Well Elaborated Correct Answers-Marquette
University
A nurse is caring for a client who is at 40 weeks of gestation and experiencing
contractions every 3 to 5 minutes and becoming stronger. A vaginal exam reveals that
the client's cervix is 3/80%/-1. The client asks for pain medication. Which of the
following actions should the nurse take (Select all that apply).
A.Encourage use of patterned breathing techniques.
B.Insert an indwelling urinary catheter.
C.Administer opioid analgesic medication.
D.Suggest application of cold.
E.Provide ice chips.
a, c, d
,A nurse is caring for a client who is in active labor. The client reports lower-back pain.
The nurse suspects that this pain is related to a persistent occiput posterior fetal
position. Which of the following nonpharmacological nursing interventions should the
nurse recommend to the client?
A.Abdominal effleurage
B.Sacral counterpressure
C.Showering if not contraindicated
D.Back rub and massage
b
A nurse is caring for a client who is in the second stage of labor. The client's labor has
been progressing, and she is expected to deliver vaginally in 20 minutes. The provider
is preparing to administer lidocaine for pain relief and perform an episiotomy. The
nurse should know that which of the following types of regional anesthetic block is to
be administered?
A.Pudendal
B.Epidural
C.Spinal
,D.Paracervical
a
A nurse is caring for a client following the administration of an epidural block and is
preparing to administer an IV fluid bolus. The client's partner asks about the purpose
of the IV fluids. Which of the following is an appropriate response for the nurse to
make?
A."It is needed to promote increased urine output."
B."It is need to counteract respiratory depression."
C."It is needed to counteract hypotension."
D."It is needed to prevent oligohydramnios."
c
parenteral opioids
opioid agonist analgesics-meperidine, fentanyl and remifentanil
opioid agonist-antagonist analgescis-nalbuphine
, Leopold's Maneuvers
A series of four maneuvers designed to provide a systematic approach whereby the
examiner may determine fetal presentation and position.
answers 3 questions
1. which fetal part is in the uterine fundus
2. where is the fetal back located
3. what is the presenting fetal part
can also be used to estimate fetal size
if the cephalic prominence is found on the same side as the small parts, this means
that
that the head must be flexed and the vertex is presenting
Process of Leopold Maneuvers
ask the woman to empty her bladder
position the woman in supine