A client in labor has a cervix that is fully dilated and effaced.  The fetus at a plus one station.  The fetal monitor displays a stable fetus.  Which instruction would be most effective and safest for the client/fetus to assist in encouraging effective pushing when the client is ready?

What is a possible physiologic rationale for the above fetal heart pattern?

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?