The nurse in the labor room is preparing to perform an initial vaginal assessment on a pregnant client who has just been admitted to the unit in true labor.  On assessment, the nurse notes the presence of the umbilical cord protruding from the vagina.  Which of the following nursing interventions listed would be the priority intervention to implement?

The strip below is representative of a 30-minute Non-Stress Test performed on a 42-week gestation client, what would you tell the client’s healthcare provider the results were?  Baseline fetal heart rate is 145 bpm.  (Source is external monitoring)

The nurse monitors a client and fetus during the labor of a frank breech infant.  Which one of the following situations is the most common to occur with this type of labor and delivery?

The nurse observes accelerations on the fetal monitor in a laboring client. How should the nurse interpret this finding?

A woman whose fetus is breech is scheduled for external version.  She says to the nurse, “I’m really scared of the procedure.  Will it hurt badly?”  What is the best reply by the nurse?

A nurse is caring for a woman at 28 weeks gestation who is showing possible signs of preterm labor.  She has a history of preterm labor and delivery with her previous pregnancy.  Her membranes are intact.  Which of the following available laboratory data should the nurse carefully assess in relation in this diagnosis?

Order terbutaline 200 mcg subcutaneously stat.  Supply is 1 mg/mL.  What volume of terbutaline will you give for this order?  Round to the nearest tenth if needed.  (remember to label) Administer:                                        

What is the baseline of the FHR?

A multipara is in labor and has had no pain medication during her labor.  She is now in stage 2.  Her fetus is ROA and a +4 station.  She states that her pain is 10 on a 10-point scale and that she wants an epidural.  Which of the following responses by the nurse is most appropriate?

A nurse is planning care for a woman who is receiving an intravenous infusion of oxytocin to induce labor.  She is being evaluated with internal monitoring of fetal heart tones (FHTs) and uterine contractions.  The nurse should recognize which one of the following signs as an undesirable effect of this medication?