Exam 14: Caring for the Woman Experiencing Complications During Labor and Birth

The perinatal nurse provides information to a laboring woman with twins that the second twin will normally be born within what time frame?

A nurse has administered dinoprostone gel (Prepidil)to a nulliparous woman whose Bishop score is 5.Fifteen minutes later the patient complains of intense itching,vaginal burning,and shortness of breath.What medication does the nurse anticipate giving?

A woman is G2P1 TPAL1001and pregnant with her second child.Her first child was born via emergent cesarean delivery.She asks the nurse if a vaginal birth is possible.What response by the nurse is most appropriate?

The perinatal nurse is providing care to a 32-year-old G1 TPAL 0000 at 34 weeks' gestation.Her blood pressure is 170/100 mm Hg,reflexes are +3,urine is 2+ for protein,and the patient is complaining of a headache.An intravenous solution of magnesium sulfate is begun with an hourly dose of 2 g.Which laboratory value would be assessed most carefully by the nurse?

The nurse assesses a patient suspected of having disseminated intravascular coagulation (DIC)for which of the following symptoms?

A woman at 30 weeks' gestation is 80% effaced and 5 cm dilated.Which action by the nurse takes priority?

A nurse is caring for a woman who has an order for a high-dose oxytocin (Pitocin)regimen to stimulate uterine contractions.Which of the following actions are appropriate for the nurse to take?

A woman has just given birth to an infant whose 1-minute Apgar score was 9.Meconium-stained amniotic fluid was noted upon rupture of the membranes.What action by the nurse is most appropriate?

A new nurse is working with a patient undergoing an induction of labor.What action by the new nurse would prompt the preceptor to intervene?

The nurse is preparing to admit a diabetic woman who is in labor.The nurse plans care to assess carefully for which of the following conditions in this patient?

A nurse is caring for a patient who had a laminaria tent inserted 6 hours ago.What action by the nurse is most appropriate?

The perinatal nurse is caring for a preeclamptic patient at 35 weeks' gestation.The patient's newest laboratory results include the following: platelet count 98,000/mm³ and RBC 3.1 million/µL.What action by the nurse is most appropriate?

When caring for a laboring patient,the nurse notes the onset of sudden vaginal bleeding at the beginning of cervical dilation.The patient denies any pain.What action by the nurse is best?

The perinatal nurse notes a rapid decrease in the fetal heart rate (FHR)that does not recover immediately following an amniotomy.What action should the nurse perform first?

The perinatal nurse has administered a dose of dinoprostone (Cervidil)to a woman prior to a labor induction with oxytocin (Pitocin).The nurse then notices that the admission database is incomplete.What conditions should the nurse quickly question the patient about?

A G2P1 woman wishes to have a trial of labor after a previous low-transverse cesarean delivery.What factors would permit the woman to be allowed this trial of labor?

After a cesarean delivery under general anesthesia,which assessment by the nurse is most critical?

The nurse is caring for a woman with a placental abruption and suspects the patient has developed disseminated intravascular coagulation (DIC).What interventions does the nurse anticipate?

A woman has experienced a stillbirth and is now nearing term in her current pregnancy.The husband confides to the nurse: "My wife is driving me crazy.She is totally obsessed with this pregnancy." What response by the nurse is best?

A woman's membranes have just ruptured and she states "I feel something in my vagina." The nurse assesses the woman and sees part of the umbilical cord protruding from the vagina.What action by the nurse is best?