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Four Stages of Labor Part 2 > Maternal Newborn
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Comprehensive Questions
Total Questions : 18
Showing 18 questions, Sign in for moreA nurse is caring for a client whose fetus is in an occiput posterior position. The nurse understands that this fetal position may most significantly delay which of the following cardinal movements of labor?
A nurse is caring for a client who received epidural analgesia and is now fully dilated but does not yet feel a strong urge to push. Which of the following approaches should the nurse anticipate implementing?
A nurse is monitoring fetal heart rate during active pushing and observes abrupt, jagged decreases in fetal heart rate that resolve quickly at the end of each contraction. Which of the following underlying causes should the nurse associate with this pattern?
A nurse is preparing a client for an anticipated operative vaginal delivery due to a prolonged second stage. Which of the following findings in the client's labor course most likely contributed to this outcome?
A nurse is assisting with delivery when the fetal head retracts tightly against the maternal perineum immediately after birth of the head. Suprapubic pressure and the McRoberts maneuver fail to resolve the impaction. Which of the following complications should the nurse anticipate as the primary concern for the newborn?
A nurse notes that a client's placenta has not separated 20 minutes after birth of the newborn, and no active bleeding is present. Which of the following actions is most appropriate at this time?
A nurse is caring for a client who received carboprost tromethamine for management of postpartum hemorrhage. Which of the following pre-existing conditions in the client's history should have prompted the nurse to question this order?
A nurse palpates a client's uterine fundus 2 hours postpartum and finds it displaced above the umbilicus and deviated toward the right side of the abdomen. Which of the following actions should the nurse take first?
A nurse is caring for a client whose umbilical cord, upon inspection after placental delivery, is found to contain only two vessels. Which of the following actions should the nurse take?
A nurse is caring for a client 3 hours postpartum who reports feeling generalized chills and mild shaking without fever. Which of the following nursing actions is most appropriate?
A nurse is assessing a client's lochia on postpartum day 12 and notes a yellowish-white discharge with a mild, non-foul odor. Which of the following should the nurse document this finding as?
A nurse is caring for a client with a known history of grand multiparity and a macrosomic newborn weighing 4300 grams (9 pounds, 8 ounces). Which of the following postpartum complications should the nurse most closely anticipate?
A nurse is caring for a client 45 minutes postpartum whose vital signs show a heart rate increasing from 88 to 112 beats per minute while blood pressure remains within normal limits. Which of the following interpretations by the nurse is most accurate?
A nurse is reviewing risk factors associated with postpartum hemorrhage during the third and fourth stages of labor. Which of the following should the nurse identify as risk factors? Select all that apply
A nurse is teaching a client about expected findings during the fourth stage of labor. Which of the following statements by the client indicate an accurate understanding? Select all that apply
A nurse is caring for a client during active management of the third stage of labor. Which of the following interventions are components of this approach? Select all that apply
A nurse is assessing a client for signs of uterine inversion following delivery. Which of the following findings should alert the nurse to this obstetric emergency? Select all that apply
A nurse is educating a client on warning signs of postpartum hemorrhage to report immediately after discharge. Which of the following signs should the nurse include in this education? Select all that apply
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