The nurse is teaching an intrapartum client about fetal presentation. Which statement about fetal presentation would be the most accurate?

A nurse is examining a client in active labor who has had spontaneous rupture of the amniotic membrane and notes a protruding umbilical cord. What is the priority nursing action the nurse should take?

The nurse is caring for a client in labor. Which components of labor contractions would be the most accurate for the nurse to assess with this client?

A laboring client in the latent stage of labor begins complaining of pain in the epigastric area, blurred vision, and a headache. The nurse knows that which medication should be prepared for administration?

An amniotomy is performed on a client in labor. Following this procedure, what is the priority nursing intervention?

A client in labor suddenly sits upright, clutches her chest, and gasps for breath. Which laboratory finding indicates that the client’s condition is worsening?

A client is admitted to the labor-and-delivery unit in labor, with blood flowing down her legs. Which nursing intervention would be most appropriate?

While performing a cervical examination, a nurse’s fingertips feel pulsating tissue. What would be the most appropriate nursing intervention?

The nurse is caring for a laboring client who developed hypertension of pregnancy. The nurse is concerned when the client displays which finding?

A client is admitted to the labor-and-delivery unit with a known anencephalic fetus. What is the most appropriate intervention by the nurse?

A client who developed diabetes mellitus during the pregnancy has just been admitted in the labor-and-delivery unit by the nurse. It is most important for the nurse to do what?

A nurse suspects that the laboring client may have been physically abused by her male partner. What is the most appropriate intervention by the nurse?

Which is the most common and popular method for assessing fetal status throughout labor?

At 1 minute of life, a neonate is crying vigorously, has a heart rate of 98, is active with normal reflexes, and has a pink body and blue extremities. Which Apgar score would be correct for this neonate?

During a vaginal examination of a client in labor, it is determined that the biparietal diameter of the fetal head has reached the level of the ischial spines. What is the most accurate documentation of this fetal station?

A client has received dinoprostone (Prostin E2) for cervical ripening. It is most important for the nurse to assess the client for which of the following?

A multiparous client who has been in labor for 2 hours states that she feels the urge to move her bowels. How should the nurse respond?

A nurse is caring for a client with short, mild contractions and cervical dilation of 4 cm. Using an external fetal monitor, the nurse observes variable decelerations. Which action should the nurse take first?

A client in labor is receiving magnesium sulfate to treat hypertension of pregnancy. How should this drug be administered?

A client in labor is using the Lamaze method of prepared childbirth. Her cervix is dilated 5 cm, with contractions occurring 2 to 3 minutes apart. The nurse should instruct the client to breathe at which level?

The physician has ordered an I.V. of 5% dextrose in lactated Ringer’s solution at 125 ml/hour. The I.V. tubing delivers 10 drops per ml. How many drops per minute should fall into the drip chamber?

A pregnant client has a total hemoglobin level of 9 g/dl. Which risk is greatest during the intrapartum period?

The first day of a client’s last menstrual period (LMP) was October 10. Using Nägele’s rule, what is the estimated date of delivery?

A client with gestational diabetes has just delivered a 10-lb, 2-oz neonate at 39 weeks’ gestation. Which priority nursing intervention should be included in the care plan?

The nurse is teaching the stages of labor to a 26-year-old pregnant client. The client would demonstrate that teaching has been effective when she states that crowning occurs during which stage of labor?

A 30-year-old multiparous client admitted to the labor-and-delivery unit has not received prenatal care for this pregnancy. What is the most important data for the nurse to obtain?

The effectiveness of drug therapy for a client at 34 weeks’ gestation with hypertension of pregnancy can be determined by which finding?

Which finding in a client who is at 36 weeks’ gestation indicates that premature rupture of the membranes has occurred?

Immediately after delivery, a nurse assesses the neonate’s respiratory effort as slow. The neonate is actively moving but grimaces in response to stimulation. His fingers and toes are bluish, and his heart rate is 130 beats/minute. Which step should the nurse take next?

A nurse is assisting in monitoring a client in labor. Which monitoring data are indicative of fetal well-being?