A nurse is caring for a client who is 4 cm for the last 3 hours.  To augment the client’s labor the health care provider will perform an amniotomy.  Which of the following is a priority assessment for the nurse after the amniotomy and the nurse would assess first?

A woman 2 weeks past her expected delivery date is receiving an oxytocin infusion to induce labor. What is the immediate nursing action when the nurse observes contractions lasting greater than 90 seconds?

The nurse is caring for a pregnant client.  The client is contracting every 2 minutes.  The client’s cervix is dilated to 3 cm, 50 % effacement and a -2 station.  The client’s membranes ruptured prematurely.  The client is 34 weeks pregnant. The nurse caring for her knows to:

A G1 P0 is delivering their first baby.  The client has been in the 2nd stage of labor for 2 hours.  The client is getting fatigued.  The health care provider assisted the client by using forceps to delivery the newborn.   The nurse would assess an newborn  delivered with the use of forceps for:

Select all that apply.  The nurse is taking care of a 30 year old client who was just admitted for labor.  The client is having her second baby. The client was 2 cm, 50 % effacement, -2 station on admission.  The client states that her “water just broke”.  Her labor is progressing quickly. The nurse reviews her assessment findings as listed below.  Which findings require follow up  by the nurse?

A woman who is 33 weeks pregnant and preterm is admitted to the obstetrical unit because her membranes ruptured spontaneously. She is a G2P1.  She denies feeling any contractions at this time.  The health care provider performs a cervical exam and finds the woman to be dilated to 3 cm.  She must be closely observed for signs of:

The nurse is admitting a client in labor.  The client is a G3P2 and diagnosed with preeclampsia with this pregnancy.  The client is in labor and is dilated to 4 cm, 100 effacement, and a 0 station.  Which aspect of the client’s labor requires follow-up with the health care provider?

Next Generation: Expected findings and interventions.  The nurse is assessing the client and documents the following findings for a client at 39 weeks gestation during the active stage of labor:   The clients membranes rupture and the umbilical cord is found protruding from the vagina. Which of the following (select all that apply) are expected or anticipated (appropriate or necessary interventions for the client’s care at this time. VITAL SIGN TREND Date Temp HR RR BP Cervical check    4/13/XX  36.7 C (98 F 100 beats/min   22 breaths/min  144/78 mmhg 5 cm/90 %/-3                

A nurse is assessing a client who has a sexually transmitted infection. The client tells the nurse he has sexual intercourse with both men and women. Which is the best response to the client’s statement?

Who was the third captain of the Constitution class starship U.S.S. Enterprise, registry NCC-1701?