Chp 8 Intrapartum assessment & intervention :)
The nurse is reading the pts chart, which indicates the pt has a "gynecoid pelvis." What finding is expected in this pt.
Wider outlet
The nurse is caring for a pt in active labor with significant back pain. The pt has requested nonpharmacologic methods of pain relief. The nurse thinks that sterile water injections may help with her pain management. Which of the following explanations should the nurse explain to the pt?
"We will inject 0.5ml of sterile water subcutaneously, and it will last for an hour to 90 minutes.
The nurse is counseling a 15 year old pregnant pt at her first prenatal appointment. Which pt teaching by the nurse is appropriate?
"Your response to pregnancy, labor, and delivery will differ from that of an adult because your cognitive development is not yet complete.
The pt is 26 years old G1P0 at 2 days gestation. She is at her providers office for a visit and complains to the nurse of wrist pain, fatigue, increased discharge, and "feeling heavy". Which complaint could be a sign of impending labor?
Increased discharge
The nurse is caring for a 24 year old women who is G1P0 at 4 weeks 1 day gestation and in active labor, She just received an epidural and now complains of "an itchy feeling all over". Her vitals are as follows: HR 120, RR 12, BP 130/74, T 98.8 and 02 sat 98%. Which action should the nurse take first?
Call the health care provider regarding the pts pruritus' to order an antipruritic medication
The nurse educator is in a childbirth education class discussing nonpharmacological ways nurses can assist to enhance labor and spontaneous vaginal delivery. Which of the following facts regarding nonpharmacologic approaches will the nurse use to help illustrate its benefits?
Effleurage is performed in the rhythm with breathing during a contraction
The patient is having an unmedicated childbirth and has begun to bear down. She vocalizes " The baby is coming!" Which action should the nurse take?
Have the pt assume a comfortable and upright position
The nurse is reviewing the chart of a 35 year old G4P2012 women. The pt is at 38 weeks, 4 days and is in active labor with SROM clear fluid 2 hours ago. Which action should the nurse take?
Help the pt change her position form side to side every 30 mins
The nurse is caring for a 34 year old women who is G2P1001 at 39 weeks and 1 day. The pt is an observant Muslim an is in active labor . Which outcome would be the most effective form of applying culturally sensitive communication?
Making sure the pts hair is covered constantly
The nursing preceptor asks the nursing student how to best determine the intensity of contractions before placing the pt on an electronic fetal monitoring stip. How would the nurse assess this?
Palpate the maternal abdomen during a contraction
The nurse is caring for a 31 year old female pt who is pregnant at 37 weeks and 5 days gestation. The pt is having contractions every 3 mins and was found to have a platypelloid pelvis upon examination. The fetus has an estimated feal weight of 7 lbs and is in LOA position. This pt is laboring on the birth ball, and her mother in law is helping her labor. The nurse is concerned about the 5 Ps and their effect on the pts labor. Which P is the nurse most likely concerned about based on the pts history?
Passage
A 40-year-old G5P1031 is attending a childbirth education class. During the class, the woman says, "The worst part of contractions with my last labor was when they were at the peak of intensity." The nurse educator correctly explains that the woman is identifying which part of a contraction?
The shortest part of the contraction
