Exam 8: Nursing Care of Women with Complications During Labor and Birth

What does the nurse explain is used to soften the cervix with a "cervical ripening" agent?

What sign(s)of infection should the nurse assess for after an amniotomy?

The nurse is caring for a patient who is threatening preterm labor and has been given glucocorticoids.What is the purpose of glucocorticoid administration?

_____________________________ is a lower-than-normal amount of amniotic fluid.

What nursing assessment should be reported immediately after an amniotomy?

Several hours after delivery the nurse finds a woman crying.The woman says repeatedly,"My baby is beautiful,but I was planning on a vaginal delivery.Instead I needed an emergency C-section." What is the most appropriate nursing diagnosis?

A frustrated patient in labor has been affected by decreased uterine muscle tone and reports,"My doctor won't induce my labor because of some silly score.He said I was a 4.What kind of magic number do I need?" What is the lowest Bishop score the patient should have prior to induction?

A labor dysfunction due to decreased uterine muscle tone occurs in a patient who is dilated to 5 cm with membranes intact.What action by the physician will the nurse anticipate?

A(n)_______________ is a narrow cone inserted into the cervix to "ripen" the cervix to increase uterine contractions.

The nurse arrives at the start of a shift on the labor unit to find a census of four patients in active labor.Which laboring patient should the nurse attend to first?

A pregnant woman's membranes ruptured prematurely at 34 weeks.She will be discharged to her home for the next few weeks.What would the nurse planning discharge instruction teach the woman to do?

A new mother is distressed and tearful about the elevated dome over her infant's posterior fontanelle.The nurse responds,"This condition will resolve itself in a few days." What is the cause?

A woman is having a difficult labor because the fetus is presenting in the right occipital position (ROP).What position will the nurse promote to encourage fetal rotation and pain relief?

A woman who is 33 weeks pregnant is admitted to the obstetric unit because her membranes ruptured spontaneously.What complication should the nurse closely assess for with this patient?

When a woman is admitted to the labor and delivery unit,she tells the nurse that she is anxious about delivery,the welfare of her infant,and how quickly she will recover.How can anxiety affect labor?

A pulsating structure is felt during a vaginal examination of a woman in labor.How would the nurse position the woman to prevent compression of a prolapsed cord?

What nursing care should be provided to a woman with a third-degree laceration immediately after delivery?

A woman is preparing for administration of a cervical ripening agent.What nursing actions will the nurse anticipate implementing?

The nurse is caring for a patient diagnosed with hypotonic labor dysfunction.What will the nurse expect when caring for this patient?

A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to induce labor and begins to have contractions every 90 seconds.What is the nurse's initial action?