Exam 3: Intrapartum

A nurse midwife is about to perform amniotomy on a client who is in her 39th week of gestation. Which of the following actions of the nurse midwife is the least appropriate before starting the procedure?

A multiparous client at 38 weeks' gestation has been in the latent phase of labor for over 15 hours. Which of the following are likely causes of the dysfunctional labor? I.Cephalopelvic disproportion II.Analgesia is given too early in labor III.Abnormal fetal head position IV.Hypertonic contractions

A nurse midwife is managing the care of a G1P0 client who is about to be placed in the lithotomy position. A registered nurse is positioning the client correctly and safely if which of the following nursing actions is observed by the nurse midwife?

A client has just given vaginal birth to an eight-pound baby boy. A few minutes after the delivery, the nurse midwife observes lengthening of the umbilical cord and a gush of vaginal blood. The nurse midwife interprets these observations as:

A nullipara has been in the latent phase of labor for over 20 hours. Prolonged latent phase is diagnosed. Which of the following findings would be expected for this client?

A nurse midwife is caring for a client who is in the first stage of labor. The client's amniotic membranes have not ruptured. Which of the following interventions is the most effective during this stage of labor?

A nurse midwife suspects that a client at 39 weeks' gestation has hypertonic uterine activity. The client is in the early stages of labor. Which of the following findings support the diagnosis? I.Uterine intensity is about 120 mm Hg. II.Uterus relaxes between contractions for 90 seconds. III.Uterine resting tone is 3 mm Hg. IV.Uterine resting tone is 20 mm Hg.