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Author Archives: Anonymous

A laboring patient is 6 cm dilated, with strong contractions…

A laboring patient is 6 cm dilated, with strong contractions occurring every 3 minutes and lasting 60 seconds. Which of the following does the nurse expect during this phase of labor?

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A preterm labor patient, 30 weeks’ gestation, who ruptured m…

A preterm labor patient, 30 weeks’ gestation, who ruptured membranes 4 hours ago, is being given IM Betamethasone. When she asks why she is receiving the medication, the nurse replies:

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A nurse is monitoring a client in the active phase of labor….

A nurse is monitoring a client in the active phase of labor. She turned off the oxytocin (Pitocin) after a period of tachysystole. Which of the following outcomes indicate that the nurse’s action was effective?

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Which technique is least effective for persistent occiput po…

Which technique is least effective for persistent occiput posterior (OP) position?

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A laboring client’s fetus is positioned as shown below. Whic…

A laboring client’s fetus is positioned as shown below. Which of the following pain management interventions would be most effective for this client?

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The laboring patient with an epidural is 9 cm dilated. The l…

The laboring patient with an epidural is 9 cm dilated. The labor nurse anticipates that she will have the patient start to push:

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A client being induced with oxytocin (Pitocin) has just been…

A client being induced with oxytocin (Pitocin) has just been checked. Her cervical exam is 3 cm/80% effaced/-1 station. Her contractions are occurring every 1 and a 1/2 minutes for 60 seconds. The fetal heart rate (FHR) is 140 bpm, with moderate variability and occasional accelerations present. The nurse has repositioned the mother and given her a bolus of IVF. The contraction pattern remains the same. The next best action of the nurse is to

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The nurse is assessing vital signs of a low-risk laboring cl…

The nurse is assessing vital signs of a low-risk laboring client during a contraction and notes the following: T 99.0°F, HR 52, BP 157/90. The next best action of the nurse is to:

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A woman who is gravida 3, para 2 enters the intrapartum unit…

A woman who is gravida 3, para 2 enters the intrapartum unit stating that she is in labor. The most important immediate nursing assessments include:

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The nurse is monitoring a patient in the active stage of lab…

The nurse is monitoring a patient in the active stage of labor. Which conditions potentially associated with fetal compromise should the nurse report? Select all that apply.

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