49. The nurse is preparing to administer Vitamin K, IM (intramuscular) to newborn. Rank the order of interventions for administering of the injection.____ Calm and soothe the infant; reposition infant. Remove gloves, wash hands, and document in medical record.____ Cleanse the area with an alcohol wipe.____ Do not aspirate, and inject rapidly.____ Insert the needle at 90-degree angle to the thigh.____ Locate the correct site. The middle third of the vastus lateralis muscle.____ Prepare medication for injection. A 1-mL syringe with a 5/8 inch, 25-gauge needle.____ Put on gloves to protect against contamination.____ Remove needle quickly, and gently massage the skin with an alcohol swab.____ Stabilize the leg while grasping the tissues (upper thigh) between thumb and finger to prevent sudden movement by newborn and possible injury.

38. A woman requests a pudendal block to manage her labor pain. What statement by the woman indicates a need for further explanation about the pudendal block?

24. The nurse is caring for a patient who is not certain if she is in true labor. How might the nurse attempt to stimulate cervical effacement and intensify contractions in the patient?

12. What marks the end of the third stage of labor?

23. The nurse formulates a nursing diagnosis for a woman in the fourth stage of labor. What is the most appropriate nursing diagnosis?

27. What chemical substance(s) produced in the body acts as a natural pain reliever? 

22. A nursing student assisting a woman in labor asks the instructor, “What does it mean when the baby is at minus 1 station?” After being given an explanation by the nursing instructor, what statement by the student indicates an accurate understanding of station?

39. An 18-year-old primigravida is 4 cm dilated and her contractions are 5 minutes apart. She received little prenatal care and had no childbirth preparation. She is crying loudly and shouting, “Please give me something for the pain. I can’t take the pain!” What is the priority nursing diagnosis?

42. The nurse coaches the primigravida not to bear down until the cervix is completely dilated. What may premature bearing down cause?

5. What does meconium-stained amniotic fluid indicate when the infant is in a vertex presentation?