OB exam 1

A nurse is caring for a client in labor. The nurse determines that the client is beginning in the 2nd stage of labor when which of the following assessments is noted?

• The client begins to expel clear vaginal fluid

• The contractions are regular

• The membranes have ruptured

• The cervix is dilated completely

A nurse in the labor room is caring for a client in the active phases of labor. The nurse is assessing the fetal patterns and notes a late deceleration on the monitor strip. The most appropriate nursing action is to:

• Place the mother in the supine position

• Document the findings and continue to monitor the fetal patterns

• Administer oxygen via face mask

• Increase the rate of pitocin IV infusion

A nurse is beginning to care for a client in labor. The physician has prescribed an IV infusion of Pitocin. The nurse ensures that which of the following is implemented before initiating the infusion?

• Placing the client on complete bed rest

• Continuous electronic fetal monitoring

• An IV infusion of antibiotics

• Placing a code cart at the client's bedside

Normal baseline fetal heart rate ?

• 110- 160

• 90-110

• 160-180

• <90

fetal tachycardia

• >than 160bpm

• >180bpm

• >110bpm

• >200 bpm

cause of early decelerations is

• Head compression

• Cord compression

• uteroplacental insufficiency

In the diagram representing the menstrual cycle shown, when does ovulation take place?

• between day 6 and 11
• between day 17 and 20
• between day 1 and 5
• between day 12 and 16

A nurse should recognize which of the following as a manifestation of sepsis in the neonate? (Select all that apply)

• lethargy

• tachypnea

• hypothermia

• sunken fontanel

• low serum glucose

A 22 year old woman is 6 weeks postpartum. In the clinic, she admits to crying everyday, feeling overwhelmed, and sometimes thinking she may hurt the baby. What would be the priority nursing action at this time?

• advise the patient of community groups, and depression hotlines.

• counsel the mother that the "baby blues' are common at this time and assess her nutrition, rest and availability of help at home.

• contact the HCP to evaluate the patient before allowing her to leave the clinic

• advise the woman that she cannot use medication for depression because she is breastfeeding,.

A client in preterm labor (31) weeks who is dilated to 4 cms has been started on Magnesium Sulfate and the contractions have stopped. If the clients labor can be stopped for the next 48 hours, which medication can the nurse anticipate a prescription for?

• Nulbuphine

• Betamethasone

• RH Immune globulin

• Dinoprostone vaginal insert