A nurse is assessing a client who has been in labor for 14 hours and has a fever of 38.2°C (100.8°F).

The nurse notes that the amniotic fluid is foul-smelling.

Which of the following actions should the nurse take first?

Administer antibiotics as prescribed.

Notify the provider.

Obtain a blood culture.

Increase the IV fluid rate.

Answer and Explanation

The Correct Answer is B

The nurse should report the findings of a fever and foul-smelling amniotic fluid to the provider as soon as possible, as they may indicate an infection of the amniotic sac and fluid (chorioamnionitis) . Chorioamnionitis can cause serious complications for both the mother and the baby, such as sepsis, preterm birth, and neonatal pneumonia.

Therefore, notifying the provider is the priority action.

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Correct Answer is B

Explanation

The client with any prior history of uterine surgery is at increased risk for a uterine rupture.A falling blood pressure and increasing pulse is a sign of hemorrhage, and in this client a uterine rupture needs to be a first consideration.

A. Uterine atony. B. Uterine inversion. C. Uterine rupture. D. Uterine infection.

Correct Answer is C

Explanation

Oxytocin is a hormone that stimulates uterine contractions and can be used to induce or augment labor.However, it also increases the risk of uterine rupture, especially in women who have a scarred uterus from a previous cesarean delivery with a vertical uterine incision.A vertical uterine incision is made in the contractile part of the uterus and is more likely to tear under stress than a low transverse incision, which is made in the lower segment of the uterus.

Normal ranges for oxytocin infusion during labor are 0.5 to 20 milliunits per minute, depending on the indication and maternal and fetal status.The infusion rate should be adjusted according to the frequency and strength of uterine contractions and the progress of cervical dilation.

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A nurse is assessing a client who has been in labor for 14 hours and has a fever of 38.2°C (100.8°F). The nurse notes that the amniotic fluid is foul-smelling. Which of the following actions should the nurse take first?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has a history of previous cesarean delivery with a low transverse incision. The client is in labor and wants to have a vaginal birth after cesarean (VBAC). The nurse should monitor the client closely for signs of which complication?

Correct Answer is B

Explanation

A nurse is preparing to administer oxytocin to a client who has a previous cesarean delivery with a vertical uterine incision. The nurse should be aware that this client has an increased risk for which of the following adverse effects?

Correct Answer is C

Explanation

A nurse is assessing a client who has a ruptured uterus. Which of the following findings should the nurse expect? (Select all that apply.).

A nurse is reviewing the electronic fetal monitor (EFM) tracing of a client who is in labor and has a prolonged deceleration of the fetal heart rate to 90/min. The nurse should recognize that this finding indicates which of the following?

A nurse is preparing to assist with an emergency cesarean delivery for a client who has obstructed labor and excessive vaginal bleeding. The nurse should anticipate administering which of the following medications to prevent hemorrhage?

A nurse is assisting with an artificial rupture of membranes (AROM) for a client who is in active labor. The nurse should report which of the following findings to the provider immediately?

A nurse is evaluating the outcomes of care for a client who had prolonged labor and delivered a newborn with Apgar scores of 6 and 8 at 1 and 5 minutes, respectively. Which of the following findings indicates a positive outcome?

A nurse is assessing a client who has been in labor for 14 hours and has a fever of 38.2°C (100.8°F). The nurse notes that the amniotic fluid is foul-smelling. Which of the following actions should the nurse take first?

A nurse is reviewing the electronic fetal monitor (EFM) tracing of a client who has a ruptured uterus. Which of the following findings would the nurse expect to see on the EFM?

A nurse is caring for a client who is in the active phase of labor and has a slow cervical dilation. The nurse should monitor the client for which of the following complications?

A nurse is assessing a client who has been in labor for 14 hours and has a fever of 38.2°C (100.8°F).

The nurse notes that the amniotic fluid is foul-smelling.

Which of the following actions should the nurse take first?