Exam 19: Nursing Care of the Family During Labor and Birth

When a nulliparous woman telephones the hospital to report that she is in labor,what intervention should the nurse prioritize?

A nulliparous woman has just begun the latent phase of the second stage of her labor.The nurse should anticipate which behavior?

Which statement by the client will assist the nurse in determining whether she is in true labor as opposed to false labor?

When assessing a multiparous woman who has just given birth to an 8-pound boy,the nurse notes that the woman's fundus is firm and has become globular in shape.A gush of dark red blood comes from her vagina.What is the nurse's assessment of the situation?

The Valsalva maneuver can be described as the process of making a forceful bearing-down attempt while holding one's breath with a closed glottis and a tightening of the abdominal muscles.When is it appropriate to instruct the client to use this maneuver?

Under which circumstance should the nurse assist the laboring woman into a hands-and-knees position?

Under which circumstance would it be unnecessary for the nurse to perform a vaginal examination?

A laboring woman is reclining in the supine position.What is the most appropriate nursing action at this time?

Which characteristic of a uterine contraction is not routinely documented?

A woman who is 39 weeks pregnant expresses fear about her impending labor and how she will manage.What is the nurse's ideal response?

The nurse is caring for a client in early labor.Membranes ruptured approximately 2 hours earlier.This client is at increased risk for which complication?

When assessing a woman in the first stage of labor,which clinical finding will alert the nurse that uterine contractions are effective?

In recovery,if a woman is asked to either raise her legs (knees extended)off the bed or flex her knees,and then place her feet flat on the bed and raise her buttocks well off the bed,the purpose of this exercise is to assess what?

The first hour after birth is sometimes referred to as what?

A 25-year-old gravida 3,para 2 client gave birth to a 9-pound,7-ounce boy,4 hours ago after augmentation of labor with oxytocin.She presses her call light,and asks for her nurse right away,stating "I'm bleeding a lot." What is the most likely cause of postpartum hemorrhaging in this client?

A woman who is gravida 3 para 2 arrives on the intrapartum unit.What is the most important nursing assessment initially?

What is the primary rationale for the thorough drying of the infant immediately after birth?

The nurse should be aware of which information related to a woman's intake and output during labor?

Which information regarding the procedures and criteria for admitting a woman to the hospital labor unit is important for the nurse to understand?

Which nursing assessment indicates that a woman who is in second-stage labor is almost ready to give birth?