Nursing - Maternity Pediatric, Quizlet 2

Free

A woman's amniotic fluid is noted to be cloudy. The nurse interprets this finding as which of the following?

Free

When entering the second phase of labor, a patient tells the nurse that the pain is severe and is unsure if pain medication should be used. Which nursing diagnosis should the nurse use to guide the care of the patient at this time?

3

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A nurse palpates a woman's fundus to determine contraction intensity. Which of the following would be most appropriate for the nurse to use for palpation?

4

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After delivery of the placenta, a patient's uterus is sluggish to contract. What should the nurse prepare to do to assist the patient at this time?

5

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When palpating the fundus during a contraction, the nurse notes that it feels like a chin. The nurse interprets this finding as indicating which type of contraction?

6

While conducting Leopold maneuvers, the nurse determines that the fourth maneuver does not need to be done. What information caused the nurse to make this decision?

7

Which of the following is a priority when caring for a woman during the fourth stage of labor?

8

After assessment, the nurse determines that a pregnant patient's fetus has a face presentation that is pointing to the patient's left side with transverse pointing. How should the nurse document this assessment finding?

9

A pregnant patient in labor is being encouraged to push with contractions. In which position should the nurse assist to help the patient at this time?

10

The nurse is concerned that a patient in the second stage of labor will experience a drop in blood pressure. What should the nurse do to prevent this from occurring?

11

During the active stage of labor, a patient's membranes spontaneously rupture. Which action should the nurse do first after this occurs?

12

The nurse is determining care for a patient entering the active phase of labor. Which outcome would be the most appropriate for the patient at this time?

13

The nurse is teaching a pregnant patient the cardinal movements of labor. What should the nurse explain that occurs once the fetal head presses on the sacral nerves at the pelvic floor?

14

During active labor, the nurse observes the patient crying during contractions and not using breathing techniques learned during prenatal classes. Which nursing diagnosis would be appropriate for the patient at this time?

15

The nurse providing care to patients in the labor and delivery suite desires to support the 2020 National Health Goals to reduce maternal and infant mortality after labor and birth. Which action should the nurse perform to support these goals?

16

A client states, "I think my waters broke! I felt this gush of fluid between my legs.". The nurse tests the fluid with Nitrazine paper and confirms membrane rupture if the paper turns:

17

During labor, a fetus is identified as having uteroplacental insufficiency. Which tracing should the nurse assess on the monitor to confirm this finding?

18

The nurse is performing Leopold's maneuvers to determine fetal presentation, position, and lie. Which action would the nurse do first?

19

After pelvic measurements, a patient who is 20 weeks pregnant is informed that the diagonal conjugate diameter is narrow. For which component of labor should the nurse plan care to address?

20

A woman is admitted to the labor and birthing suite. Vaginal examination reveals that the presenting part is approximately 2 cm above the ischial spines. The nurse documents this finding as:

21

The nurse is preparing to assess the frequency of contractions for a patient in labor. Which process should the nurse use to time the contractions?

22

The nurse is instructing a patient who is in the third trimester of pregnancy on the difference between false and true labor contractions. What should the nurse emphasize as being characteristics of false labor contraction? (Select all that apply.)

23

A woman has just entered the second stage of labor. The nurse would focus care on which of the following?

24

When the membranes of a pregnant patient rupture during labor, the nurse determines that the patient and fetus are in danger. What did the nurse assess at the time of membrane rupture?

25

A client's membranes spontaneously ruptured, as evidenced by a gush of clear fluid with a contraction. Which of the following would the nurse do next?

26

The fetus of a patient in labor is in a vertex presentation and at a –1 station. How should the nurse interpret the location of the fetal head?

27

A woman in labor who received an opioid for pain relief develops respiratory depression. The nurse would expect which agent to be administered?

28

The nurse is assisting a pregnant patient learn gating control mechanisms to control pain during labor. Which techniques will the nurse teach the patient? (Select all that apply.)

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Nursing - Maternity Pediatric, Quizlet 2

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