Maternal-Neonate Intrapatrum
What statement by the client indicates an understanding of teaching regarding use of magnesium sulfate and corticosteroids for preterm labor?
"Magnesium sulfate is to stop contractions, while corticosteroids increase lung surfactant so my baby can breathe better if born early."
What is a normal range for baseline FHR?
120 to 160 beats/minute
The primary health care provider plans to perform an amniotomy on a mulitparous client admitted to the labor area at 41 weeks' gestation for labor induction. After the amniotomy, the nurse should FIRST:
Assess the FHR for 1 full minute
What marks the beginning of the second stage of labor, and what marks the end?
Beginning- Complete cervical dilation End- Birth of the neonate
A nurse is caring for a client who's in labor. THe physician still isn't present. After the neonate's head is delivered, what nsg intervention would be most appropriate?
Checking for the umbilical cord around the neonate's neck
A multigravid client is admitted at 4-cm dilation and requesting pain medication. The nurse give the client Nubain 15 mg. Within5 mins, the client tells the nurse she feels like she needs to have a bowel movement. The nurse should FIRST:
Complete a vaginal examination to determine dilation, effacement, and station
A 39-year-old multiparous client at 39 weeks' gestation diagnosed with class II heart disease admitted to the hospital in active labor. What should the nurse assess first after administration to the birthing area?
Contractions frequency & intensity
During the active phase of the first stage of labor, a client undergoes an amniotomy. After this procedure, what Nursing diagnosis takes the highest priority?
Ineffective fetal cerebral tissue perfusion r/t cord compression
A nurse is assessing a client who has been admitted to the labor and delivery area. What technique does the nurse use to determine fetal position and presentation?
Leopold's maneuvers
The membranes of a multigravid client in active labor rupture spontaneously, revealing greenish colored amniotic fluid. The nurse interprets this finding as?
Passage of meconium by the fetus
Umbilical cord prolapse occurs after spontaneous rupture of the membranes. What should the nurse do immediately?
Place the client in a Trendelenburg position
A nurse needs to obtain a good monitor tracing on a client in labor. The client lies in a supine position. Suddenly, she complains of feeling light-headed and becomes diaphoretic. What action should the nurse perform first?
Reposition the client to her left side
A client tells a nurse that she's in a nontraditional same-sex relationship. The woman's partner is the health care surrogate for the client and her fetus. The sperm donor, who is their best friend, has waived parental rights. If the client can't make health care decisions for the fetus, who's responsible for making them?
The client's partner
When assessing VS of a laboring client, the nurse should include BP, pulse, temp, respiration, and:
Fetal Heart Rate (FHR)
A client is G2 P1, at term, completely effaced, and dilated to 2 cm. Her contractions are happening every 3 minutes and lasting 45 seconds each time. The client is asking for an epidural to make her more comfortable. Indicate the appropriate response by the nurse?
"It is too early in labor for the epidural, but your obstetrician has ordered IV medication to keep you comfortable until you have dilated 1 to 2 cm more."
