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

The initial vaginal examination of a woman admitted to the labor unit reveals that the cervix is dilated 9 cm.The panicked woman begs the nurse,"Please give me something." What is the most appropriate pain relief intervention for a woman in precipitate labor?

After an amniotomy,the umbilical cord becomes compressed.The nurse prepares the patient for an instillation of a bolus of warm sterile saline into the uterus,which is called ____________________.

Which interventions could a nurse apply to help stimulate contractions?

A woman is 37 weeks pregnant and questioning the nurse about possible induction of labor at term.What conditions would contraindicate labor induction?

After several hours of labor,a nursing assessment reveals that a woman's cervix is 5 cm dilated but contractions are becoming shorter and less frequent.What is this labor pattern considered?

What are the rationales for labor induction?

What complications of overstimulation of uterine contractions may occur?

The nurse is administering terbutaline (Brethine)to a pregnant woman to prevent preterm labor.The nurse would assess for which adverse effect?

How might the nurse instruct the patient to stimulate her nipples in an attempt to increase the quality of uterine contractions?

A student nurse questions the instructor regarding what alteration should be made for the assessment of the fundus of a new postoperative cesarean section patient.What is the best response?

During a strenuous labor,the woman asks for some pain remedy for the sudden pain between her scapulae that seems to occur with every breath she takes.What is the best nursing action?

An infant is delivered with the use of forceps.What should the nurse assess for in the newborn?

Which statement indicates a woman understands activity limitations for the management of preterm labor?

A woman who is 24 weeks pregnant is placed on an intravenous infusion of magnesium sulfate.What side effect should the nurse inform the patient that she might experience?