The nurse is monitoring a patient who is in the active stage of labor. The patient has been experiencing contractions that are short, irregular, and weak. The nurse documents that the patient is experiencing which type of labor dystocia?

A nurse in the labor and delivery unit receives a phone call from a patient who reports that her contractions started about 2 hours ago, did not go away when she had two glasses of water, and rested, and became stronger since she started walking. Her contractions occur every 10 minutes and last about 30 seconds. She hasn’t had any fluid leak from her vagina. However, she saw some blood when she wiped after voiding. Based on this report, which clinical finding should the nurse recognize that the patient is experiencing?  

A patient, G4 P1, has been admitted to labor and delivery for induction of labor at 41 3/7 weeks’ gestation. Admission assessment findings: Bishop score of 5, fetal heart rate 150s with moderate variability and no decelerations, TPR 98.6°F, 88, 20; BP 120/80, negative obstetric history. Misoprostol (Cytotec) was inserted one hour ago. Which finding would warrant administration of a tocolytic?

The nurse in a labor room is performing a vaginal assessment on a pregnant patient in labor. The nurse notes the presence of the umbilical cord protruding from the vagina. What is the first nursing action with this finding?

A laboring patient who is 7 cm dilated and 100% effaced, is breathing at a rate of 30 breaths per minute during contractions. Immediately after a contraction, she complains of tingling in her fingers with some lightheadedness. The nurse will implement the following priority action:

The nurse has been working with a laboring patient and notes that she has been pushing effectively for 1 hour. What is the patient’s primary physiological need at this time?

A patient is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?

A multiparous patient has been in labor for 8 hours. Her membranes have just ruptured. The nurse’s initial response would be to:

The nurse is reviewing the health care provider’s prescriptions for a patient admitted for preterm premature rupture of membranes. Gestational age of the fetus is determined to be 34 1/7 weeks. Which prescription should the nurse question?

The nurse is caring for a multiparous patient. One hour ago, the vaginal examination revealed: 8 cm dilated, 50% effaced and +1 station. She is now pushing with contractions and the fetal head is seen at the vaginal introitus. The nurse concludes that the patient is now at: