The electronic fetal monitor tracing of a laboring woman who is 9 cm dilated shows recurrent late decelerations to 100 bpm from a baseline of 155 bpm.  The nurse notes a moderate amount of greenish colored amniotic fluid gush from the vagina after a practitioner performs an amniotomy.  Based on this data, which of the following nursing diagnoses is highest priority at this time?

Fentanyl, an opioid, is administered IV push to a laboring client 10 minutes before the birth of the newborn.   Which of the following is a possible post-birth effect in the newborn in this scenario?

Fetal hypoxemia can be a cause of all of the following fetal heart rate patterns except:

Recurrent late deceleration patterns are noted when assessing the external electronic fetal monitor tracing of a woman whose labor is being induced with an infusion of oxytocin.  The woman has been assisted to a left side-lying position and her vital signs are stable and fall within her baseline range.  Contractions are “intense”, last 95 seconds, with a frequency of every 1 1/2 minutes.  The immediate action would be to:

A primigravida client received dinoprostone (Prepidil) (aPGE2) to prepare for an induction eight hours ago.  The Bishop score is now 12.  Which of the following actions by the nurse is appropriate?

A client is scheduled for an external version.  Before the HCP performs this procedure, the nurse can anticipate an order for?

A primigravida who is 7 centimeters dilated expresses the urge to push.  What should be the nurse’s initial response?

Which nursing action has the highest priority for the client during the second stage of labor?

Use the following fetal monitoring strip to answer the next five questions. What is the variability of the fetal heart rate?

Using the fetal monitoring strip above, what type of decelerations are present?