In addition to breathing with contractions, which of the following actions can help a woman in the first stage of labor work through her labor pains?

The Apgar Score       Assessment 0 points 1 point 2 points Color Central cyanosis or pale Acrocyanosis All pink Heart rate No heart rate 1-99 bpm ≥100 bpm Respiratory Rate No respirations Slow and irregular Good breathing with  crying Reflex irritability No response Grimace Good lusty cry Tone Flaccid Some flexion Marked flexion or active movement At one minute after birth, the infant has a heart rate of 108 beats per minute and is crying vigorously.  His limbs are tightly flexed, his trunk is pink, and his feet and hands are bluish.  The infant cries when the soles of his feet are stimulated.  How would the nurse document this infant’s Apgar score? 

A client in active labor reports tingling in hands and feet, and “kind of dizzy.”  What action should the nurse implement?

A multiparous laboring patient was last checked 30 minutes ago and was 8 cm dilated.  She calls the nurse in and reports that she feels like she needs to have a bowel movement.  What is the next best nursing action?

A fetal heart rate tracing shows a fetal heart rate (FHR) baseline of 155 bpm, absent variability, and decelerations to 135 beginning after the peak of most contractions and recovering to baseline 30 seconds after the contraction ends. Contractions are every 3-4 minutes.  Into which category can this tracing be placed?

A client being induced with oxytocin (Pitocin) has just been checked and her cervical exam is 3 cm/80% effaced/-1 station.  Her contractions are occurring every 1 and a 1/2 minutes for 60 seconds.  The fetal heart rate (FHR) is 140 bpm, with moderate variability and occasional accelerations present.  The nurse has repositioned the mother and given her a bolus of IVF and the contraction pattern remains the same.  Which of the following is best action of the nurse to take next?

A laboring client becomes hypotensive after her epidural.  Which actions should the nurse implement (select all that apply)?

A newborn was delivered via vacuum extraction 10 minutes ago. As part of your post-delivery care, which assessment should the nurse perform first?

A client who is 32 weeks pregnant calls the nurse at her OB healthcare provider’s office and complains of constant low backache and “just feeling off.”  She also complains of abdominal cramping. Which of the following would be the best reply by the nurse?

The nurse is assessing a low-risk laboring client’s vital signs during a contraction. The findings are: Temperature: 99.0°F (37.2°C) Heart Rate: 52 bpm Blood Pressure: 157/90 mmHg Which of the following actions should the nurse take next?