Honorlock will be used for Test 1, Test 2  and the final exam. There is no Honorlock on Homework. 

A client delivered her newborn 5 minutes ago.  She is now experiencing strong contraction-like pain and had a gush of blood as several inches of umbilical cord slid out from her vagina.  Which of the following would be the next best action by the nurse?

A G5P3 client presents to the labor and delivery unit.  Vaginal exam reveals that the client is fully dilated, vertex, +3 station, with ruptured membranes.  The client is panicky and involuntarily pushing.  She asks for an epidural to be administered now.  What is the priority nursing response based on your assessment?

A nurse performs Leopold’s maneuvers on a client in active labor and notes: A firm, round structure in the fundus A softer, irregular structure in the lower abdomen The fetal back palpated on the client’s right side When the nurse places the Doppler for auscultation, the fetal heart rate is best heard in the client’s right lower quadrant. Which fetal presentation and position is most likely?

A client who is 40 weeks gestation is being evaluated in the clinic at her appointment for the possibility of scheduling an induction of labor.  The OB healthcare provider informs her that her Bishop score is 4.  The client asks what that means. The nurse’s response is based on which of the following?

A laboring client received her epidural 45 minutes ago for pain management. Which of the following is the nurse’s priority intervention at this time?

The nurse is monitoring a client in the active stage of labor.  Which conditions potentially associated with fetal compromise should the nurse report (select all that apply)?

A laboring client’s fetus is positioned as shown below.  Which of the following pain management interventions would be most effective for this client? 

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?

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?