Which of the following should the nurse NEVER do during a suspected shoulder dystocia:

You are the nurse caring for a 36-year-old pregnant patient, G1P000 at 39w2d who is 10cm dilated with contractions every 2-3 minutes. She is receiving Pitocin for an induction of labor and has begun pushing. You note the following fetal heart rate tracing: How would you classify the fetal heart rate decelerations?

You perform a fundal exam on a patient who is 12 hrs postpartum. Which assessment finding requires follow-up and further assessment?

You are palpating the fundus of a patient 2 hours postpartum who had an epidural. You note the uterus is displaced from midline. Bleeding has increased slightly in the last 30 minutes. What is most appropriate action by the nurse?

A nurse is assessing the lochia on a 3 day postpartum patient after cesarean section delivery. They notes that the lochia is dark red, has a foul-smelling odor and is associated with uterine tenderness. The nurse determines that this assessment finding is:

Which nursing assessment can be performed during labor to assess fetal position?

A nurse in the labor and delivery unit is caring for a client in labor and applies an external fetal monitor and toco. The FHR is around 130bpm. Contractions are occurring every 3 minutes and last for 60-70 seconds. The nurse performs a vaginal exam and finds the cervix is 7cm dilated, 100% effaced, and the fetus is a +1 station. Which of the following stages and phases of labor is the patient experiencing?

A nurse is caring for a patient in active labor who has received an intravenous dose of fentanyl for pain management. Which fetal heart rate pattern should the nurse anticipate as a possible effect of opioid administration?

A postpartum nurse is caring for a patient who experienced a stillbirth at 38 weeks gestation. The patient states, “I don’t know how I am supposed to go home without my baby.” Which of the following responses by the nurse demonstrates therapeutic communication?

The length of time you should spend on a cardiorespiratory endurance exercise workout depends on the