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The nurse is assessing fetal presentation in a multiparous client. The illustration below indicates which of the following types of presentation? 

Ms. Thompson, a primigravida is admitted at term.  She attended childbirth classes.  Her contractions are every 5-8 minutes, lasting approximately 30 seconds with membranes intact.  She has a slight bloody discharge.  She is 3 cm dilated and almost fully effaced.  The baby is vertex and presenting at -1 station, LOA.    Using the scenario above answer the following question:    Ms. Thompson asks the nurse if it is all right for her to get up and walk around.  The best response would be:

Ms. Thompson, a primigravida is admitted at term.  She attended childbirth classes.  Her contractions are every 5-8 minutes, lasting approximately 30 seconds with membranes intact.  She has a slight bloody discharge.  She is 3 cm dilated and almost fully effaced.  The baby is vertex and presenting at -1 station, LOA.    Using the scenario above answer the following question:    It is important for Ms.  Thompson’s bladder to be emptied often during labor either by voiding or catheter, which one of these indicate the importance? 

 A woman is admitted to the postpartum unit two hours after delivery of a baby. She had a 4th degree laceration and was a stage 1 MOH. She only voided 200cc prior to arrival to the unit.  What action is especially important because the membranes were ruptured for 28 hours before delivery?

Identify what the fetal heart rate strip reads 

A multigravida client in active labor at term is diagnosed with polyhydramnios. The physician has instructed the client about possible neonatal complications related to the polyhydramnios. The nurse determines that the client has understood the instructions when the client states that polyhydramnious is associated with which of the following in the fetus or neonate? 

 Of the most frequent responses to pain, which of the following is most likely to impede your patient’s progress in labor?

The nurse is reading a client’s chart and notes that the physician documented that the client is thrombocytopenic.  The nurse knows that the client’s platelet value is

Identify this placenta 

What Apgar score at 1 minute would be given to a newborn who exhibited the following?Heart rate: below 100 bpm   Respiratory effort: slow Grimace: Grimace Color: body pink: extremities blue Activity: limp