A nurse is monitoring a laboring client at 38 weeks gestation who has been receiving oxytocin for labor augmentation. The FHR tracing shows a gradual decrease in FHR beginning at the peak of contractions and returning to baseline after the contraction ends. The client is lying supine, and her blood pressure is 90/60 mmHg. What type of deceleration is present, and what is the most likely cause?
A new mother refuses the vitamin K injection for her newborn…
A new mother refuses the vitamin K injection for her newborn, stating, “I read that babies are born perfect and dont need extra shots.” What is the nurses best response?
A nurse is monitoring a postpartum client 2 hours after a va…
A nurse is monitoring a postpartum client 2 hours after a vaginal delivery. Which finding requires the most immediate intervention?
A nurse is assessing a pregnant client at 24 weeks gestation…
A nurse is assessing a pregnant client at 24 weeks gestation. Where should the nurse expect to palpate the uterine fundus?
A nurse is monitoring a laboring client at 6 cm dilation usi…
A nurse is monitoring a laboring client at 6 cm dilation using continuous fetal heart rate (FHR) monitoring. The FHR tracing shows a gradual decrease starting at the onset of contractions, reaching its lowest point at the peak, and returning to baseline before the contraction ends. What type of deceleration is present, and what is the most likely cause?
A nurse is assisting a client in labor who is using Lamaze b…
A nurse is assisting a client in labor who is using Lamaze breathing techniques. Which technique is most appropriate for managing contractions in the active phase of labor?
A nurse is caring for a 32-week pregnant client who reports…
A nurse is caring for a 32-week pregnant client who reports persistent headaches, blurred vision, and epigastric pain. Her blood pressure is 170/105 mmHg, and she has 3+ proteinuria. While preparing for emergency interventions, the nurse explains that the difference between preeclampsia and eclampsia is that eclampsia:
A nurse is caring for a pregnant client with a history of ca…
A nurse is caring for a pregnant client with a history of cardiac disease. Which statement by the client requires immediate intervention?
A nurse is prioritizing care for a client in active labor wi…
A nurse is prioritizing care for a client in active labor with a Category III fetal heart tracing. What is the first action the nurse should take?
A nurse is prioritizing care for a pregnant client with gest…
A nurse is prioritizing care for a pregnant client with gestational diabetes, hypothyroidism, and chronic hypertension. What is the nurses first action?