A nurse is caring for a client who is in active labor and experiencing shoulder dystocia.

Which of the following actions should the nurse take? (Select all that apply.).

Apply suprapubic pressure

Instruct the client to push with contractions

Assist the provider with McRoberts maneuver

Perform fundal massage

Administer oxygen via face mask.

Answer and Explanation

Correct Answer : A,C

Applying suprapubic pressure and assisting the provider with McRoberts maneuver are two nursing interventions that can help dislodge the impacted shoulder and facilitate the delivery of the baby.

Normal ranges for fetal heart rate are 110 to 160 beats per minute, and for maternal blood pressure are 110/70 to 140/90 mm Hg.

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Correct Answer is ["A","B"]

Explanation

Oxygen mask and tubing and blood products and IV fluids should be readily available for a client who has a ruptured uterus.This is because a ruptured uterus can cause severe hemorrhage, hypovolemia, and fetal distress.The client and the fetus may need oxygen therapy and blood transfusion to prevent hypoxia and shock.

A. The labor is progressing normally and no intervention is needed B. The labor is progressing slowly and close observation is needed C. The labor is progressing rapidly and delivery is imminent D. The labor is obstructed and immediate intervention is needed.

Correct Answer is B

Explanation

This is because the cervical dilation curve is above the alert line and below the action line, which means that the dilation is less than 1 cm per hour.This indicates a possible delay in labor progress and a risk of complications such as fetal distress, infection, or postpartum hemorrhage.

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A nurse is caring for a client who is in active labor and experiencing shoulder dystocia. Which of the following actions should the nurse take? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to assist with an emergency cesarean delivery for a client who has a ruptured uterus. Which of the following equipment should the nurse have readily available? (Select all that apply.)

Correct Answer is ["A","B"]

Explanation

A nurse is reviewing the partograph of a client in labor. The nurse notes that the cervical dilation curve is above the alert line and below the action line. What does this indicate?

Correct Answer is B

Explanation

A nurse is reviewing the risk factors for uterine rupture with a group of nursing students. Which of the following risk factors should the nurse include? (Select all that apply.)

A nurse is providing discharge teaching to a client who had a ruptured uterus and a hysterectomy during labor. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

A nurse is evaluating a client who has prolonged and obstructed labor for signs of postpartum hemorrhage. Which of the following findings is an early indicator of postpartum hemorrhage?

A nurse is assisting a client who has prolonged and obstructed labor to deliver by vacuum extraction. Which of the following complications should the nurse monitor for in the newborn?

A nurse is assessing a client who is in labor and notes that the fetal head is visible at the vaginal opening but does not advance with pushing. The nurse should identify this finding as which of the following?

A nurse is caring for a client who has prolonged labor and is at risk for infection. Which of the following actions should the nurse take to reduce this risk? (Select all that apply.)

A gush of blood is noted with the rupture of membranes. On palpation, the uterus is soft (i.e., relaxed) and the patient is not reporting any pain. An FHR deceleration down to 90 bpm is noted. What does the nurse suspect has happened?

A nurse is caring for a client who has prolonged and obstructed labor and develops a vesicovaginal fistula. Which of the following interventions should the nurse include in the plan of care?

A nurse is caring for a client who is in active labor and experiencing shoulder dystocia.

Which of the following actions should the nurse take? (Select all that apply.).