shortening and thinning of the cervix which is the opening of the uterus
What is effacement .
100
Vertex
What is fetal position that is best for a vaginal birth
100
The nurse should recognize that the third stage of labor ends with
What is Expulsion of the placenta
100
A serious organism that can cause fatal neonatal sepsis if the baby contracts it.
What is Group beta strep
200
The nurse knows that a full bladder can interfere with __________ during labor.
What is the descent of the fetal head.
200
Pant with the next contraction and have a vaginal exam done to check dilation
What is The nurse walks into the labor room and notices her client is holding her breath with each contraction and starting to bear down. When last checked one hour ago, she was 6cm dilated and 80% effaced. The nurse would have her:
200
The client has an amniotomy. Give an outcome the nurse would recommend including in the client's plan of care?
What is the fetus will maintain adequate perfusion
200
The nurse notes a late deceleration on the fetal monitor. Nursing action would be to
What is give oxygen via non-rebreather, place client on left side, turn off the oxytocin
300
The nurse is checking the fetal heart rate of a laboring client. What range of fetal heart rates would reassure the nurse of appropriate fetal perfusion?
What is 110-160
300
On assessment the nurse finds the fetal heart tones above the umbilicus. What position is the baby most likely in.
What is Breech
300
A sudden gush of dark blood from the introitus, changes in the shape of the uterus, and aginal fullness are all signs that this important event has occurred.
What is the placenta has separated from the uterine wall?
300
A nursing intervention following a doctor's order when long acting morphine (Duramorph) is used in the epidural would be:
What is discontinue the foley 18-24hours post delivery.
400
This is what happens with contractions when there is true labor.
What is regular contractions become more frequent and intense?
400
The nurse notices the amniotic fluid is meconium stained, what is the important nursing intervention to be taken immediately?
What is notify the physician.
400
The nurse is caring for a client with a repaired second-degree laceration of the perineum immediately after delivery. The nurse should first apply _____ to the perineum. ( heat or cold)
What is cold.
400
A nurse is caring for a laboring client who is to receive an epidural. The nursing action may be required if ordered before a client receives an epidural would be ______ .
What is giving an IV fluid bolus.
500
A laboring client having an epidural for pain relief would be at risk for a major side effect from an epidural block?
What is Maternal hypotension?
500
fetal heart rate of 100-110 is known as;
What is fetal bradycardia.
500
nurse is monitoring a client who is scheduled for a cesarean delivery. Which finding indicates a need to contact the health care provider?
What is fetal heart rate (FHR) of 180 beats per minute
500
Increase the length of Stage 2 labor, increase the use of instruments (forceps, vacuum) for delivery, increase the chance of maternal fever; all are possible outcomes of the use of this.