“The contractions slow down when I walk around.” Which cardinal movement of delivery is the nurse correct to document by station? Correct response:.Which statement by the client would lead the nurse to suspect that the woman is experiencing false labor? Correct response: A woman in her 40th week of pregnancy calls the nurse at the clinic and says she is not sure whether she is in true or false labor. The client’s contractions are 5 minutes apart and last 45 seconds.cephalic presentation using preprinted materials in the client's language Which description is best when documenting an accurate client contraction? Correct response:.Which presentation will the nurse prepare? Correct response: The nurse will teach about the most common type of fetal presentation. The nurse is teaching a primigravida who does not speak the dominant language. Administer the medication piggybacked into a primary IV line using a pump.When preparing to administer this medication, what action by the nurse would be appropriate? Correct response: completion of the third stage of labor A woman at 38 weeks' gestation is in labor and oxytocin is prescribed to augment her labor.What will the nurse document? Correct response: “It is rounded in shape and allows ample room for the neonate to fit through the passageway.” The nurse is assisting a pregnatn client in labor and delivery and notes the placenta is now delivered.What does that mean?” The best response by the nurse is: Correct response: The student states, “I heard the primary care provider say that the client has a gynecoid pelvis. A student observes during an initial prenatal visit. A pool of fluid is visible in the vagina. Which findings would confirm the presence of ruptured membranes? Select all that apply. The nurse is assessing a client for rupture of membranes. The client will practice breathing techniques during contractions.allowing the woman time to be alone Which client outcome during the active phase labor is best? Correct response:.The nurse determines that additional teaching is necessary when the group identifies which measure? Correct response: The nurse is discussing ways to promote a positive birth outcome for the woman in labor. A nurse is conducting an in-service program for staff nurses working in the labor and birth unit. The fetus is in the true pelvis and engaged.The nurse is correct to document which? Correct response: For which fetal lie would the nurse provide client teaching? The nurse is caring for a client at 39 weeks' gestation who is noted to be at 0 station. + The nurse is caring for a client whose fetus is noted to be in the position shown.At which station would the nurse document the fetus immediately prior to birth? Correct response: Radiates from the back to the front The client is being rushed into the labor and delivery unit. Which assessment finding concerning the pain will the nurse interpret as confirmation that this client is in true labor? Correct response: Molding A pregnant woman comes to the emergency department stating she thinks she is in labor.What feature of the fetal skull helps to make this passage possible? Correct response: The fetal skull must be small enough to travel through the bony pelvis. occiput The skull is the most important factor in relation to the labor and birth processes.The nurse determines that which part is presenting? Correct response: positive reinforcement Assessment reveals that the fetus of a client in labor is in the vertex presentation.What intervention will help these clients best? Correct response: a cephalohematoma When going through the active phase of labor, clients often feel out of control.The nurse is correct to prepare teaching instructions of which topic? Correct response: The nurse is noting a collection of blood under the scalp on a newborn being discharged to home. Which nursing action is anticipated? Correct response: The health care provider is checking on the client. “You are doing a great job” The nurse is caring for a laboring client whose fetus has slowed in the descent down the birth canal.Which statement is best to improve the client’s psyche? Correct response: The nurse is caring for a client who is a primigravida. turning inward to concentrate on body sensations.During the second stage of labor, a woman is generally: Correct response: Have a blue bulb suction and an infant warmer ready.lie Which nursing action is a priority when the fetus is at the +4 station? Correct response:.How should the nurse document this finding? Correct response: Chapter 8: The Labor Process - ML The nurse assesses a client in labor and finds that the fetal long axis is longitudinal to the maternal long axis.
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