Chapter 8 - Intrapartal Period: Assessments and Interventions fall 2023 questions and answers verified 100%

Chapter 8 - Intrapartal Period: Assessments and Interventions fall 2023 questions and answers verified 100% Upon vaginal examination, the nurse notes that the infant's anterior fontanel is to the back left side of the maternal pelvis. How does the nurse chart this position? 1.ROA 2.LOA 3.ROP 4.LOP - Answers: 1 Option 1: The occiput is the landmark used for identifying fetal position. If the anterior fontanel is pointing to the back (posterior) left of the maternal pelvis, then the occiput is pointing toward the right, anterior maternal pelvis. Option 2: In this position, the occiput is toward the maternal left anterior pelvis. LOA would mean the anterior fontanel would be pointing right posterior. Option 3: In this position, the occiput is toward the maternal right posterior pelvis. ROP would mean the anterior fontanel would be pointing left anterior. Option 4: In this position, the occiput is toward the maternal left posterior pelvis. LOP would mean the anterior fontanel would be pointing right anterior. The nurse is caring for a term gestation client in active labor when her membranes rupture spontaneously. Prioritize the following nursing interventions. 1.Document the assessment findings along with the time of rupture. 2. Assess the color, odor, and amount of fluid. 3. Assess the fetal heart rate. 4. Update the physician on the spontaneous rupture of membranes and labor progress. - Answers: 3,2,1,4 Following the delivery of a term newborn, the mother experiences a moderate urge to push and a gush of blood emerges from the vagina. The nurse recognizes this as: 1. Indicating the placenta is about to deliver 2. The formation of a vaginal hematoma 3. Perform a cervical exam 4. Signs of a postpartum hemorrhage - Answer: 1