The primigravid client in labor

The nurse is discussing pain relief methods for a pregnant first time mother. The discussion should include which labor support methods? SATA 1. Effleurage 2. Positive reinforcement 3. Guided imagery 4. Pattern-paced breathing 5. Self containment theory 6. Progressive relaxation

1. Effleurage 3. Guided imagery 4. Pattern paced breathing 6. Progressive relaxation

A primigravid client is admitted as an outpatient for an external cephalic version. Which factor would be a contradiction for the procedure? 1. Multiple gestation 2. Breech presentation 3. Maternal Rh-negative blood type 4. History of gestational diabetes

1. Multiple gestations

The HCP prescribes intermittent fetal heart rate monitoring for a 20 year old obese primigravida client at 40 weeks gestation in the first stage of labor. The nurse should monitor the clients fetal heart rate pattern at which interval? 1. Every 15 mins during that latent phase 2. Every 30 mins during the active phase 3. Every 60 mins during the pushing phase 4. Every 1 hours during the transition phase

2. Every 30 mins during the active phase

A primigravida client at 38 weeks gestation comes to the labor room because "my water broke." The HCP asks the nurse to verify spontaneous rupture of membranes using nitrazine paper. The nurse observes that the nitrazine paper turn bright blue. The nurse's next action should be: 1. Notify the HCP that the membranes are ruptured 2. Perform a sterile vaginal examination to assess the cervix 3. Document the findings of the nitrazine test 4. Offer the client a sterile sanitary pad after performing perineal care

1. Notifiy HCP that the membranes are ruptured

Assessment of a primigravid client in active labor who has had no analgesia or anesthesia reveals complete cervical effacement, dilation of 8 cm, and the fetus at 0 station. The nurse should expect the client to exhibit which behavior during this phase of labor? 1. Excitement 2. Loss of control 3. Numbness of the legs 4. Feelings of relief

2. Loss of control

The nurse is managing the care of a primigravida at full term who is in active labor. What should be included in developing the plan of care for this client? 1. Oxygen saturation monitoring every half hour 2. Supine positioning on back, if it is comfortable 3. Anesthesia/pain level assessment every 30 min 4. Vaginal bleeding, rupture of membrane assessment every shift

3. Anesthesia/pain level assessment every 30 mins 1. Incorrect: when in active labor, oxygen saturation is not monitored unless there is a specific need, such as heart disease. 2. Incorrect: The client should not be on her back but wedged to the right or left side to take pressure off the vena cava 4. Incorrect: Vaginal bleeding in active labor should be monitored every 30 mins to 1 hour

The primigravida client is at +1 station and 9 cm dilated. Based on these data, the nurse should first: 1. Ask the anesthesiologist to increase epidural infusions rate 2. Assist the client to push if she feels the need to do so 3. Encourage the client to breathe through the urge to push 4. Support family members in providing comfort measures

3. Encourage the client to breath through the urge to push

The HCP has prescribed prostaglandin gel to be administered vaginally to a newly admitted primigravid client. Which finding indicates that the client has had a therapeutic response to the medication? 1. Resting period of 2 minutes between contractions 2. Normal patellar and elbow reflexes for the past 2 hours 3. Softening of the cervix and beginning of effacement 4. Leaking of clear amniotic fluid in small amounts

3. Softening of the cervix and beginning of effacement