Exam 50: Labor, Delivery, and Postpartum

A woman who is 2 months pregnant tells the nurse that she has never received the MMR vaccine and has not had these diseases. She has 3-year-old and 5-year-old children who have not been immunized. The nurse will recommend which of the following?

The nurse examines a woman who has received an epidural block. The woman's cervix has been dilated at 5 cm for an hour after having shown steady progression earlier. The nurse will notify the provider and anticipate a need for:

The nurse is caring for a postpartal woman and reviews the following lab results in her medical record: HBsAg-negative, rubella titer less than 1:8/1:10, Rh-negative with Rh-positive infant. Which injections will the nurse expect to be ordered?

The nurse has just administered Rh_o(D) immune globulin (RhoGAM) to a postpartal woman. What information will the nurse include when teaching this patient?

Constipation is common during the postpartum period. Which of the following OTC products can be used to help manage constipation postpartum?

The nurse is caring for an infant who is 2 days postpartum and notes that the infant has a poor sucking response. Which of the following medications can contribute to delayed breastfeeding with a poor sucking response for up to 4 days if used during labor?

The nurse is caring for a woman who is in labor. The woman is anxious and reports increasing nausea after receiving an opioid analgesic medication. The nurse will contact the provider and request an order for which intravenous medication?

The nurse is preparing a woman who is in labor for a lumbar epidural and explains that she will receive a continuous infusion of epidural anesthesia. She asks what will happen if that isn't effective. What response by the nurse is correct?

The nurse is assisting with placement of epidural anesthesia for a woman who is in labor. To help prevent maternal hypotension, which is the nurse's initial action?

The nurse is caring for a woman who is in early labor. The woman wants to avoid pain medications as long as possible. What will the nurse tell her?

The nurse provides teaching for a postpartal woman who will take bisacodyl tablets to help with constipation. What information will the nurse include when teaching this patient about this medication?

The nurse is caring for a patient after the third stage of labor, and the provider orders 20 units of oxytocin to be given intramuscularly. The nurse will explain to the patient that this drug is being used for which purpose?

The nurse is caring for a postpartal patient who has just delivered her first baby by caesarean section. The mother's blood type is Rh-negative, and the infant's blood type is Rh-positive. The provider has ordered human D immune globulin (RhoGAM). The nurse understands that this patient may need: