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? 

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?

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?

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

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?