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:

A patient in labor is transported to the delivery room and prepared for a cesarean delivery. After the patient is transferred to the delivery room table, the nurse should place the patient in which position?

A patient is experiencing back labor and complains of intense pain in her low back. The most effective relief measure for this patient would be to: