A patient in labor at 37 weeks’ gestation presents to the labor and delivery unit with a documented breech presentation. The patient’s water broke while getting out of the car. The nurse assists the patient into bed and immediately assesses the FHR, which is 60 bpm. Next, the nurse should assess the patient for which condition? A) Prolapsed umbilical cord B) Vaginal bleeding C) Fetal station via sterile vaginal examination D) Meconium-stained amniotic fluid
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A patient in labor at 37 weeks’ gestation presents to the labor and delivery unit with a documented breech presentation. The patient’s water broke while getting out of the car. The nurse assists the patient into bed and immediately assesses the FHR, which is 60 bpm. Next, the nurse should assess the patient for which condition?
A) Prolapsed umbilical cord
B) Vaginal bleeding
C) Fetal station via sterile vaginal examination
D) Meconium-stained amniotic fluid
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- A client at 32-weeks gestation is seen in the outpatient clinic. Which of the following findings, if assessed by the nurse, would indicate a possible complication? Question 37 options: a) The client complains of an increase in vaginal discharge b) The client says she feels pressure against her diaphragm when the baby moves c) The client has 1 pedal edema in both feet at the end of the day d) The client’s urine test is positive for glucose and ketonesA patient is admitted to the labor and delivery unit with preterm premature rupture of membranes (PPROM). The nurse understands that the priority intervention is to: a) Administer tocolytic medications to inhibit uterine contractions b) Administer corticosteroids to promote fetal lung maturity c) Induce labor to prevent infection d) Prepare the patient for cesarean deliveryA newborn is scheduled for a circumcision. The nurse educates the parents about post-circumcision care, advising them to: a) Apply petroleum jelly to the circumcision site after each diaper change. b) Avoid giving the newborn a bath until the circumcision site heals. c) Keep the circumcision site clean and dry, and avoid using diaper wipes. d) Remove the circumcision dressing after 24 hours.
- A patient with a history of pelvic inflammatory disease (PID) presents with lower abdominal pain, fever, and vaginal discharge. The nurse recognizes these symptoms as indicative of: a) Endometriosis b) Ovarian cyst rupture c) Ectopic pregnancy d) Acute salpingitisThe nurse is reviewing the use of obstetric drugs. Which situation is an indication for an oxytocin (Pitocin) infusion? a )Termination of a pregnancy at 12 weeksb) Hypertonic uterusc )Cervical stenosis in a patient who is in labord )Induction of labor at full termA client at 30 weeks gestation is admitted to the maternity unit with vaginal bleeding. What should be the RN’s initial nursing response? Question 31 options: a) Count and weigh peripads b) Start an intravenous infusion drip c) Assess blood pressure and pulse d) Observe for pallor, clammy skin, and perspiration
- What is the difference between the vaginal ring and the IUD? What category does the vaginal ring fit into?A pregnant client comes to the clinic for a visit. She had a miscarriage at 12 weeks and gave birth to a son, now 3 years old, at 32 weeks. Using the GTPAL system, how would the nurse document the client’s obstetric history? Question 24 options: a) G3-T0-P1-A1-L1 b) G3-T1-P0-A2-L1 c) G2-T1-P1-A0-L1 d) G2-T2-P0-A1-L1A 49-year-old woman has large uterine leiomyomata that have caused extensive vaginal bleeding that is perimenopausal, the physician recommends a hysterectomy to prevent further bleeding. The mother's health. Gets worse Which of the following responses by the physician is most appropriate? A) "How did a hysterectomy ruin your mother's health?" B) "A hysterectomy wouldn't ruin a person's health. What else was wrong with your mother?" C) "I'm sure her case was completely different from yours." D) "I'm sure there is an explanation for the problem your mother encountered." E) "Is your mother still living?"
- The nurse is assessing a patient who is to receive dinoprostone (Prostin E2). Which condition would be a contraindication to the use of this drug? a )Pregnancy at 15 weeks’ gestationb) GI upset or ulcer diseasec) Ectopic pregnancyd )Incomplete abortionDescribe the permanent sterilization procedures for both males and females. Be sure to mention the anatomy that is affected and the mechanism as to how this procedure will permanently prevent conception. AND THEN ALSO discuss at least two forms of reversible contraception. For each, identify how they function as well as any possible side effects, if any.The physician ordered to prepare a client suspected of ectopic pregnancy with a negative culdocentesis result. Which statement by the client indicates understanding of the management for her condition? "My hemoglobin and hematocrit will be periodically monitored." "I will not be asked to sign an informed consent." "An abdominal scrub will be performed in preparation for CS! " I will be maintained in a left lateral position."