A client has not received any medication during her labor. She is
having frequent contractions every 1 to 2 minutes and has
become irritable with her coach and no longer will allow the
nurse to palpate her fundus during contractions. Her cervix is 8
cm dilated and 90% effaced. The nurse interprets these findings
as indicating: Correct Answer transition phase of the first stage
of labor
A client is admitted to the labor and birthing suite in early labor.
On review of her prenatal history, the nurse determines that the
client's pelvic shape as identified in the antepartal progress notes
is the most favorable one for a vaginal delivery. Which pelvic
shape would the nurse have noted? Correct Answer gynecoid
A client is in the third stage of labor. Which finding would alert
the nurse that the placenta is separating? Correct Answer uterus
becomes globular
A client who is 4 months pregnant is at the prenatal clinic for
her initial visit. Her history reveals she has a 7-year-old daughter
born at 34 weeks gestation, a 2-year-old son born at 39 weeks
gestation, and a spontaneous abortion 1 year ago at 6 weeks
gestation. Using the GTPAL method, the nurse would document
her obstetric history as: Correct Answer 4 1 1 1 2
A client with trichomoniasis is to receive metronidazole. What
should the nurse instruct the client to avoid while taking this
drug? Correct Answer alcohol
, A client's last menstrual period was April 11. Using Nagele's
rule, her estimated date of birth (EDB) would be: Correct
Answer January 18
A client's membranes spontaneously ruptured, as evidenced by a
gush of clear fluid with a contraction. What would the nurse do
next? Correct Answer check the fetal heart rate
A couple comes to the clinic for preconception counseling and
care. As part of the visit, the nurse teaches the couple about
fertilization and initial development, stating that the zygote
formed by the union of the ovum and sperm consists of how
many chromosomes? Correct Answer 46
A nurse is assisting with the delivery of a newborn. The fetal
head has just emerged. Which action would be performed next?
Correct Answer checking the cord around the neck
A nurse is explaining the use of effleurage as a pain relief
measure during labor. Which statement would the nurse most
likely use when explaining this measure? Correct Answer The
technique involves light stroking of the abdomen with breathing.
A nurse is preparing a class for a group of young adult women
about emergency contraceptives (ECs). What information would
the nurse need to stress to the group? Select all that apply.
Correct Answer - ECs provide little protection for future
pregnancies.
-ECs are not to be used in place of regular birth control.
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