated to control bleeding?

Put the newborn to the breast to suck.

The postpartum nurse is providing care for a client who has just given birth and had epidural anesthesia. her vital signs are stable, her pain is a 3 on a scale of 0 to 10, and she states that she is tired. the feeling in the client's legs has returned, but she cannot lift her knees, and she has not been out of the bed. what is the most appropriate nursing diagnosis to include in the plan of care at this time?

Risk for injury

The client pushes and the baby's head emerges. External rotation begins, but the baby's chin is drawn back just inside the vagina. The nurse recognizes that additional providers are needed in the delivery room. What emergency protocol does the nurse call?

Shoulder dystocia

Following a cesarean birth, a patient is prescribed to receive intravenous fluids. At which time should the nurse anticipate that this patient will be able to resume an oral intake?

When bowel sounds return

The maternal health nurse is caring for a laboring client who has required a midline episiotomy due to infant shoulder dystocia. which postpartum teaching will the nurse need to include related to the client's episiotomy? select all that apply.

"The sutures are absorbable and do not need to be removed." and "An ice pack may help decrease the pain."

Fetal heart rate monitoring reveals baseline tachycardia in the fetus. which rate would be most likely?

164 beats per minute

Which assessment findings indicate a distressed fetus? select all that apply.

Absent accelerations, late deceleration patterns, Persistent bradycardia