Care of Healthy or At Risk Mother and Child Quiz 1

A nurse is in the labor room and caring for a client that is believed to be in the beginning of the second stage of labor. Which of the following assessment that will help the nurse to determine that the client is in the right stage of labor?

A client is rushed to the emergency room and directly transferred to the delivery room. On the assessment of the nurse, the client is in active stage of labor. The nurse is assessing the fetal patterns and notes a late deceleration on the monitor strip. The most appropriate nursing action is to:

A client is scheduled for a cesarean delivery. The nurse is completing the assessment on the client. Which assessment finding would indicate a need to call the physician?

The nurse in the emergency department prepares the client in labor to be transferred to the delivery room for cesarean delivery. While waiting in for the physician in the delivery room, the nurse places the client in the:

On the day before discharge from the hospital, the nurse provides instruction to the client who delivered a healthy baby by cesarean delivery. Which of the following statement if made by the client indicates a need for further instruction?

A nurse is admitting a pregnant client to the labor room and prepares to auscultate the fetal heart rate by using a Doppler ultrasound device. The nurse most accurately determines tht the fetal heart sounds are heard by:

The physician ordered oxytocin (Pitocin) by intravenous infusion to a client in labor to stimulate uterine contractions. Which assessment findings would indicate to the nurse that the infusion needs to be discontinues.

The nurse is caring for a client in labor who will start receiving oxytocin (Pitocin) by intravenous infusion. The nurse ensures that which of the following is implemented before initiating the infusion?

The nurse is caring for a client in active labor. The nurse is performing fetal monitoring and notes that the fetal heart rate between contractions is 100 beats per minute. And the client is having contraction every 3 minutes that last 45 seconds. Which of the following nursing actions is most appropriate?

A nurse is caring to a client admitted in the labor room. The nurse performs an assessment and monitors the fetal heart rate patterns. The nurse notes the presence of episodic accelerations on the electronic fetal monitor tracing. Which of the following actions is most appropriate?