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

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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A client who received a spinal block for an emergent C-secti…

A client who received a spinal block for an emergent C-section is now complaining of a “splitting” headache rated at a 10/10.  Which of the following is the best initial action by the nurse?

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Thirty minutes after placement of an epidural for labor pain…

Thirty minutes after placement of an epidural for labor pain, a client’s blood pressure drops from 120/80 mmHg to 88/50 mmHg and she reports feeling nauseated and dizzy.  Which nursing action is the priority? 

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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.  Which of the following nursing assessments need to be assessed/completed immediately?

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A fetal heart rate tracing shows a fetal heart rate (FHR) ba…

A fetal heart rate tracing shows a fetal heart rate (FHR) baseline of 155 bpm, absent variability, and decelerations to 135 beginning after the peak of most contractions and recovering to baseline 30 seconds after the contraction ends. Contractions are every 3-4 minutes.  Into which category can this tracing be placed?

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A laboring client becomes hypotensive after her epidural.  W…

A laboring client becomes hypotensive after her epidural.  Which actions should the nurse implement (select all that apply)?

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A multiparous laboring patient was last checked 30 minutes a…

A multiparous laboring patient was last checked 30 minutes ago and was 8 cm dilated.  She calls the nurse in and reports that she feels like she needs to have a bowel movement.  What is the next best nursing action?

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The nurse is teaching a nursing student about oxytocin (Pito…

The nurse is teaching a nursing student about oxytocin (Pitocin) infusion. Which of the following does the nurse include in her teaching (select all that apply)? 

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A multiparous client at 35 weeks gestation is asking the nur…

A multiparous client at 35 weeks gestation is asking the nurse in the clinic how this labor will compare to her labor with her first child.  Which response by the nurse is best?

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Scripts are composed of two parts. Closest to the surface of…

Scripts are composed of two parts. Closest to the surface of our consciousness reside the directions for how we are to think, feel, and behave. Deeper in our unconscious mind lies the second, and more elusive, part of our scripts, our __________.

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