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

The perinatal nurse explains to a nursing student that perinatal loss occurs when a woman's baby is lost during what time period?

A woman is about to undergo an external version.What action by the nurse takes priority?

A nurse has instructed a woman on the procedure for nipple rolling.What action by the patient demonstrates good understanding of the teaching?

The nurse is caring for a woman who is undergoing an induction with oxytocin (Pitocin).The nurse explains to a nursing student that contraindications to labor induction include which of the following?

The perinatal nurse explains to a nursing student that the most appropriate patient for an amnioinfusion is a woman who has a fetal heart rate tracing that exhibits which pattern?

A woman has been diagnosed with hypertonic labor.She has an order for hydromorphone (Dilaudid).The student is preparing the medication and asks the labor nurse the rationale for using it.What response by the nurse is best?

A nurse is caring for a patient with abruptio placentae.What assessment findings would indicate that the woman is hemodynamically stable?

A nurse is caring for a pregnant woman with diabetes mellitus.What assessment finding demonstrates that the patient has successfully met an important goal during pregnancy?

The nurse is explaining dysfunctional labor patterns to a group of nursing students.Which of the following should the nurse include in the list of risk factors for hypotonic labor?

A woman reports feeling uterine contractions that are strong,but on subsequent cervical checks,the nurse does not note any changes.What action by the nurse is most appropriate?

A nurse is caring for a woman who will be induced,but her cervix is not yet favorable for this intervention.The provider leaves an order for dinoprostone vaginal insert (Cervidil),which the nurse administers at 9:00 a.m.At what time does the nurse anticipate induction with oxytocin (Pitocin)?

The nurse manager of the perinatal services unit wants to improve outcomes associated with perinatal loss.What action by the manager would best help meet this goal?

The perinatal nurse knows that one of the most severe complications for a patient with a diagnosis of abruptio placentae is which of the following?

A laboring woman complains of sudden,sharp,severe pain during a contraction,and when the contraction ceases,the pain is gone.What assessment by the nurse takes priority?

The perinatal nurse is providing care to a 17-year-old G2 TPAL 0010 patient at 32 weeks' gestation.An ultrasound examination confirms that she is experiencing an abruptio placentae.The patient's vital signs are as follows: BP: 110/66 mm Hg,P: 92 beats/minute,R: 18 breaths/minute,fetal heart rate: 156 beats/minute.What assessment should the nurse include in this patient's plan of care as a priority?

The perinatal nurse is providing care to a multiparous woman in labor.Upon arrival to the birthing suite,the cervix is 5 cm dilated and the patient is experiencing contractions every 1 to 2 minutes that she describes as "strong." The patient states that she labored for 1 hour at home and is feeling some rectal pressure.The patient is most likely experiencing what condition?

The nurse explains to a class of nursing students that which of the following are the main predictors of medically indicated and elective cesarean birth?

A nurse is caring for a woman who gave birth to a term infant an hour ago.The chart notes that the baby was born after demonstrating a positive turtle sign.What assessment finding by the nurse warrants immediate action?

The nurse is teaching a childbirth preparation class for women who will have planned cesarean births for medical need.What potential complications of this operation does the nurse describe?

A woman arrives at the birthing unit for a scheduled cesarean birth.What action by the nurse is most important?