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I acknowledge that I have read the course exam policy and the college’s Scholastic Integrity policy, and I understand that I will receive a grade of zero on that exam, and my violation will be reported to the college if I violate the course exam policy or college policy.

A laboring client’s fetus is positioned as shown below.  Which of the following pain management interventions would be most effective for this client? 

A client in active labor reports tingling in hands and feet, and “kind of dizzy.”  What action should the nurse implement?

A laboring client is 6 cm dilated, with strong contractions occurring every 3 minutes and lasting 60 seconds. Which of the following would the nurse expect might occur during this phase of labor?

A client who received a spinal block for an emergent C-section is now complaining of a “splitting” headache rated at a 10/10.  Which of the following is the best initial action by the nurse?

A newborn was delivered via vacuum extraction 10 minutes ago. As part of your post-delivery care, which assessment should the nurse perform first?

The laboring client with an epidural is 9 cm dilated. The labor nurse anticipates that she will have the client start to push when which of the following occurs?

The nurse is assessing a low-risk laboring client’s vital signs during a contraction. The findings are: Temperature: 99.0°F (37.2°C) Heart Rate: 52 bpm Blood Pressure: 157/90 mmHg Which of the following actions should the nurse take next?

The nurse is teaching a nursing student about oxytocin (Pitocin) infusion. Which of the following does the nurse include in her teaching (select all that apply)? 

A primiparous client at 34 weeks gestation presents to the birth center with irregular mild contractions for the last 4 hours, occurring about every 10-20 minutes, that do stop some with ambulation.  Cervical exam shows a closed cervix with membranes intact.  What is the best course of management for this client based on this information?