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Showing 20 questions, Sign in for moreA 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 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.)
A nurse is evaluating a client who has prolonged labor and suspects uterine rupture.
Which of the following findings should alert the nurse to this complication?
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 counseling a client who has a small pelvis and wants to have a vaginal delivery.
Which of the following factors should the nurse consider when discussing the possibility of vaginal birth after cesarean (VBAC)?
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 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 monitoring a client who had a vaginal birth after cesarean (VBAC) delivery.
The nurse notes that the client has a boggy uterus, heavy vaginal bleeding, and signs of hypovolemic shock.
The nurse suspects that the client has a concealed uterine rupture.
What is an appropriate nursing action for this client?
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.).
A nurse is assessing a client who is in labor and has been pushing for 3 hours with no progress.
The nurse should identify that this client is at risk for which of the following complications? (Select all that apply.).
A nurse is reviewing the medical record of a client who is in labor and has cephalopelvic disproportion (CPD).
Which of the following findings should the nurse expect to see in the record?
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?
Women with previous uterine scars are prone to uterine rupture, especially if oxytocin or forceps are used.
If a woman complains of a sharp pain accompanied by the abrupt cessation of contractions, suspect uterine rupture, a medical emergency.
Immediate surgical delivery is indicated to save the fetus and mother.
Based on this information, which of the following nursing actions is most appropriate?
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?
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 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 assessing a client who had a prolonged labor and is at risk for uterine atony.
Which of the following findings should indicate to the nurse that the client has this condition? Select all that apply.
A nurse is caring for a client who had a vacuum-assisted delivery due to prolonged labor and is at risk for developing a hematoma in the perineal area.
Which of the following manifestations should alert the nurse to this complication?
A nurse is providing emotional support to a client who had a prolonged labor and delivered a stillborn baby by cesarean section.
Which of the following actions should the nurse take?
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