Verified Answers.
Upon completetion of a vag exam on a laboring woman, the nurse records: 50%, 6cm, -1, Which
is correct interpreation of data - Answer Fetal presenting part is 1 cm above the ischial spine
Assesssment of PP mother 34 yrs old room 217, G7P6107 NSVD 6 hours ago after a 2 hour labor
Male, 4244g, Apgars 5&7 breatfedding T100F. B/P 88/50 p108 R20 Lochia rubra saturationg 2
maxi pads per hour x 4 hours. Fundus is boggy 1 cm above umbilicus. The nurse recognizes the
risk factors for this patient condition including: - Answer Multiparity, length of labor, and size
of baby
When educating a woman in labor who has requested an epidural for pain relief, the nurse
correctly states: - Answer Your viral signs checked every few minutes when the epidural is first
dosed
A nurse in the labor room is performing a vvag assessment on a pregnant women in labor. The
nurse notes the presence of the umbilical cord protruding from the vagina. Which of the
following would be the initial nursing action - Answer Place pt in trendelenburn
The nurse should be aware that an effective plan to acheive adequate pain relief without
maternal risk is most effective when: - Answer Mom and fam priorities and preference are
incorporated into the plan
When managing the care of a laboring patient in the second stage of labor, the nurse uses
various measures to enhance the progress of fetal descent. These measures include: - Answer
Encourage the woman to try upright positions, including squatting and standing
Multipara preg laboring patient has been in labor now for 6 hours. The nurse enters the room
and the patient says that she needs to go to the bathroom to moe her bowels. What should the
nurse first do? - Answer Perform pelvic exam
A nurse walks into a labor room where a multigravida has been laboring for the past 3 hours.
The nurse performs a vag exam and determines the patient is now 7cm 100% and +1 station.
She charts the vaginal exam and documents what type of periodic chance? - Answer FHM
tracing shows late decels and the nurse should do POISON