Exam 16: Nursing Care During Obstetric Procedures

While assisting with a vacuum extraction birth, which should the nurse immediately report to the physician?

Which adverse effects can be seen in response to administration of oxytocin (Pitocin) for induction of labor? (Select all that apply.)

Following an external cephalic version, which assessment finding indicates a complication?

A patient who is a 2-1-0-0-1 at 34 weeks' gestation is interested in a vaginal birth after cesarean section (VBAC) and asks the nurse about this possibility. Which reason for her primary cesarean section would indicate to the nurse that the patient should be discouraged from pursuing this option?

Which client is most at risk for a uterine rupture?

The priority nursing care associated with an oxytocin infusion is:

Which client status is an acceptable indication for serial oxytocin induction of labor?

The pregnant client is admitted to the labor and birth unit for induction of labor. Which finding would allow the induction to continue as planned?

Which of the following factors would lead to an increased risk for a prolapsed cord to occur during an amniotomy?

When the client receiving an oxytocin (Pitocin) drip at 16 mU/min develops hypertonic stimulation, FHR 138 bpm with accelerations, and no decelerations, the nurse's best response would be to:

A maternal indication for the use of vacuum extraction is:

A client who is receiving oxytocin (Pitocin) infusion for the augmentation of labor is experiencing a contraction pattern of more than eight contractions in a 10-minute period. Which intervention would be a priority?

The labor nurse is developing a plan of care for a patient admitted in active labor with spontaneous rupture of the membranes 6 hours prior to admission with clear fluid. On admission, vital signs were as follows: maternal heart rate (HR) 92 bpm; fetal rate (FHR) baseline, 150 to 160 bpm; blood pressure, 124/76 mm Hg; temperature 99° F [37.2° C]. What is the priority nursing action for this patient?

Which assessment finding is indicative of a major complication 1 hour following a forceps birth?

A gravida 2, para 1 client is admitted to the labor and birth unit in labor. She states that she had a cesarean birth with her first pregnancy. The most critical information the nurse must obtain at this point is:

The health care provider has prescribed an initial rate of 6 mU/min of diluted Pitocin to be started to augment labor for a client having arrested labor. At which setting will the nurse set the infusion pump (in mL/hr) if the dilution of the Pitocin is 10 U of Pitocin in 1000 mL of 0.25 normal saline? Record your answer as a whole number. _______ mL/hr

To monitor for potential hemorrhage in the client who has just had a cesarean birth, which action should the recovery room nurse implement?

The nurse is preparing to administer a vaginal prostaglandin preparation to ripen the cervix of a client. With which client should the nurse question the use of vaginal prostaglandin as a cervical ripening agent?

The pregnant client expresses a desire to schedule birth during the baby's father's furlough from the Army. The nurse explains that prior to induction of labor, it is essential to determine which condition?

Which clinical finding indicates the use of vacuum extraction as a birth method?