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4 T's of PPH - ANSWER-Tone
Tissue
Trauma
Thrombin disorder
5 Ps of labor - ANSWER-Powers (contractions)
Passageway (birth canal)
Passenger (fetus)
Psychological response
Position
A nurse in a hospital is caring for a client who is at 38 weeks of
gestation and has a large amount of painless, bright red vaginal
bleeding. The client is placed on a fetal monitor indicating a regular
, fetal heart rate of 138/min and no uterine contractions. The client's
vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min,
respiratory rate 24/min, and temperature 36.4° C (97.6° F). Which of
the following is the priority nursing action? - ANSWER-Initiate IV
access
A nurse is admitting a client who is at 38 weeks of gestation and is in
the first stage of labor. Which of the following assessment findings
should the nurse report to the provider first? - ANSWER-Continuous
contraction lasting 2 minutes
A nurse is assessing a client who is in active labor and notes that the
presenting part is at 0 station. Which of the following is the correct
interpretation of this clinical finding? - ANSWER-The lowermost
portion of the fetus is at the level of the ischial spines
A nurse is caring for a client who is a primigravida, at term, and having
contractions but is stating that she is "not really sure if she is in labor
or not." Which of the following should the nurse recognize as a sign of
true labor? - ANSWER-Changes in the cervix
A nurse is caring for a client who is at 39 weeks of gestation and is in
active labor. The nurse locates the fetal heart tones above the client's
umbilicus at midline. The nurse should suspect that the fetus is in
which of the following positions? - ANSWER-Frank breech
A nurse is caring for a client who is in active labor and notes late
decelerations in the FHR. Which of the following actions should the
nurse take first? - ANSWER-Change the client's position
A nurse is caring for a client who is in active labor and notes late
decelerations in the FHR. Which of the following actions should the