The nurse has determined through vaginal exam that the client’s cervix is 8 cm dilated.  The client verbalizes an urge to push.  The nurse should advise the client not to bear down until after the cervix is completely dilated to prevent:  (Select all that apply)

A woman is in active labor. Her cervical dilation is 6 cm. The nurse notes that the fetal heart rate (FHR) slows from its baseline of 144 per minute (bpm) to 126 bpm before the acme of the contraction. The FHR then returns to its baseline by the end of the contraction. The nurse understands that this indicates:

A woman is being treated for preterm labor with magnesium sulfate. The nurse is concerned that the client is experiencing early drug toxicity. What assessment finding by the nurse indicates early magnesium sulfate toxicity?

Which assessment findings would convince the nurse caring for the PIH patient to “hold” the next dose of magnesium sulfate? (Select all that apply)

A woman is in labor. Her sterile vaginal exam reveals the cervix is now 8 cm dilated. At this point, the nurse may expect her to make which of the following statements?

Which maternal factor may inhibit fetal descent?

The nurse sees a pattern on the fetal monitor where the deceleration begins after the acme of the contraction and returns to baseline after the contraction has ended. Which nursing action indicates the proper evaluation of this situation?

A client at 37 weeks gestation is admitted with preecclampsia. Data include: BP 160/100, edema of face and hands, a 10 lb. weight gain in the last 2 weeks, 3 + proteinuria, and complaints of headache and nausea. In the care plan, the nurse would set the following priority goal: The client will:

Which assessment findings would convince the nurse caring for the PIH patient to “hold” the next dose of magnesium sulfate? (Select all that apply)

Which of the following actions would the nurse expect to perform immediately before a woman is to have an epidural or spinal anesthesia? (Select all that apply)