Labor and delivery E2 REVIEW
During labor of vaginal examination should be perform only when necessary when the client is SROM because of the risk of
Infection
Which condition is most common cause of anemia pregnancy
Iron deficiency anemia
A woman in the transition phase of labor who is dilated at 9 cm reports a narcotic medication for pain relief what should the nurse explain regarding giving a narcotic medication at the stage of labor?
It may result in respiratory depression of the newborn
The nurse is caring for a laboring a gravida who is 43 weeks pregnant for which of the following should the nurse carefully monitor of the fetus?
Late deceleration
The nurse is monitoring a client who is receiving oxytocin to induce labor. Which assessment findings should the nurse report immediately did you discontinue oxytocin infusion
Late to deceleration of the fetal heart uterine hyperstimulation
The nurse is performing the Leopold maneuver to determine the position of the fetus. List in order of the steps that the nurse would take from first to last
1. Determine fetal part at the fundus 2. Determine position 3. Confirm presentation 4. Determine engagement
A nurse is caring for a client who is an active labor and notes late decelerations in the fetal heart rate which of the following actions should the nurse take first?
Administer oxygen at 10 L per minute
A nurse is caring for a client with cardiovascular disease who has just given birth what nursing intervention to the nurse performed caring for this client?
Assess for shortness of breath assess for moist cough auscultate heart sounds for abnormalitie assess for Edema and no any pitting
The priority nursing intervention with admitting a pregnant client who is experiencing a bleeding episode is to?
Assessed for fetal heart rate and maternal vital signs
A nurse is caring for a client who is 40 weeks of gestation and is an active labor. The client has 6 cm of cervical dilation and 100% of basement the nurse obtains the clients blood pressure reading as 28/52 which of the following nursing intervention should the nurse perform first?
Assisted patient to turn on her left side
A client is preterm labor who is dilated at 4 cm has been started on magnesium sulfate and contractions have stopped if the clients labor can be inhibited for the next 48 hours the nurse anticipates a prescription for which medication
Betamethasone
The nursing student correctly identifies the problem as your butt talks instead of had presenting for us at as which type of presentation?
Breached present
What category is the tracing classified as
Category one normal
The nurse is caring for a pregnant woman with diabetes which potential fatal complication should the nurse monitor the client for as she presents for her scheduled visit? Select all that apply
Congenital malformation respiratory disorder at birth Macrosomia
A woman just entered the second stage of labor. The nurse would focus care on which intervention ?
Encourage the woman to push during contractions
Which assessment findings of the fetus during labor are normal? Select all that apply
Fetal heart rate baseline is 130 bpm variability between 18 to 20 bpm
When teaching a class a pregnant woman about the fact of substance abuse during pregnancy the nurse would include which of the following affects?
Low birth weight and then
Intrapartum nursing care for a woman who has sickle cell disease focuses on
Maintaining oxygenation and preventing dehydration
A nurse is caring for an anti-natal mother diagnosed with umbilical cord prolapse. For which condition should the nurse monitor the fetus?
For fetal hypoxia
The nurse is providing instruction to a pregnant client with a history of cardiac disease regarding appropriate dietary measures which of the following statements by the client understands the information that would be provided by the nurse?
I should drink adequate fluids and increase my intake of high-fiber
A nurse is preparing to administer magnesium sulfate to a client who is experiencing preterm labor which of the following is the primary nursing assessment for this client
Maternal respiratory rate
A client is 30 year old G4 and 40 weeks gestation. She has two boys at home and this is her first girl her first baby weighed 8.5 pounds and second baby weighed 9 pounds both were spontaneous vaginal births. She has a BMI of 28 and has gained 28 pounds within this pregnancy. No signs of diabetes admission glucose was 94. First stage of labor was nine hours but now she has been pushing for 2.5 hours. Beetle station has progressed from zero to +2 but there is no bulging of the perineum or signs of crowding based on the above report what would cause the nurse to be prepared for shoulder dystocia during this birth
Maternal way prolong second stage of labor
An opioid is administered to a client in labor the nurse assigned to care for the client ensure that which medication is readily assessable should respiration depression occur
Naloxone
Are fetal heart rate decelerations present
No
Which of the following are characteristics of normal labor
Pain associated with contraction Progressive cervical dilation increasing intensity of contractions
A few minutes after woman's membranes ruptured during labor the fetal heart rate drops from an average of 140 to 75 BPM the nurses first action should be
Perform a vaginal examination and assess for a prolapsed cord
A nurse is caring for a client who is in labor and reporting incomplete uterine relaxation between hypertonic contractions. The nurse should identify that this contraction pattern increases the risk for which of the following complications?
Prolonged labor
A client who received an epidural for her postoperative delivery has vomited twice since surgery. Which of the following PRN medication as ordered by the anesthesiologist so the nurse administered at this time
Raglan
The nurse notes a pattern of variable decelerations to 75 bpm on the fetal monitor. The initial nursing action is to
Reposition the mother
A woman in labor received an opioid close to the time of birth the nurse assesses the newborn for which a fact?
Respiratory depression
Cervidil prostaglandin gel has been ordered for a pregnant woman at 46 weeks of gestation. The nurse recognizes that this medication will be administered to?
Ripen the cervix in preparation for labor induction
G1P0 client at 39 weeks gestation with an uncomplicated pregnancy is being assessed on the labor floor. The fetal heart rate is in the phone 40s with average bear ability and a celebrations contractions occur every 30 to 40 minutes the cervix is 2 cm dilated and 30% effaced and the station is -2 membranes are intact. The most likely outcome would be?
Send the client home to ambulate
When caring for a laboring patient the nurse determines at the fetus is ROP what will the nurse anticipate
Severe low back pain
Which of the following situations is considered a vaginal delivery emergency
Shoulder dystocia
The nurse is caring for a 30 We just station who has zero fibronectin levels are positive it is essential that she taught which of the following?
Signs and symptoms of preterm labor
A nurse is assessing a client who is an active labor and knows the present in part is at zero station which of the following is the correct interpretation of this going to go find it
The lower most position of the fetus is at the level of the ischial spine
While evaluating the fetal heart rate monitor tracing on a client in labor the nurse notes at the fetal heart decelerations present which of the following Assessment must the nurse make at this time
The relationship between the decelerations and labor contractions
A nurse in labor and delivery is caring for a client following delivery of the placenta the nurse examines and Bilko cord which of the following vessels should the nurse expect to observe in the umbilical cord
Two arteries and one vein
A woman who has been in labor for a long time is currently vomiting. The nurse has suspected the woman has fluid volume deficit. Which lab data suggest the primary nursing diagnosis?
Urine specific gravity 1.04 elevated
