The nurse places fetal and uterine monitors on the abdomen o…

The nurse places fetal and uterine monitors on the abdomen of a client in labor. While observing the relationship between the fetal heart rate and uterine contractions, the nurse sees this fetal pattern. The nurse understands that what condition is likely to cause this pattern to happen? Late decels.jpg 

You have a 36 week gestation client in labor. She has been d…

You have a 36 week gestation client in labor. She has been diagnosed with mild preeclampsia (b/p is 148/92,) thrombocytopenia (platelets are 82,000,) and gestational diabetes (current blood glucose is 215). She is requesting an epidural for pain relief. Which of the following reasons would be a contraindication for this type of anesthesia?

A 40 week gestation, G3P2 is in labor. She remains at 6 cm d…

A 40 week gestation, G3P2 is in labor. She remains at 6 cm dilation for 3 hours. The fetal heart tracing is reactive with moderate variability. The monitor is showing two contractions in 10 minutes with an amplitude of 40 mm/Hg. What would be the next step in treatment for this patient?