Exam 3: Intrapartum

Meperidine is administered to a client who is in labor. Which of the following actions by the nurse midwife is the most effective when caring for a client who is administered with meperidine?

A nurse midwife is assessing a client at 34 weeks' gestation. An external fetal heart monitor is attached. Which of the following assessment findings suggest fetal distress? I. Fetal heart rate decreases at the onset of contractions and returns to baseline after the contraction II. Fetal heart rate of 130 beats per minute III. Greenish amniotic fluid IV. Continuous decrease in baseline variability

A client in her third trimester is admitted to the unit after complaining of painless, bright red vaginal bleeding. Placenta previa is suspected. Which of the following actions of the nurse midwife is not appropriate during the admission?

A nurse midwife is reviewing the laboratory tests of a client who is in labor. The laboratory findings include a hemoglobin level of 10 g/dL and a hematocrit concentration of 34%. The nurse midwife is correct if she determines that the client is at risk for which of the following during the postpartum period?

A client is in the second stage of labor and has been pushing for almost an hour. Which of the following interventions is the most appropriate for the client at this stage?

A client in labor is administered with an anesthetic through the spinal subarachnoid space. Which of the following actions by the nurse is the least appropriate when managing the client?

After the placental delivery, which of the following is the next action of the nurse midwife?

A G3P2 client at 41 weeks' gestation is in labor. The nurse midwife determines that the client has a cervical dilatation of 10 cm. At this time, the nurse would auscultate for the fetal heart tone:

A nurse midwife is monitoring a client in labor who is receiving intravenous oxytocin. The fetal heart rate monitor tracing reveals decelerations occurring 35 seconds after the onset of each contraction and continuously past the end of the each contraction. Which of the following is the priority action of the nurse midwife?

A nurse midwife reviews a fetal heart rate monitor tracing and notes decelerations occurring until 35 seconds after the onset of each contraction. The nurse midwife further notes that the decelerations are continuous past the end of each contraction. The fetal head is fully descended. The nurse midwife suspects which of the following conditions?

A nurse midwife induces labor through amniotomy. The amniotic fluid is assessed and the nurse midwife notes that the amniotic fluid is red in color. This finding most likely suggests:

A nurse midwife is creating a care plan for a client who has been diagnosed with hypertonic uterine dysfunction. Which of the following interventions is included in the plan of care?

A client comes to the facility and tells the nurse midwife that she is in labor and is having some contractions. The client is at 37 weeks' gestation. Which of the following signs indicates that the client is in true labor?

Induction of labor is ordered for a G2P1 client at 43 weeks' gestation. Induction of labor has begun if the following conditions are present except:

A client in labor is given oxytocin as an artificial way to induce labor. The nurse midwife reviews the fetal heart monitor tracing and notes that the contractions occur every 3 minutes, lasting about 60 seconds per contraction. Which of the following is the next action of the nurse?

A nurse midwife is monitoring a client with a cervical dilatation of 3 cm. The nurse midwife determines that the client has contractions occurring every 3 minutes. Each contraction lasts for 50 seconds. The fetal heart rate is determined at 100 beats per minute. Which of the following is the priority action of the nurse midwife?

A nurse midwife is about to perform an amniotomy on a client who is in the active phase of labor. Before performing the procedure, the nurse midwife informs the client that after the amniotomy, she can expect:

A client in labor is receiving oxytocin. The nurse midwife assesses the client and notes after uterine palpation that the contractions are uncoordinated and that only a portion of the uterus is involved. Which of the following is the priority action of the nurse midwife?

A nurse midwife is monitoring a client who is in labor. Assessment findings reveal that the fetus is in LOA position. The nurse midwife notes that the presenting part of the fetus is at 0 station. This finding indicates that:

A nurse midwife is caring for a client who is scheduled for a cesarean section. The multiparous client is pregnant with twins. The nurse midwife assesses the fetal heart tones through an external fetal monitor. Which of the following actions of the nurse is the most appropriate when assessing the client?