A nurse is caring for a client who is primigravida at term and having contractions
Forgot your password? Or sign in with one of these services. Please help. The Kaplan question below indicates that with late decelerations during labor, the first thing we should do is shut off the pitocin.
Thank you. I hate these artificial questions, because, in reality, you CAN turn off the pit as you assist the patient to her L side, and reach up and start the O2 at the same time. But, if forced to choose, I would turn off the pit first. The other interventions will have immediate effect.
I have a problem with the "correct answer" stating that discontinuing the pit is the LAST step you would take with the patient. A nurse who is caring for a client in labor. The client is receiving a oxytocin pitocin by continuous IV infusion, piggybacked into a maintenance IV solution.
The external FHR monitor indicates late deccerations. Which of the following actions should the nurse take? I'm studying the same topic. I'm so frustrated when the professor tells you one thing and the ATI exam tells you something else. I had the same conflict in an exam last week. As previous poster stated, we have to pass professor's exam right now, so go with their answer, which was O2, reposition, Pitocin, etc. Other study guides were similar to other information stated, IV, reposition, O2.
Discontinue IV first because baby at greater risk for uteroplacental insufficiency if uterine contraction continue. Just a different page. Sorry to post such an old thread but I just had this on ATI. Echoing my frustration with this "first intervention" questions. Truth is you would do them all in a span of about 15 seconds so the point is rather moot. Also, I did some specific FHR training and the intervention was almost always to reposition first. While I understand "follow hospital policy" that doesn't help us get poor questions correct that affect our GPA.
I hate to bring up an old topic, but I did want to reply to your post LiveFit This is what I'm getting from my text book:. Thanks for input.Shared Flashcard Set. Title Mod 3 exam questions. Description Mod 3 exam questions. Total Cards Subject Nursing. Level Undergraduate 2. Create your own flash cards! Sign up here. Supporting users have an ad free experience!
Flashcard Library Browse Search Browse. Create Account. Additional Nursing Flashcards. Term The nurse is assessing the laboring client who is morbidly obese. The nurse is unable to determine the fetal position. Which action should be performed by the nurse to obtain the most accurate method of determining fetal position in this client? Perform a vaginal examination. Perform transabdominal ultrasound. Definition d.
Real-time transabdominal ultrasound US is the most accurate assessment measure to determine the fetal position and is frequently available in the birthing setting. US images may be used to assess fetal lie, presentation, and position in the morbidly obese client.
Place the prescribed interventions in the sequence that they should be performed by the nurse. Prepare for a nonstress test 2. Prepare for a biophysical profile 3. Palpate for fetal movement 4. Apply and explain the external FHM a. Term Which of these is a cause of macrosomia?
Definition b. Term During which cycle day of a typical 28 day menstrual cycle does the follicular phase occur? Cycle days b. Cycle days c. Cycle days d. Cycle days Term A primigravida at 12 weeks gestation appears in your OBGYN clinic having begun a spontaneous abortion with dilation and effacement. She has type 1 diabetes and is Rh negative. Which is the most appropriate first intervention to provide to the mother? Term You are treating a geriatric multigravida with hypothyroidism and mitral valve prolapse.
What is the correct intervention for mitral valve prolapse for this patient?The nurse is planning discharge teaching for a client who had an evacuation of gestational trophoblastic disease GTD two days ago. Oral contraceptive use for at least one year. The nurse is planning care for a client at weeks gestation who is experiencing preterm labor. What maternal prescription is most important in preventing this fetus from developing respiratory distress syndrome?
The nurse places one hand above the symphysis while massaging the fundus of a multiparous client whose uterine tone is boggy 15 minutes after delivering a 7 pound 10 ounce infant. Which information should the nurse provide the client about this fiding?
Both the lower uterine segment and the fundus must be massaged. Which instruction should the nurse include in the discharge teaching plan of a 7-year-old girl with a history of frequent urinary tract infections? A pregnant woman in the first trimester of pregnancy has a hemoglobin of 8. What foot should the nurse encourage this client to include in her diet? How many ml should the nurse administer?
The nurse is preparing to administer methylergonovine maleate Methergine to a postpartum client. Based on what assessment finding should the nurse withhold the drug?
The nurse is preparing a year-old with a lacerated forehead for suturing. Both parents and a year-old sibling are the child bedside. Which instruction best supports this family? The nurse is planning care for a year-old, who has juvenile rheumatoid arthritis JRA.
The nurse includes activities to strengthen and mobilize the joints and surrounding muscle. Which physical therapy regimen should the nurse encourage the adolescent to implement? Exercise in a swimming pool. A primigravida arrives at the observation unit of the maternity unit because thinks is in labor. What assessment finding confirms to the nurse that the client is not labor at this time? Contractions decrease with walking.This is not an official test from ATI but just a similar one with essential exam questions so that you can get prepared for this thing.
If you have been sexually active and you didn't wrap it before you tapped it, you are probably pregnant. Well because your period is late you should go home and take a pregnancy test and come back with the results.
Tell patient and family that they are having a baby with Down Syndrome and ask how would they like to proceed with pregnancy. An infnat with an increase in serum bilirubin lvevels as a result of the presence of Rh factor antibodies. There are no contraindications to diabetic mothers breastfeeding their infnats; it will be important for them other to carefully monitor her blood glucose levels and insulin needs. Because of the medications it would not be a good idea for the mother to breastfeed because it will be excreted through the breast milk.
