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Author Archives: Anonymous

A client who is 32 weeks pregnant calls the nurse at her OB…

A client who is 32 weeks pregnant calls the nurse at her OB provider’s office and complains of constant low backache and “just feeling off”. She also complains of abdominal cramping. The best nursing response is:

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A nursing student asks the labor and delivery nurse how she…

A nursing student asks the labor and delivery nurse how she knew that the primiparous patient they were caring for was in true labor. What is the best response by the nurse?

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The nurse is caring for a laboring patient who is 7 cm, 80%…

The nurse is caring for a laboring patient who is 7 cm, 80% effaced, at 0 station. Her electronic fetal monitor tracing is showing early decelerations. What is the best action by the nurse?

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A patient in active labor suddenly appears pale and diaphore…

A patient in active labor suddenly appears pale and diaphoretic, and c/o difficulty breathing and chest pain. What actions does the nurse implement?

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A patient who is receiving oxytocin (Pitocin) is experiencin…

A patient who is receiving oxytocin (Pitocin) is experiencing a contraction pattern of more than 8 contractions in a 10-minute period. The fetal heart rate is showing a pattern of repetitive late decelerations. Which intervention would be a priority?

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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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