A nurse is caring for a client who is in active labor. The client reports lower-back pain. The nurse suspects that this pain is related to a persistent occiput posterior fetal position. Which of the following nonpharmacological nursing interventions should the nurse recommend to the client?

A nurse is caring for a client following the administration of an epidural block & is preparing to administer an IV fluid bolus. The client's partner asks about the purpose of the IV fluids. Which of the following statements should the nurse make?

A nurse is caring for a client who is in the second stage of labor. The client's labor has been progressing, and vaginal delivery is expected in 20 min. The provider is preparing to administer lidocaine for pain relief & perform an episiotomy. The nurse should know that which of the following types of the regional anesthetic block is to be administered?

A nurse is caring for a client who is using patterned breathing during labor. The client reports numbness & tingling of the fingers. Which of the following actions should the nurse take?

A client calls the provider's office & reports having contractions for 2 hr that increased with activity & did not decrease with rest & hydration. The client denies leaking of vaginal fluid but did notice blood when wiping after voiding. Which of the following manifestations is the client experiencing?

A nurse is caring for a client having contractions every 8 min that is 30 to 40 seconds in duration. The client's cervix is 2cm dilated, 50% effaced, & the fetus is at a -2 station with an FHR around 140/min. Which of the following stages & phases of labor is this client experiencing?

A nurse is caring for a client who is 40 weeks of gestation & reports having a large gush of fluid from the vagina while walking from the bathroom. Which of the following actions should the nurse take first?

A nurse is completing an admission assessment for a client who is 39 weeks of gestation & reports fluid leaking from the vagina for 2 days. Which of the following conditions is the client at risk for developing?

A nurse is caring for a client who is in active labor, irritable, & reports the urge to have a bowel movement. The client vomits & states, "I've had enough. I can't do this anymore." Which of the following stages of labor is the client experiencing?

When the fetus moves down into the true pelvis ("dropped"), easier breathing on the mother, but more pressure on the bladder is...

Backache, weight loss, lightening, contractions, Increased vaginal discharge, bloody show, energy burst, GI disturbances, cervical ripening, & rupture of membranes are all signs of...

What are the five P's?

The passenger is...

The passageway is the...

The powers are...

The position is...

Dilation & effacement of the cervix leading to cervical change combined with uterine contractions is required for the definition of...

A mild contraction is similar to pressing on your

A moderate contraction is similar to pressing on your...

A severe contraction is similar to pressing on your...

0cm to 3cm is the...

4cm to 7cm is the...

8cm to 10 cm is the...

A nurse is providing care for a client who is in active labor. Her cervix is dilated to 5 cm, and her membranes are intact. Based on the use of external electronic fetal monitoring, the nurse notes a FHR of 115 to 125/min with occasional increases up to 150 to 155/min that last for 25 seconds, and have beat-to-beat variability of 20/min. There is no slowing of FHR from the baseline. The nurse should recognize that this client is exhibiting signs of which of the following? (SATA)

A nurse is teaching a client about the benefits of internal fetal heart monitoring. Which of the following statements should the nurse include? (SATA)

A nurse is reviewing the electronic monitor tracing of a client who is in active labor. The nurse knows that a fetus receives more oxygen when which of the following appears on the tracing?

A nurse is caring for a client who is in labor and observes late decelerations on the electronic fetal monitor. Which of the following is the first action the nurse should take?

A nurse is performing Leopold maneuvers on a client who is in labor. Which of the following techniques should the nurse use to identify the fetal lie?

A nurse is caring for a client & partner during the second stage of labor. The client's partner asks the nurse to explain how to know when crowning occurs. Which of the following responses should the nurse make?

A nurse is caring for a client who is in the transition phase of labor & reports that they need to have a bowel movement with the peak of contractions. Which of the following actions should the nurse make?

A nurse is caring for a client in the third stage of labor. Which of the following findings indicate that placental separation has occurred? (Select all that apply.)

A nurse is planning care for a newly admitted client who reports, "I am in labor & I have been having vaginal bleeding for 2 weeks." Which of the following should the nurse include in the plan of care?

A nurse is caring for a client who is in the first stage of labor & is encouraging the client to void every 2 hr. Which of the following statements should the nurse make?

A nurse is caring for a client who is 42 weeks gestation and is having an ultrasound. For which of the following conditions should the nurse plan for an amnioinfusion? (SATA)

A nurse is caring for a client who has been in labor for 12 hours with intact membranes. The nurse performs a vaginal examination to ensure which of the following prior to the performance of the amniotomy?

A nurse is caring for a client who had no prenatal care, is Rh-negative, and will undergo an external version at 38 weeks of gestation. Which of the following medications should the nurse plan to administer prior to the version?

A nurse is caring for a client who is receiving oxytocin for induction of labor and has an intrauterine pressure catheter placed to monitor uterine contractions. For which of the following contraction patterns should the nurse discontinue the infusion of oxytocin?

A nurse educator in the labor and delivery unit is reviewing the use of chemical agents to promote cervical ripening with a group of newly licensed nurses. Which of the following statements by a nurse indicated an understanding of the teaching?

A nurse is caring for a client who is in labor and experiencing incomplete uterine relaxation between hypertonic contractions. The nurse should identify that this contraction pattern increases risk for which of the following complications?

A nurse is caring for a client who is in active labor and reports severe back pain. During assessment, the fetus is noted to be in the occiput posterior position. Which of the following maternal positions should the nurse suggest to the client to facilitate normal labor progress?

A nurse is caring for a client who is in labor. With the use of Leopold maneuvers, it is noted that the fetus is in a breech presentation. For which of the following possible complications should the nurse observe?

A nurse is caring for a client who is at 42 weeks gestation and in active labor. Which of the following findings is the fetus at risk for developing?

A nurse is caring for a client in active labor. When last examined 2 hours ago, the client's cervix was 3 cm dilated, 100% effaced, membranes intact, and the fetus was at a -2 station. The client suddenly states, "My water broke." The monitor reveals a FHR of 80-85/min, and the nurse performs a vaginal exam, noticing clear fluid and a pulsing loop of umbilical cord in the client's vagina. Which of the following actions should the nurse perform first?