Intrapartum exam study guide verified 100% fall 2023

Intrapartum exam study guide verified 100% fall 2023 The client is having moderate contractions that are occurring every 5 minutes and lasting 60 seconds. The fetal heart rate (FHR) is 150 beats per minute and regular. Based on these findings, what is the appropriate nursing action? 1.Prepare for delivery. 2.Continue to monitor the client. 3.Report the FHR to the registered nurse. 4.Notify the registered nurse immediately about the progress of labor. - Continue to monitor the client. The nurse should prepare to give a prescribed oxytocic medication after delivery of which? 1.Placenta 2.Infant's body 3.Infant's head 4.Infant's shoulders - Placenta A pregnant client with severe uterine bleeding is admitted to the labor and birthing department. Which data should best alert the nurse to early signs of hypovolemic shock? 1.Cold and clammy skin 2.Decreased blood pressure 3.Restlessness and agitation 4.Diminished peripheral pulses - Restlessness and agitation A client was admitted to the maternity unit 12 hours ago at station 0 and has been experiencing strong contractions every 3 minutes, and the fetus is currently still at station 0. The fetal heart rate on admission was 140 beats per minute and regular. The fetal heart rate is decreasing and a persistent nonreassuring fetal heart rate pattern is present. Which nursing action is appropriate? 1.Prepare to induce labor. 2.Turn the client to the left side. 3.Prepare the client for a cesarean delivery. 4.Continue to monitor the fetal heart rate pattern. - Prepare the client for a cesarean delivery. The nurse is monitoring a client in active labor and notes that the client is having contractions every 3 minutes that last 45 seconds. The nurse notes that the fetal heart rate between contractions is 100 beats per minute. Which nursing action is appropriate? 1.Notify the registered nurse (RN). 2.Continue monitoring the fetal heart rate. 3.Encourage the client to continue pushing with each contraction. 4.Encourage the client's coach to continue encouraging breathing techniques. - Notify the registered nurse (RN). Which findings indicate to the nurse that placental separation has occurred? Select all that apply. 1.Lengthening of umbilical cord 2.Sudden trickle or spurt of blood 3.Fundus is boggy following separation 4.Change from globular to discoid shape 5.Fetal membranes are seen at the introitus - 1, 2, 5 The nurse assisting with monitoring a client in labor is told that the client's cervix is 3 cm dilated with contractions occurring every 2 to 3 minutes. When monitoring the client's psychological status, the nurse anticipates the client will reflect which attitudes? Select all that apply. 1.Alertness 2.Irritability 3.Excitement 4.Seriousness 5.Helplessness - 1, 3 A mother experiencing dystocia looks alarmed and asks, "What's going on? Why are you all poking and prodding? Is my baby okay?" Based on the client's questions, the nurse understands that the client is experiencing which problem? 1.Anxiety and fear 2.Feeling powerless 3.Lack of parenting skills 4.Lack of sensory perception - Anxiety and fear A client who is a primigravida is receiving magnesium sulfate for gestational hypertension. The nurs