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The nurse in a labor room is performing a vaginal assessment…

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?

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A laboring patient who is 7 cm dilated and 100% effaced, is…

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:

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The nurse has been working with a laboring patient and notes…

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?

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A patient is admitted to the labor and delivery unit in acti…

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?

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A multiparous patient has been in labor for 8 hours. Her mem…

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

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The nurse is reviewing the health care provider’s prescripti…

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?

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The nurse is caring for a multiparous patient. One hour ago,…

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:

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A patient in labor is transported to the delivery room and p…

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?

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A patient is experiencing back labor and complains of intens…

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:

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The nurse is assessing the patient who states, “I think I’m…

The nurse is assessing the patient who states, “I think I’m in labor.” Which finding would positively confirm the client’s belief?

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