Breastfeeding puts increased need for carbs and makes itunrealistic to control her blood glucose level. The surface area of the premature infnat is relatively smaller thatn that of a healthy term infant. It is important for the client to get pregnant as soon as possible because the titer was negative. The client can get pregnant now, but she should reveive the rubella vaccine during the first trimester.
Presence of 2 g of protein in a 24 hour urine collection, swelling of the face and heands, weight gain of 7 lb. Forgot your password? Speak now. Please take the quiz to rate it.
Feedback During the Quiz End of Quiz. Play as Quiz Flashcard. Title of New Duplicated Quiz:. Duplicate Quiz Cancel. More Pregnancy Quizzes. Online Pregnancy Quiz. Pregnancy Or Premenstrual Syndrome Symptoms!
Chapter 10: High-Risk Labor and Birth Nursing School Test Banks
Trivia Quiz.A nurse suspects that the laboring client may have been physically abused by her partner. What is the most appropriate intervention by the nurse? Confront the partner. Question the client in front of her partner. Contact hospital security to monitor the partner. Collaborate with the interprofessional team to make a referral to social services. Collaborating with others in the health care team, and the provider to make a referral to social services will create a plan, and provide support for the client.
Additionally, by law, the nurse or nursing supervisor must report the suspected abuse to the. Her father refuses to leave the room. He tells the nurse that the girl is shy, and that he will answer the questions for her.
What should concern the nurse the most about this situation? Difficulties of an overprotective parent in dealing with his daughter. Generally, a father would be somewhat uncomfortable staying in a room while his pregnant daughter is examined. If he insists on staying during the history and physical examination, the nurse should gently but firmly ask him to wait in another room.
If the nurse suspects possible child abuse or domestic violence, the father may not want the girl to be alone with the nurse, fearing that she might reveal the abuse or violence. The possibility of preterm labor and lack of prenatal care should be considered, but they are not the primary concerns in this situation.
An overprotective parent can be supported and taught how to let go of a child as time goes by. Referral to a social worker may be warranted.
Exam 2 - Practice Questions (Intrapartum) Flashcards Preview
She seems nervous and has many questions. What is the most important intervention by the nurse?To login with Google, please enable popups. Sign up. To signup with Google, please enable popups.
She has a history of C-section and complains of severe abdominal pain that started less than 1 hour earlier. When the nurse palpates titanic contractions, the client again complains of severe pain. After the client vomits, she states that the pain is better and then passes out. Which is the probable cause of her signs and symptoms? Which woman is most at risk for bladder distention after a normal vaginal delivery? Get started today! Exam 2 Nclex Questions. Edit a Copy. Study these flashcards.
Samantha S. The client states she is beginning to experience discomfort with each contraction. Which of the following breathing techniques would be appropriate?
How does the nurse interpret this data?
The nurse is checking the client's chart and notes the abbreviation ROA. The nurse knows this means that the presenting part is:.During labor induction with oxytocin, the fetal heart rate baseline is in the s with moderate variability. Contraction frequency is assessed to be every 2 minutes with duration of 60 seconds, of moderate strength to palpation. Based on this assessment, the nurse should take which action? Increase oxytocin infusion rate per physicians protocol.
Stop oxytocin infusion immediately. Maintain present oxytocin infusion rate and continue to assess. ANS: c Feedback a.
Increasing the oxytocin infusion could result in uterine hyperstimulation. The uterine contraction pattern is normal, and oxytocin infusion should be maintained, not stopped. Maintain present oxytocin infusion rate and continue to assess is the correct response, as this question describes a normal uterine contraction pattern.
The uterine contraction pattern is normal, and oxytocin infusion should be maintained, not stopped or decreased. If the umbilical cord prolapses during labor, the nurse should immediately: a. Type and cross-match blood for an emergency transfusion.
Await MD order for preparation for an emergency cesarean section. Attempt to reposition the cord above the presenting part.
Apply manual pressure to the presenting part to relieve pressure on the cord. ANS: d Feedback a. Type and cross-match is one of the interventions with cord prolapse but not a priority. Awaiting MD intervention is not appropriate as umbilical cord prolapse is an obstetrical emergency requiring immediate intervention. Once the cord has prolapsed, it cannot be repositioned.
Apply manual pressure to the presenting part to relieve pressure on the cord represents the first nursing intervention to attempt to improve circulation to the fetus. Augmentation of labor: a. Is part of the active management of labor instituted when the labor process is unsatisfactory and uterine contractions are inadequate b. Relies on more invasive methods when oxytocin and amniotomy have failed c. Is elective induction of labor d. Is an operative vaginal delivery that uses vacuum cups.
ANS: a Feedback a. Augmentation stimulates uterine contractions after labor has started but not progressed appropriately. Augmentation uses amniotomy and oxytocin. Augmentation stimulates labor. Vacuum delivery is not part of augmentation of labor. Your patient is a year-old gravida 2 para 1 in active labor. She has been in labor for 12 hours.
Upon further assessment, the nurse determines that she is experiencing a hypotonic labor pattern. Possible maternal and fetal implications from hypotonic labor patterns are: a.Nursing students provide virtual clinical patient care
Intrauterine infection and maternal exhaustion with fetal distress usually occurring early in labor. Intrauterine infection and maternal exhaustion with fetal distress usually occurring late in labor. Intrauterine infection and postpartum hemorrhage with fetal distress early in labor. Intrauterine infection and ruptured uterus and fetal death.