NURS 247 Ch 14 Nursing Management During Labor and Birth Practice Questions and Answers

PrepU The laboring client who is at 3 cm dilation and 25% effaced is asking for analgesia. The nurse explains the analgesia usually is not administered prior to the establishment of the active phase. What is the appropriate rationale for this practice? This may prolong labor and increase complications. PrepU The nurse is admitting a client in early labor and notes: FHR 120 bpm, blood pressure 126/84 mm Hg, temperature 98.8oF, contractions every 4 to 5 minutes lasting 30 seconds, and greenish-color fluid in the vaginal vault. Which finding should the nurse prioritize? Meconium in the fluid The nurse is analyzing the readout on the EFM and determines the FHR pattern is reassuring based on which recording? Acceleration of at least 15 bpm for 15 seconds PrepU The nurse is assessing a client in labor for pain and notes she is currently not doing well handling the increased pain. Which opioid can the nurse offer to the client to assist with pain control? meperidine Maternal assessment -Assess maternal vital signs, BP, temp, pulse, resp, and pain -review prenatal record to identify risk factors that may contribute to a decrease in uteroplacental circulation during labor. If no vaginal bleeding on admission, perform vaginal examination to assess cervical dilation The purpose of performing a vaginal examination is to assess assess the amount of cervical dilation cervical effacement fetal membrane status presentation, position, station, degree of fetal head flexion, and presence of fetal skull swelling or molding Cervical Effacement 0%: cervical canal is 2 cm long 50%: cervical canal is 1 cm long 100%: cervical canal is obliterated cervical dilation 0 cm: external cervical os is closed 5 cm: external cervical os is halfway dilated 10 cm: external os is fully dilated and ready for birth passage