A client gives birth within an hour of arriving at the labor and delivery unit and delivers the placenta 5 minutes later. During assessment, the nurse notes that the client’s uterus is boggy and midline. Which action should the nurse take first?
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A pregnant client at 36 weeks’ gestation presents to the lab…
A pregnant client at 36 weeks’ gestation presents to the labor and delivery unit reporting a continuous trickle of fluid from the vagina for the past hour. The nurse performs a sterile speculum examination and applies vaginal fluid to Nitrazine paper, which immediately turns blue. The client denies recent urination but reports having intercourse earlier in the day. How should the nurse best interpret this finding?
A client in labor has reached 8 cm dilation, is fully efface…
A client in labor has reached 8 cm dilation, is fully effaced, and feels an urge to push. The nurse observes thick, blood-tinged mucus during the vaginal examination. What is the nurse’s best action?
A client diagnosed with hypotonic uterine dysfunction is fat…
A client diagnosed with hypotonic uterine dysfunction is fatigued and experiencing minimal cervical change despite adequate labor time. Fetal heart rate tracing is reassuring. Which nursing intervention is the priority to promote labor progress?
Based on the pelvic anatomy shown in the image, which labor…
Based on the pelvic anatomy shown in the image, which labor pattern should the nurse most accurately anticipate for this client?
A nurse is caring for a client at 38 weeks gestation who is…
A nurse is caring for a client at 38 weeks gestation who is in active labor. The fetal heart rate tracing shows recurrent variable decelerations with each contraction. The amniotic fluid is clear, and the client is receiving IV oxytocin. Which nursing interventions are appropriate at this time? Select all that apply.
A laboring client in the latent phase reports intense, painf…
A laboring client in the latent phase reports intense, painful contractions that are irregular and poorly coordinated. On assessment, the uterus remains firm between contractions, and the cervix has dilated only 1 cm over several hours. The client appears anxious and exhausted. How should the nurse interpret these findings?
A primigravida at 8 cm dilation has been in active labor for…
A primigravida at 8 cm dilation has been in active labor for several hours. Contractions are strong and regular every 2 minutes. The client reports severe, unrelenting low back pain that does not subside between contractions. Vaginal examination reveals slow cervical change and increased caput on the fetal head. The nurse recognizes these findings are most consistent with which fetal position?
A supermarket introduced a self-checkout system to speed up…
A supermarket introduced a self-checkout system to speed up the shopping process. Which type of cost is being reduced?
Indicate an advantage for having simple rather than stratifi…
Indicate an advantage for having simple rather than stratified epithelium lining the gas-exchange surfaces of the lungs. Your response can be brief. (2 points)