Exam 27: Intrapartum Complications

Which assessment finding in the postpartum client following a uterine inversion indicates normovolemia?

Which assessment finding indicates uterine rupture?

Which intervention would be most effective if the fetal heart rate drops following a spontaneous rupture of the membranes?

Which finding would indicate an adverse response to terbutaline (Brethine)?

Which finding by the nurse on a vaginal exam would be a concern if a spontaneous rupture of the membranes occurred?

After a birth complicated by a shoulder dystocia, the infant's Apgar scores were 7 at 1 minute and 9 at 5 minutes. The infant is now crying vigorously. The nurse in the birthing room should:

Birth for the nulliparous client with a fetus in a breech presentation is usually:

Which assessment finding indicates a complication in the client attempting a vaginal birth after cesarean (VBAC)?

The labor nurse is providing care to a multigravida with moderate to strong contractions every 2 to 3 minutes, duration 45 to 60 seconds. On admission, her cervical assessment was 5 cm, 80%, and -2. An epidural was administered shortly thereafter. Two hours after admission, her contraction pattern remains the same and her cervical assessment is 5 cm, 90%, and -2. What is the nurse's next action?

A labor client has been diagnosed with cephalopelvic disproportion (CPD) following attempts at pushing for 2 hours with no progress. Based on this information, what birth method is available?

A laboring client in the latent phase is experiencing uncoordinated irregular contractions of low intensity. How should the nurse respond to complaints of constant cramping pain?

Which intervention should be incorporated in a plan of care for a labor client who is experiencing hypertonic labor? Vaginal exam is unchanged from prior exam-3 cm, 80% effaced, and 0 station presenting part vertex.

An obstetric client has been identified as being high risk and so has had activities restrictions (placed on bed rest) placed on her until the end of the pregnancy. Currently, she is at 32 weeks' gestation and has two other children at home, ages 3 and 6. The client's husband works at home. A nursing diagnosis of Impaired home maintenance is noted. Which statement potentially identifies a long-term goal?

Which pelvic shape is most conducive to vaginal labor and birth?

Which factor should alert the nurse to the potential for a prolapsed umbilical cord?

When increasing the IV infusion rate of terbutaline (Brethine) 0.01 mg/min every 30 minutes, the nurse knows to stop increasing the rate when the:

A client is diagnosed with anaphylactoid syndrome. Which therapeutic intervention does the nurse suspect will be included in the plan of care?

A pregnant client with premature rupture of membranes is at higher risk for postpartum infection. Which assessment data indicate a potential infection?

Which nursing action should be initiated first when there is evidence of prolapsed cord?

Which presentation is least likely to occur with a hypotonic labor pattern?