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The provider performs a vaginal exam on a laboring client and reports findings of 90 percent effaced. The client asks what that means. What should be the appropriate education given by the nurse?

A client in active labor states that she needs to use the bedpan for a bowel movement. What should be the first action performed by the nurse?

Preparing to perform Leopold’s maneuvers, the nurse understands that which maneuver will help in determining the fetal lie, allowing the fetal back to be easily located for auscultating heart tones.

Which is an expected characteristic of amniotic fluid?

A client progressing through a normal uncomplicated labor, place the following answers in the order which they would occur.  Use all of the options.

A gravida 2 para 1 client in active labor tells the nurse, “I don’t remember anything about my last birth. I want to see and enjoy the birth this time. I can deal with the contractions. I just need some relief down below when the baby is coming out.” Which would the best anesthesia to help this client achieve her goal during labor?

A woman is receiving IV magnesium sulfate infusion at 2gms/hr to stop premature labor. Which of the following nursing assessments are signs of magnesium toxicity? Select all that apply.

After several strong contractions, a client complains of feeling dizzy. What is the most likely causing the dizziness?

A laboring woman’s husband tells the nurse that she does not want him to touch her anymore. The nurse should explain that these characteristics are normal and should not be taken personally. What phase of labor is the woman likely to be in?

Case Study Andrea, 30 year old female, is seen in the office for an annual gynecology visit.  She states that she and her husband, Todd, want to start a family this year.  She has no significant health history.  She has an IUD implanted for birth control and dysmenorrhea.  Choose 4 answers that require management during the preconception stage.