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

A woman had an amniotomy 1 hour ago.Now she is complaining of uterine tenderness.What action by the nurse is most appropriate?

The perinatal nurse is asked to assess a 35-year-old woman who is a G1 TPAL 0000 at 34 weeks' gestation with a twin gestation.The patient complains of regular contractions with low abdominal pain that moves into the lumbar section of her back.The perinatal nurse's most appropriate initial nursing action is to do which of the following?

A woman is asking about a cesarean birth.The nurse explains that which of the following are appropriate indications for this type of birth?

A nurse is assisting with a forceps delivery.After the forceps are applied,the nurse notes fetal bradycardia.What action by the nurse takes priority?

A pregnant woman is admitted to the high-risk OB unit and started on an IV of magnesium sulfate (Sulfamag).What assessment by the nurse is most important?

The perinatal nurse is explaining to a nursing student that which of the following are problems more frequently associated with twin gestation births?

During the postpartum assessment,the perinatal nurse notes that a patient who has just experienced a forceps-assisted birth now has a large amount of bright red vaginal bleeding.Her uterine fundus is firm.The most appropriate action by the nurse is to collaborate with the health-care provider in which activity?

A nursing professor is describing placental abruption to a class of nursing students.What information is included?

A nurse assisting in a birth observes the patient suddenly fall back against the bed and become unresponsive.What action by the nurse takes priority?

A nulliparous woman has been admitted to the labor and birth unit.Her Bishop score is 4.What medication does the nurse plan to administer?

The perinatal nurse is caring for a patient with preeclampsia.What intervention does the nurse include on this patient's care plan?

A nurse is working with a nulliparous woman diagnosed with placenta previa.What interventions should the nurse plan to implement if necessary?

A woman is admitted to the birthing unit in her 42nd week of pregnancy.What interventions does the nurse plan for this patient?

What actions by the nursing staff would be beneficial for parents who have lost a newborn?

A perinatal nurse is aware that which of the following fetal conditions places a woman at risk for oligohydramnios?

The perinatal nurse providing care to a laboring woman recognizes a non-reassuring fetal heart rate tracing.Which of the following is the most appropriate initial action by the nurse?

The perinatal nurse is providing care to a 25-year-old G1 TPAL 0000 woman hospitalized with severe hypertension at 33 weeks' gestation.The nurse is preparing to administer the second dose of betamethasone (Celestone),prescribed by the physician.The patient asks,"What is this injection for again?" Which of the following is the best response by the nurse?

A woman is receiving oxytocin (Pitocin)via infusion.The nurse assesses the following: uterine contractions lasting 100 seconds every 1.5 minutes,uterine resting tone 36 mm Hg,baseline fetal heart rate (FHR)108 beats/minute with absent variability.What action by the nurse takes priority?

The perinatal nurse determines by vaginal examination that a patient's cervix is fully dilated and the fetal presenting part is descending rapidly with the patient's pushing efforts.The most appropriate nursing intervention at this time would be to do which of the following?

A new nurse is struggling to care for a woman whose baby was stillborn.What advice should the nurse preceptor give the novice?