Exam 27: The Woman with an Intrapartum Complication

A primigravida at 40 weeks of gestation is having uterine contractions every 1.5 to 2 minutes and says that they are very painful.Her cervix is dilated 2 cm and has not changed in 3 hours.The woman is crying and wants an epidural.What is the likely status of this woman's labor?

A woman who is 32 weeks pregnant telephones the nurse at her obstetrician's office and complains of constant backache.She asks what pain reliever is safe for her to take.The best nursing response is

A woman in labor at 34 weeks of gestation is hospitalized and treated with intravenous magnesium sulfate for 18 to 20 hours.When the magnesium sulfate is discontinued,which oral drug will probably be prescribed for continuation of the tocolytic effect?

A woman in preterm labor at 30 weeks of gestation receives two 12-mg doses of betamethasone intramuscularly.The purpose of this pharmacologic treatment is to

The causes of preterm labor are not fully understood although many factors have been associated with early labor.These include (Select all that apply.)

Which factor is most likely to result in fetal hypoxia during a dysfunctional labor?

A student nurse is preparing to administer a dose of betamethasone.What action by the student warrants intervention by the registered nurse?

A laboring patient in the latent phase is experiencing uncoordinated,irregular contractions of low intensity.How should the nurse respond to complaints of constant cramping pain?

Which action should be initiated to limit hypovolemic shock when uterine inversion occurs?

What factor found in maternal history should alert the nurse to the potential for a prolapsed umbilical cord?

What are the priority nursing assessments for a woman receiving tocolytic therapy with terbutaline? (Select all that apply.)

The nursing student observes a laboring woman doing lunges to the left side and asks for an explanation of this activity.What response by the nurse is best?

A woman who had two previous cesarean births is in active labor,when she suddenly complains of pain between her scapulae.The nurse's priority action is to

Birth for the nulliparous woman with a fetus in a breech presentation is usually by

In planning for home care of a woman with preterm labor,the nurse needs to address which concern?

Which actions by the nurse may prevent infections in the labor and delivery area?

Which nursing action must be initiated first when evidence of prolapsed cord is found?

Which patient situation presents the greatest risk for the occurrence of hypotonic dysfunction during labor?

After a birth complicated by a shoulder dystocia,what action by the nurse is most appropriate?

Which technique is least effective for the woman with persistent occiput posterior position?