Exam 15: Nursing Care During Labor and Birth

When caring for a patient in labor who is considered to be at low risk, which assessments should be included in the plan of care? (Select all that apply.)

For which patient should the oxytocin (Pitocin) infusion be discontinued immediately?

Which assessment would be important for a 6-hour-old infant who has bruising over the cheeks from a forceps birth?

A patient who is receiving oxytocin (Pitocin) infusion for the augmentation of labor is experiencing a contraction pattern of more than eight contractions in a 10-minute period. Which intervention would be a priority?

The nurse is preparing to perform Leopold's maneuvers. Please select the rationale for the consistent use of these maneuvers by obstetric providers?

Which patient presentation is an acceptable indication for serial oxytocin induction of labor?

If a woman's fundus is soft 30 minutes after birth, the nurse's first action should be to

A primigravida at 39 weeks of gestation is observed for 2 hours in the intrapartum unit. The fetal heart rate has been normal. Contractions are 5 to 9 minutes apart, 20 to 30 seconds in duration, and of mild intensity. Cervical dilation is 1 to 2 cm and uneffaced (unchanged from admission). Membranes are intact. The nurse should expect the patient to be

Which assessment finding is an indication of hemorrhage in the recently delivered postpartum patient?

Which intervention is an essential part of nursing care for a laboring patient?

During labor a vaginal examination should be performed only when necessary because of the risk of

A woman who is gravida 3, para 2 enters the intrapartum unit. The most important nursing assessments include

A nursing priority during admission of a laboring patient who has not had prenatal care is

The nurse is performing Leopold's maneuvers on her patient. Which figure depicts the Leopold's maneuver that determines whether the fetal presenting part is engaged in the maternal pelvis? Refer to Figures A to D.

Following an external cephalic version, which assessment finding indicates a complication?

Which interventions should be performed in the birth room to facilitate thermoregulation of the newborn? (Select all that apply.)

The nurse is reviewing the cardinal maneuvers of labor and birth with a group of nursing students. Which maneuver will immediately follow the birth of the baby's head?

Immediately following the forceps-assisted birth of an infant, which action should the nurse implement?

A maternal indication for the use of vacuum extraction is

The nurse is explaining the technique of internal version to a nursing orientee. Which statement best describes the technique of internal version?