Science Medicine Obstetrics
NCLEX 6th Edition/ Maternal-NB/ Intrapartum
Save
A client is brought to the Check the fetal heart rate.
labor unit. As the nurse is
attaching the fetal heart
monitor, the client's
membranes rupture
spontaneously. What
should be the nurse's
immediate action?
After the client vaginally Placental separation
delivers a viable newborn,
the nurse sees the
umbilical cord lengthen
and observes a spurt of
blood from the vagina.
The nurse recognizes
these findings as signs of
which condition?
A client asks, "What does it 1 cm above the ischial spines
mean that the baby is at
minus one?" The nurse
should explain to the
client that the fetal
presenting part is which?
,The nurse is reviewing the 1 cm above the ischial spines
record of a client in the
labor room and notes that
the nurse-midwife has
documented that the fetus
is at minus one station. The
nurse determines that the
fetal presenting part is in
which position?
The nurse is assigned to Monitoring for changes in the physical and emotional
care for a client condition of the mother and fetus
experiencing dystocia.
Which would be the
highest priority in planning
care?
The client is in the second Continue to assess vital signs and fetal heart rate the
stage of labor. As the same as before the nerve block.
baby begins to crown, the
health care provider
administers a pudendal
nerve block in preparation
for an episiotomy. Which
action should the nurse
take?
The nurse is reviewing the Minus (-) 1 station
record of a client in the
labor room. The nurse
midwife noted the
following documentation.
Which documented
notation refers to the
relationship of the
presenting part to the
maternal ischial spines?
, The nurse is collecting -Bright red vaginal bleeding
data from a client who has -Soft, relaxed, nontender uterus
been diagnosed with
placenta previa. Which
findings should the nurse
expect to note? Select all
that apply.
A client in preterm labor is Left lateral
placed on bed rest. The
nurse assists the client to
which advantageous
position?
A client in labor has been Rest between contractions
pushing effectively for 1
hour and the presenting
part is at a +2 station. The
nurse determines which
physiological need is
primary to the client at this
time?
A pregnant client with Restlessness and agitation
severe uterine bleeding is
admitted to the labor and
birthing department.
Which data should best
alert the nurse to early
signs of hypovolemic
shock?
NCLEX 6th Edition/ Maternal-NB/ Intrapartum
Save
A client is brought to the Check the fetal heart rate.
labor unit. As the nurse is
attaching the fetal heart
monitor, the client's
membranes rupture
spontaneously. What
should be the nurse's
immediate action?
After the client vaginally Placental separation
delivers a viable newborn,
the nurse sees the
umbilical cord lengthen
and observes a spurt of
blood from the vagina.
The nurse recognizes
these findings as signs of
which condition?
A client asks, "What does it 1 cm above the ischial spines
mean that the baby is at
minus one?" The nurse
should explain to the
client that the fetal
presenting part is which?
,The nurse is reviewing the 1 cm above the ischial spines
record of a client in the
labor room and notes that
the nurse-midwife has
documented that the fetus
is at minus one station. The
nurse determines that the
fetal presenting part is in
which position?
The nurse is assigned to Monitoring for changes in the physical and emotional
care for a client condition of the mother and fetus
experiencing dystocia.
Which would be the
highest priority in planning
care?
The client is in the second Continue to assess vital signs and fetal heart rate the
stage of labor. As the same as before the nerve block.
baby begins to crown, the
health care provider
administers a pudendal
nerve block in preparation
for an episiotomy. Which
action should the nurse
take?
The nurse is reviewing the Minus (-) 1 station
record of a client in the
labor room. The nurse
midwife noted the
following documentation.
Which documented
notation refers to the
relationship of the
presenting part to the
maternal ischial spines?
, The nurse is collecting -Bright red vaginal bleeding
data from a client who has -Soft, relaxed, nontender uterus
been diagnosed with
placenta previa. Which
findings should the nurse
expect to note? Select all
that apply.
A client in preterm labor is Left lateral
placed on bed rest. The
nurse assists the client to
which advantageous
position?
A client in labor has been Rest between contractions
pushing effectively for 1
hour and the presenting
part is at a +2 station. The
nurse determines which
physiological need is
primary to the client at this
time?
A pregnant client with Restlessness and agitation
severe uterine bleeding is
admitted to the labor and
birthing department.
Which data should best
alert the nurse to early
signs of hypovolemic
shock?
