Exam 16: Nursing Care During Obstetric Procedures

Nursing care before a cesarean birth should include:

Before the health care provider performs an external version, the nurse should expect an order for a:

After birth, the nurse monitors the mother for postpartum hemorrhage secondary to uterine atony. What would increase the nurse's concern about this risk?

Induction of labor is considered an acceptable obstetric procedure if it is a safe time to deliver the fetus. The charge nurse on the labor and birth unit is often asked to schedule clients for this procedure and therefore must be cognizant of the specific conditions appropriate for labor induction, including which of the following? (Select all that apply.)

The nurse is determining a Bishop score on a client being admitted for induction of labor. The assessment on the client is 1 cm dilation, with 50 % effacement of the cervix, fetal station of 0, cervix consistency soft, and cervical position anterior. Which Bishop score should the nurse document? Record your answer as a whole number. _______

The nurse is planning care for a client who just received 25 mcg of misoprostol (Cytotec) vaginally to ripen the cervix. Which interventions should the nurse plan to implement? (Select all that apply.)

The nurse is explaining the technique of internal version to a group of nursing students. Which describes the technique of internal version?

The nurse knows that a urinary catheter is added to the instrument table if a forceps-assisted birth is anticipated. The correct rationale for this intervention is that:

On vaginal exam, the client's cervix is anterior, soft, 70% effaced, dilated 2 cm, and the presenting part is at 0 station. The Bishop's score for this client is:

A pregnant woman develops hypertension. The nurse monitors the client's blood pressure closely at subsequent visits because the nurse is aware that hypertension is associated with what complication?

Immediately following the forceps-assisted birth of an infant, which action should the nurse implement?

A vaginal exam for a laboring multipara client who is 42 weeks' gestation reveals the following information: 4 cm, minimal effacement, -2 station. Which clinical factors would affect the clinical management decision not to rupture membranes with an AmniHook?