( Answered) High Risk Intrapartum Questions. Latest Update 2022/2023. Rated A+

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The nurse institutes measures for the client with placental abruption to minimize alterations in fetal tissue perfusion. The nurse determines that fetal tissue perfusion is adequate if which of the fo... llowing is noted? - ☑☑Presence of accelerations A nurse is caring for a woman in the delivery room. The health care provider prescribes an oxytocic medication for the woman to stimulate uterine contractions and prevent hemorrhage. The nurse understands that this medication will be administered after delivery of the: - ☑☑Placenta A client becomes increasingly more anxious and hyperventilates during the transition phase of labor. The nurse recognizes that the client needs: - ☑☑To regain her breathing pattern A nurse is caring for a client with a diagnosis of dystocia. The nurse specifically collects data regarding which of the following? - ☑☑Characteristics of contractions A nurse is assigned to care for a nulliparous client who is having a precipitate delivery. The nurse reports which maternal focused observations? - ☑☑Decreased periods of uterine relaxation between contractions The nurse is assigned to care for a client who is in early labor. When collecting data from the client, it is most important for the nurse to first determine which of the following? - ☑☑Baseline fetal heart rate When examining the umbilical cord immediately after birth, the nurse expects to observe: - ☑☑Two arteries A pregnant client is receiving magnesium sulfate for the management of preeclampsia. A nurse determines that the client is experiencing toxicity from the medication if which of the following is noted on data collection? - ☑☑Respirations of 10 breaths per minute During the intrapartum period, the nurse assists the health care team to ensure appropriate intravenous (IV) fluid intake and oxygen consumption for the laboring client with sickle cell disease. This action will primarily: - ☑☑Assist in preventing dehydration and hypoxemia. A nurse notes that a client in labor has foul-smelling amniotic fluid, a maternal temperature of 101° F, and a urine output of 150 mL during the past 2 hours. The nurse should do which of the following at this time? - ☑☑Notify the registered nurse of a possible maternal infection. A client is admitted for an emergency cesarean section delivery. Contractions are occurring every 15 minutes. The client has a temperature of 100° F and ate 2 hours ago. Which intervention has priority? - ☑☑Report the time of last food intake to the health care provider Before attempting to deliver the placenta after a precipitate delivery, the nurse waits for which sign as an indication of placental separation? - ☑☑Change in uterine shape A nurse caring for a client who is receiving oxytocin (Pitocin) for the induction of labor notes a nonreassuring fetal heart rate (FHR) pattern on the fetal monitor. On the basis of this finding, the nurse would first: - ☑☑Stop the oxytocin infusion. A nurse observes that a client in the transition stage of labor is crying out in pain with pushing efforts. The nurse recognizes this behavior as: - ☑☑Fear of losing control A nurse prepares to explain the purpose of effleurage to a client in early labor. The nurse tells the client that effleurage: - ☑☑Is light stroking of the abdomen to facilitate relaxation during labor In providing initial care to the newborn following delivery, the priority action of the nurse is to: - ☑☑Turn the infant's head to the side. A nurse is monitoring a client in labor whose membranes rupture spontaneously. The initial nursing action is to: - ☑☑Determine the fetal heart rate. The advantages of using spinal anesthesia for delivery of a fetus include which of the following? Select all that apply. - ☑☑Ease of administration Absence of fetal hypoxia Immediate onset of anesthesia Which documentation concerning the characteristics of amniotic fluid supports the determination that the fluid is normal? - ☑☑It is pale, straw-colored with flecks of vernix. A nurse tells a client she is now beginning the second stage of labor. The nurse realizes the client understands the occurrences of this stage when the client says: - ☑☑My cervix is completely dilated." After a precipitous delivery, the nurse notes that the new mother is passive and only touches her newborn infant briefly with her fingertips. The nurse would do which of the following to help the woman process what has happened? - ☑☑support the mother in her reaction to the newborn infant. Immediately following the delivery of a newborn, the nurse prepares to assist in the delivery of the placenta. What is the appropriate action to deliver the placenta? - ☑☑Pull gently on the cord as the mother bears down. A nurse is assigned to care for a client experiencing dystocia. In planning care, the nurse would consider the highest priority to be frequent: - ☑☑Monitoring for changes in the physical and emotional condition of the mother and fetus A 30-week gestational prenatal client with complaints of painless vaginal bleeding presents at the labor and birthing department of the hospital. The nurse prepares the client for which expected diagnostic procedure? - ☑☑contraction stress test A pregnant client at 36 weeks' gestation experiences painless bleeding and is admitted to the labor room. Which action should the nurse initially include in the plan of care? - ☑☑Maintain complete bedrest, monitor IV fluid intake, and monitor the fetal heart rate. The nurse is assigned to work in the delivery room and is assisting with caring for a client who has just delivered a newborn infant. The nurse is monitoring for signs of placental separation, knowing that which of the following indicates that the placenta has separated? - ☑☑A change in the uterine contour After the client vaginally delivers a viable newborn, the nurse sees the umbilical cord lengthen and observes a spurt of blood from the vagina. The nurse recognizes these findings as signs of: - ☑☑Placental separation A nurse caring for a client diagnosed with placental abruption would plan to: - ☑☑Prepare the client for a cesarean birth. The client is admitted to the labor suite complaining of painless vaginal bleeding. The nurse assists with the examination of the client, knowing that a routine labor procedure that is contraindicated with this client's situation is: - ☑☑A manual pelvic examination At 5:00 AM a client is admitted to the maternity unit after experiencing 3 hours of labor at home. The assessment determines that the fetal heart rate (FHR) is 140 beats per minute with the fetus at station 0 and strong contractions occurring every 3 minutes. It is now 7:00 AM with little progress, and the FHR is decreasing. It is most appropriate for the nurse to anticipate the need to: - ☑☑Prepare the client for a cesarean delivery. A client is scheduled to have an elective cesarean delivery. The nurse preparing the client for the procedure plans to allay the client's feelings of anxiety by: - ☑☑Encouraging the client to discuss her concerns and desires regarding anesthesia options A client tells the nurse her contractions are getting stronger and that she is getting tired. She appears restless, asks the nurse not to leave her alone, and states, "I can't take it anymore." Considering the client's behavior, the nurse suspects she is dilated: - ☑☑8 to 10 cm A licensed practical nurse (LPN) is assisting in gathering data on a client who is scheduled for a cesarean delivery. Which of the following findings would indicate a need to contact the registered nurse (RN)? - ☑☑Fetal heart rate of 180 beats per minute [Show More]

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