Swift River: Labor & Delivery Questions and Answers Latest Version Graded A+

Swift River: Labor & Delivery Questions and Answers Latest Version Graded A+ A laboring patient reports severe back pain during contractions. What should the nurse suggest? Position the patient on hands and knees to relieve pressure on the lower back. A primigravida at 38 weeks gestation reports decreased fetal movement. What is the first action the nurse should take? Perform a non-stress test to assess fetal well-being. A patient is in active labor and requests an epidural. What is an important consideration before administering the epidural? Ensure that the patient is adequately hydrated to prevent hypotension. A pregnant patient at 32 weeks gestation complains of severe pelvic pressure and vaginal bleeding. What should the nurse suspect? Placenta previa and immediate evaluation is needed. A laboring patient who is 8 cm dilated starts to feel the urge to push. What should the nurse do? 2 Ask the patient to pant or blow through the contractions to prevent early pushing. A patient in labor experiences sudden, intense abdominal pain and reports feeling faint. What is the priority action? Assess for signs of placental abruption and monitor fetal heart tones. A woman in labor is pushing but the baby is not descending. What intervention should the nurse consider? Reposition the mother and encourage different pushing techniques. A postpartum patient expresses concern about not having enough milk for breastfeeding. What should the nurse do? Offer reassurance and educate on the frequency of feeding and milk production. A pregnant woman with gestational hypertension has protein in her urine. What is the next step? Monitor the patient for signs of preeclampsia and notify the healthcare provider. A woman in labor reports that her water has broken. What should the nurse assess first? 3 Check the fetal heart rate to assess fetal well-being. A laboring patient is 6 cm dilated and is experiencing intense contractions. What should the nurse suggest to manage the pain? Encourage the patient to breathe deeply and use relaxation techniques during contractions. A patient with a history of cesarean section is in labor. What should the nurse monitor for? Watch for signs of uterine rupture, especially if contractions become intense. A primipara in labor has been pushing for two hours and the baby’s head is visible but does not advance. What is the most appropriate next step? Assist the healthcare provider with a forceps or vacuum delivery if necessary. A postpartum patient complains of heavy bleeding and large clots. What should the nurse do first? Assess the uterus for tone and massage if needed to promote uterine contraction. A laboring patient is 9 cm dilated but not progressing. What might the nurse anticipate to help with delivery? 4 Administer oxytocin to strengthen contractions and help with cervical dilation. A patient receiving an epidural reports a headache after the procedure. What should the nurse consider? The patient may be experiencing a spinal headache and hydration or a blood patch may be necessary. A patient in labor is fully dilated and feels an intense urge to push. What should the nurse do next? Perform an assessment of the fetal station to determine if it’s appropriate to push. A laboring patient requests pain relief but is