Labor And Delivery – Questions/Answers A nurse is assisting with the care of a client who is in the first stage of labor.The nurse observes the umbilical cord protruding from the vagina. Which of the following actions should the nurse take first? ✔️Ans - Place the client in a knee-chest or Trendelenburg position.A nurse is assisting with monitoring a client who has preeclampsia and is receiving magnesium sulfate. The client's respiratory rate is 8/min. Which of the following should the nurse administer? ✔️Ans - Calcium gluconate A nurse is collecting data from a client who gave birth 12 hr ago. The nurse notes the fundus is deviated to the right, boggy, and 2 cm above the umbilicus.Which of the following actions should the nurse take first? ✔️Ans - Assist the client to void.A nurse is assisting in the care of a client following an amniotomy who is now in the active phase of the first stage of labor. Which of the following actions should the nurse take? ✔️Ans - Encourage the client to empty the bladder every 2 hr.A nurse is caring for a client in the prenatal clinic who has a possible ectopic pregnancy at 8 weeks of gestation. Which of the following findings should the nurse expect? ✔️Ans - Pelvic pain A nurse is caring for a client who is pregnant and reports constipation. Which of the following recommendations should the nurse make? ✔️Ans - Increased cellulose and fluid in the diet A nurse is reinforcing teaching with a client who is pregnant and has a new prescription for ferrous sulfate due to iron-deficiency anemia. The nurse should instruct the client to take this medication with which of the following?✔️Ans - Orange juice A nurse is collecting data from a client who is at 35 weeks of gestation. Which of the following findings should the nurse report to the provider? ✔️Ans - Blurred vision 1 / 2
A nurse is caring for a client who is pregnant and undergoing a nonstress test.The nurse records the FHR as 130 to 150/min, with no fetal movement for 15 min. Which of the following actions should the nurse take? ✔️Ans - Apply vibroacoustic stimulation to the woman's abdomen.A nurse is assisting with the care of a client who presents to a labor and delivery unit with rapidly progressing labor. Which of the following actions is the priority for the nurse to take? ✔️Ans - Supporting the infant during the birth A nurse is assisting with the admission of a client who is at 38 weeks of gestation and has severe preeclampsia. When collecting data from the client, the nurse should expect which of the following findings? ✔️Ans - Headache A nurse is reinforcing teaching about appropriate exercises during pregnancy with a client who is at 24 weeks of gestation. Which of the following statements indicates a need for additional teaching? ✔️Ans - "I will participate in a game of racquetball once a week." A nurse is caring for a client who has unrelieved episiotomy pain 8 hr following delivery. Which of the following actions should the nurse take?✔️Ans - Apply an ice pack to the perineum.A nurse is reinforcing teaching with a client who is pregnant and has a prescription for Rho(D) immune globulin. Which of the following information should the nurse include? ✔️Ans - This medication prevents the formation of Rh antibodies by a woman who is Rh-negative.A nurse in a provider's office is collecting data from a female client in her third trimester of pregnancy. The client describes actions she took to obtain relief from a headache which lasted all day. Which of the following client statements should the nurse identify as the priority? ✔️Ans - "I took 400 mg of ibuprofen with a diet soda." A nurse is assisting with the care of a client who is at 37 weeks of gestation and has placenta previa. Which of the following risks is the primary reason the nurse should avoid performing a pelvic examination? ✔️Ans - Profound bleeding
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