The nurse expects which step next when the doctor says the vertex of the infant is. presenting? a. Have the client hold her breath to stop pushing so the doctor can turn the baby around b. Have the client do a knee chest position to move the cord from around the neck c. Prepare for an emergency cesarean section. d. Continue to support the couple in the labor process .
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- The nurse expects which step next when the doctor says the vertex of the infant is. presenting?
a. Have the client hold her breath to stop pushing so the doctor can turn the baby around
b. Have the client do a knee chest position to move the cord from around the neck
c. Prepare for an emergency cesarean section.
d. Continue to support the couple in the labor process .
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- The doctor has documented a fetus in an RMP position. What would the nurse expect to see delivered first ? a. Crown of head b. Buttocks c. Leg d. ChinThe nurse is caring for a client in labor. The external fetal monitor shows a pattern of variable decelerations in fetal heart rate. What should the nurse do first? * A.Change the client's position. B. Prepare for an emergency cesarean section. C. Check for placenta previa. O D.Administer oxygenThe nurse is assessing a client in the fourth stage of labor/birth and finds that the client has saturated two perineal pads within an hour's time. Which action should the nurse do first? a. Assure the client that this is normal b. Start a pad count and chart it. c. Put the client on a bedpan to void d. Notify the supervising RN quickly
- A pregnant client states that she "waddles" when she walks. The nurse's explanation is based on which of the following as the cause? * A. The large size of the newborn. O B. Pressure on the pelvic muscles. C. Relaxation of the pelvic joints. D. Excessive weight gain.To ensure that the baby will breathe as soon as the head is delivered, the nurse's priority action is to * A. Slap the baby's buttocks to make the baby cry. B.Suction the nose and mouth to remove mucous secretions. C. Clamp the cord about 6 inches from the base. D.Check the baby's color to make sure it is not cyanoticThe nurse is to perform Leopold's Maneuver on a pregnant patient. What instructions does the nurse give the patient just before the assessment? a. Do not eat the night before the procedure b. Take slow , deep breaths to relieve pain c. Urinate just prior to procedure d. Remain on strict bed rest prior to procedure
- A client at 36 weeks gestation is 1 p scheduled for a routine ultrasound prior to amniocentesis. After teaching the client about the purpose of the ultrasound, which of the following client statements would indicate to the nurse in charge that the client needs further instruction? * A. The ultrasound will help to locate the placenta. B. The ultrasound identifies blood flow through the umbilical cord. C. The test will determine where to insert the needle. D. The ultrasound locates a pool of amniotic fluid.The client who is 9 weeks pregnant ask the nurse if its okay to have sex while pregnant. the nurse explains that sexual intercourse should be avoided. a. throughout pregnancy b. until the baby is fully developed c. once the baby starts moving d. once the membranes ruptureA is admitted to the birthing unit. She is bearing down uncontrollably with contractions and saysThe baby is coming!" Which of the following is the priority action of the nurse? a. Assess maternal vital signs and fetal heart rate b. Obtain an obstetric history c. Inform the health care provider d. Put on gloves and prepare for immediate birth
- A pregnant woman is discussing positioning and the use of leg stirrups for delivery with a labor nurse. Which of the following client responses indicates that the client understood the information? Select all that apply. 1. When the client states, “I am glad that deliveries can take place in a variety of places, including a Jacuzzi bathtub.” 2. When the client says, “I heard that for doctors to deliver babies safely, it is essential to have the mother’s legs up in stirrups.” 3. When the client states, “l understand that if the fetus needs to turn during labor, | may end up delivering the baby on my hands and knees.” 4. When the client says, “During difficult deliveries it is sometimes necessary to put a woman'’s legs up in stirrups.” 5. When the client states, “I heard that midwives often deliver their patients either in the side-lying or squatting position.”The nurse performs Leopold's maneuver before placing the fetal monitoring device on a primigravida client's fundus. In performing the third maneuver, the nurse explains that this maneuver is done for which of the following? a.Locate the fetal cephalic prominence b.To distinguish between a breech and a cephalic presentation c. To locate the position of the fetal arms and legs d. To determine whether the fetal presenting part is engagedOn the second day postpartum , the nurse palpates the fundus one fingerbreadth below the umbilicus . Which nursing action is appropriate if the fundus is firm? a. Call the physician b. Catheterize the client . c. Document the findings d. Administer Lortab PO