A client hospitalized for preterm labor tells the nurse her mother in law blames her for "overdoing it" and causing the preterm labor. Which of the following is the most appropriate response from the nurse?
Position the client on hands and knees. 4. Position the client on hands and knees. A client at 38 weeks gestation is in labor and receiving an oxytocin infusion. The continuous fetal heart rate (FHR) monitor displays the strip shown in the exhibit. Which action by the nurse is most appropriate?
A client in the first stage of labor is being monitored using an external fetal monitor. A nurse notes variable decelerations on the monitoring strip. Into what position should the nurse assist the client? A client with hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is admitted to the labor and delivery unit.
... A laboring client weighing 187 lb is 5 cm dilated and having contractions every 2-3 minutes. The client rates the pain at 7 out of 10. Nalbuphine hydrochloride 10 mg/70 kg IV push × 1 is prescribed by the health care provider.
The fourth stage of labor includes the first 4 hours after birth. A primigravid client at 38 weeks' gestation comes to the labor room because "my water broke.". The health care provider (HCP) asks the nurse to verify spontaneous rupture of membranes using nitrazine paper.
prepare for birth. complete a vaginal examination to determine dilation, effacement , and station. have naloxone hydrochloride available in the birthing room. document the client's relief due to pain medication. Complete a vaginal examination to determine dilation, effacement, and station.
Assess the imminence of birth. Assess the imminence of birth. During labor, a primigravid client receives an epidural anesthetic, and the nurse assists in monitoring maternal and fetal status.
Severe compression of the fetal chest, such as during the process of vaginal birth, may result in transient bradycardia. Compression or damage to the placenta, typically from abruptio placentae, results in severe, late decelerations. A multigravid client who is 10 cm dilated is admitted to the labor and birth unit.
ROP is the most common of the four posterior positions. Right Occiput Posterior - Baby's back favors mother's right and the back of baby's head is towards mother's posterior. Breech birth. Most babies will move into delivery position a few weeks prior to birth, with the head moving closer to the birth canal.
The nurse should assign priority to the second client. Her signs and symptoms indicate that her baby's birth is imminent. A primigravid client in active labor has had no anesthesia. The client's cervix is 7 cm dilated, and she is starting to feel considerable discomfort during contractions.
Pushing effort from the client is not a reliable indicator for impending placental separation, nor is it necessary for placental expulsion. The nurse is caring for a multigravid client in active labor when the nurse detects variable fetal heart rate decelerations on the electronic monitor.
Tap again to see term 👆. The nurse is caring for a client with gestational diabetes mellitus during the second stage of labor. After birth of the head, the nurse notes retraction of the fetal head against the maternal perineum.
Strong contractions every 3-4 minutes are probably indicative of a normal labor contraction pattern. The contraction duration should not exceed 90 seconds or occur less than 2 minutes apart. A nurse is preparing to administer oxytocin to induce labor in a pregnant client at term gestation.
An epidural can be administered in the first or early second stage of labor but may not be a feasible option in late second stage when birth is imminent. - A multiparous client may give birth before the epidural can be administered or before the epidural takes adequate effect (20-30 minutes).
The supine position with a hip roll under the right hip is the preferred position for this procedure. Telling the client to assume the high Fowler position before the test will cause the bladder to fill, making it vulnerable to injury as the needle is inserted into the amniotic sac.
The American Congress of Obstetricians and Gynecologists recommends that CVS not be performed before 9 weeks' gestation and should be performed between 10 to 12 weeks. If performed before 9 weeks' gestation, it has the potential of interfering with organogenesis.
An above-average baseline heart rate is acceptable up to 160 beats/min. An increasing baseline heart rate is a sign of maternal infection. Contractions are not expected with a nonstress test; early, late, or variable fetal heart rate decelerations are associated with uterine contractions.
Perineal care is not necessary, because an amniocentesis is not done by way of the vagina. Encouraging fluids every hour is irrelevant, because the amount of amniotic fluid is not influenced by fluid ingestion. Changing the abdominal dressing is not necessary, because the needlestick site seals immediately.
Tap card to see definition 👆. Position of the fetus and the placenta. The position of the fetus and placenta is located by means of ultrasonography to assist in preventing trauma from the needle during the amniocentesis.
A ratio of 1:4 does not reflect fetal lung maturity ; nor does a ratio of 3:4. The nurse is caring for a client in her third trimester who is scheduled for an amniocentesis. What should the nurse do to prepare the client for this test? Instruct her to void immediately before the test.
There are no food restrictions before or after this test. Alprazolam may interfere with results of the CST because it will sedate the fetus. If the test is explained in language that the client can comprehend, an anxiolytic should not be necessary. The client may go home 1 hour after the test is completed.