OB Lab and birth experience quiz 1(Graded A quiz)

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OB Lab and birth experience quiz 1 1: (see full question) A nurse notices that a client in the first stage of labor seems agitated. When the nurse asks why she's upset, she begins to cry and says, "... I guess I'm a little worried. The last time I gave birth, I was in labor for 32 hours." Based on this information, the nurse should include which nursing diagnosis in the client's care plan? Question 2: (see full question) What would be the priority when caring for a primigravid client whose cervix is dilated at 8 cm when the fetus is at 1+ station and the client has had no analgesia or anesthesia? Question 3: (see full question) A primary care provider has prescribed nalbuphine hydrochloride 10 mg intravenously for a client in active labor. The pharmacy supplies a vial labeled as 50 mg in a 5-mL vial. How many milliliters should the nurse administer? Record your answer using a whole number. Question 4: (see full question) A nurse needs to obtain a good monitor tracing on a client in labor The client lies in a supine position. Suddenly, she complains of feeling light-headed and becomes diaphoretic. Which action should the nurse perform first? Question 5: (see full question) The nurse is explaining to a primagravida in labor that her baby is in a breech presentation, with the baby’s presenting part in a left, sacrum, posterior (LSP) position. Which illustration should the nurse use to help the client understand how her baby is positioned? Question 6: (see full question) A 31-year-old client, G3, T0, P2, Ab0, L0 at 32 weeks’ gestation, is being admitted to the hospital with contractions of moderate intensity occurring every 3 to 4 minutes per the client report. The client is crying on admission; the history reveals that the client has previously had two nonviable fetuses at 30 weeks’ gestation. What nursing action would be the highest priority for this client? Question 7: (see full question) A pregnant client’s partner coaches her with breathing and relaxation techniques as they were taught in childbirth preparation classes. When the client reaches the transition phase of labor, she screams out, “I cannot do this anymore!” Which suggestion would be most helpful for the client’s partner? Question 8: (see full question) Two clients arrive at the labor and delivery triage area at the same time. The first client states that her water has been leaking, but that she hasn't had any contractions. The second client says she's having 1-minute contractions every 3 minutes and that she feels like pushing. How should a nurse prioritize these clients? You selected: The nurse should assign priority to the second client. Her signs and symptoms indicate that her baby's birth is imminent. Question 9: (see full question) External monitoring of contractions and fetal heart rate of a multigravida in labor reveals a variable deceleration pattern on the fetal heart rate. What should the nurse do first? Question 10: (see full question) For a primigravid client with the fetal presenting part at ?1 station, what would be the nurse’s priority immediately after a spontaneous rupture of the membranes? Question 11: (see full question) A client in the first stage of labor is being monitored using an external fetal monitor. After the nurse reviews the monitoring strip from the client’s chart, into which of the following positions would the nurse assist the client? Question 12: (see full question) A multigravida with a history of cesarean birth due to fetal distress is admitted for a trial labor and possible vaginal birth. After several hours of active labor, the primary care provider prescribes nalbuphine. The nurse evaluates the drug as effective when the client makes which statement? Question 13: (see full question) When assessing the fetal heart rate tracing, a nurse becomes concerned about the fetal heart rate pattern. In response to the loss of variability, the nurse repositions the client to her left side and administers oxygen. These actions are likely to improve: Question 14: (see full question) While performing continuous electronic monitoring of a client in labor, the nurse should document which information about uterine contractions? Question 15: (see full question) A multigravid client is admitted at 4-cm dilation and is requesting pain medication. The nurse gives the client nalbuphine 15 mg. Within five minutes, the client tells the nurse she feels like she needs to have a bowel movement. The nurse should first: Question 16: (see full question) A 24-year-old primigravid client who gives birth to a viable term neonate is prescribed to receive oxytocin intravenously after delivery of the placenta. Which of the following signs would indicate to the nurse that the placenta is about to be delivered? Question 17: (see full question) A nurse notices repetitive late decelerations on the fetal heart monitor. The best initial actions by the nurse include: Question 18: (see full question) What assessment data of a laboring woman would require further intervention by the nurse? Question 19: (see full question) A 31-year-old multigravid client at 39 weeks' gestation admitted to the hospital in active labor is receiving intravenous lactated Ringer's solution and a continuous epidural anesthetic. During the first hour after administration of the anesthetic, the nurse should monitor the client for: Question 20: (see full question) What interval should the nurse use when assessing the frequency of contractions of a multiparous client in active labor admitted to the birthing area? Question 21: (see full question) The membranes of a multigravid client in active labor rupture spontaneously, revealing greenish-colored amniotic fluid. How does the nurse interpret this finding? Question 22: (see full question) The nurse is caring for a multigravid client in active labor when the nurse detects variable fetal heart rate decelerations on the electronic monitor. The nurse interprets this as the compression of which structure? Question 23: (see full question) The cervix of a 15-year-old primigravid client admitted to the labor area is 2 cm dilated and 50% effaced. Her membranes are intact, and contractions are occurring every 5 to 6 minutes. Which intervention should the nurse recommend at this time? Question 24: (see full question) Accompanied by her partner, a client seeks admission to the labor and delivery area. She states that she's in labor and says she attended the facility clinic for prenatal care. Which question should the nurse ask her first? Question 25: (see full question) After instructing the client in techniques of pushing to use during the second stage of labor, the nurse determines that the client needs further instructions when she says she will need to do which action? Question 26: (see full question) A nurse is evaluating an external fetal monitoring strip. Identify the area on this strip that causes her to be concerned about uteroplacental insufficiency. Question 27: (see full question) While a 31-year-old multigravida at 39 weeks’ gestation in active labor is being admitted, her amniotic membranes rupture spontaneously. The client’s cervix is 5 cm dilated, the presenting part is at 0 station, and the electronic fetal heart rate pattern is reassuring. What should the nurse do first? Question 28: (see full question) Which behavior should cause the nurse to suspect that a client's labor is moving quickly and that the physician should be notified? Question 29: (see full question) The nurse is caring for a client in active labor. As the nurse is evaluating the waveform below, identify the area of concern that suggests umbilical cord compression. [Show More]

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