Nokea
The physician performs an amniotomy on a laboring woman. What will be the nurse's priority assessment immediately following this procedure?
- A. Fetal heart rate
- B. Fluid amount
- C. Maternal blood pressure
- D. Deep tendon reflexes
Correct Answer: A
Rationale: The FHR should be assessed for at least 1 full minute after the membranes rupture to detect potential umbilical cord compression.
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The nurse observes the patient bearing down with contractions and crying out, 'The baby is coming!' What is the best nursing intervention?
- A. Find the physician.
- B. Stay with the woman and use the call bell to get help.
- C. Send the woman's partner to locate a registered nurse.
- D. Assist with deep breathing to slow the labor process.
Correct Answer: B
Rationale: If birth appears to be imminent, the nurse should not leave the woman and should summon help with the call bell.
While caring for a laboring woman, the nurse notices a pattern of variable decelerations in fetal heart rate with uterine contractions. What is the nurse's initial action?
- A. Stop the oxytocin infusion.
- B. Increase the intravenous flow rate.
- C. Reposition the woman on her side.
- D. Start oxygen via nasal cannula.
Correct Answer: C
Rationale: Repositioning the woman is the first response to a pattern of variable decelerations. If the decelerations continue, then oxygen should be administered and/or the flow rate of oxygen should be increased.
What are the advantages of a freestanding birth center?
- A. Homelike setting
- B. Designed for high-risk pregnancies
- C. Lower costs
- D. Attended by certified obstetricians
- E. Immediate emergency access
Correct Answer: A,C
Rationale: Advantages of a freestanding birth center include a homelike setting and lower costs, as they do not require expensive departments like emergency or critical care.
What does the nurse note when measuring the frequency of a laboring woman's contractions?
- A. How long the patient states the contractions last
- B. The time between the end of one contraction and the beginning of the next
- C. The time between the beginning and the end of one contraction
- D. The time between the beginning of one contraction and the beginning of the next
Correct Answer: D
Rationale: The frequency of contractions is the elapsed time from the beginning of one contraction to the beginning of the next contraction.
When she begins cursing at her birthing coach and the nurse, what does the nurse assess as the most likely explanation for the woman's change in behavior?
- A. Labor has progressed to the transition phase.
- B. She lacked adequate preparation for the labor experience.
- C. The woman would benefit from a different form of analgesia.
- D. The contractions have increased from mild to moderate intensity.
Correct Answer: A
Rationale: If a woman suddenly loses control and becomes irritable, suspect that she has progressed to the transition stage of labor.