Exam 13: Nursing Care During Labor and Birth

Which client at term should go to the hospital or birth center the soonest after labor begins?

Which interventions should be performed in the birth room to facilitate thermoregulation of the newborn? (Select all that apply.)

When taking care of a client in labor who is not considered to be at risk, which assessments should be included in the plan of care? (Select all that apply.)

The nurse is preparing to perform Leopold's maneuvers. Why are Leopold's maneuvers used by practitioners?

The gynecologist performs an amniotomy. What will the nurse's role include immediately following the procedure?

A laboring client is 10 cm dilated but does not feel the urge to push. The nurse understands that according to laboring down, the advantages of waiting until an urge to push are which of the following? (Select all that apply.)

A woman arrives to the labor and birth unit at term. She is greeted by a staff nurse and a nursing student. The student reviews the initial intake assessment with the staff nurse. Which action will the staff nurse have to correct?

During labor a vaginal examination should be performed only when necessary because of the risk of:

A nursing priority during admission of a laboring client who has not had prenatal care is:

The nurse is preparing to initiate intravenous (IV) access on a patient in the active phase of labor. Which size IV cannula is best for this patient?

The nurse assesses the amniotic fluid. Which characteristic presents the lowest risk of fetal complications?

The nurse is performing Leopold's maneuvers on a client. Which figure depicts the Leopold's maneuver that determines whether the fetal presenting part is engaged in the maternal pelvis. Refer to Figures a to d

A gravida 1, para 0, 38 weeks' gestation is in the transition phase of labor with SROM and is very anxious. Vaginal exam, 8 cm, 100% effaced, -1 station vertex presentation. She wants the nurse to keep checking her by performing repeated vaginal exams because she is sure that she is progressing rapidly. What is the best response that the nurse can provide to this client at this time?

The nurse notes that a client who has given birth 1 hour ago is touching her infant with her fingertips and talking to him softly in high-pitched tones. Based on this observation, which action should the nurse take?

Which comfort measure should a nurse use to assist a laboring woman to relax?

The health care provider has asked the nurse to prepare for an amniotomy. What is the nurse's priority action with this procedure?

The nurse has given the newborn an Apgar score of 5. She should then:

A woman who is gravida 3, para 2, enters the intrapartum unit. The most important nursing assessments are:

The nurse thoroughly dries the infant immediately after birth primarily to:

A primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum unit. The fetal heart rate has been normal. Contractions are 5 to 9 minutes apart, 20 to 30 seconds in duration, and of mild intensity. Cervical dilation is 1 to 2 cm and uneffaced (unchanged from admission). Membranes are intact. The nurse should expect the client to be: