While a client is being admitted to the birthing unit she states, “My water broke last night, but my labor started two hours ago.” Which of the following is a concern?
Blog
The father of a 12 hour old newborn anxiously reports that t…
The father of a 12 hour old newborn anxiously reports that the baby’s hands and feet are blue. The nurse confirms acrocyanosis and intervenes by:
What would the nurse include when explaining the purpose of…
What would the nurse include when explaining the purpose of phototherapy to the parents of a 2 day old newborn that is jaundiced.
The appropriate technique for postpartum fundal assessment w…
The appropriate technique for postpartum fundal assessment would include:
Twelve hours after delivery, the nurse assesses the infant’s…
Twelve hours after delivery, the nurse assesses the infant’s respiratory rate to be 36 breaths per minute with periods of apnea lasting up to 6 seconds. What is the nurse’s next action?
A woman is 4 centimeters dilated and wants to walk about the…
A woman is 4 centimeters dilated and wants to walk about the labor and delivery unit. Which of the following criteria will help the nurse determine whether she should walk? (Select all that apply)
A client has just been transferred to the postpartum unit fr…
A client has just been transferred to the postpartum unit from labor and delivery. Which assessment finding should be of the highest concern for the nurse?
The nurse is caring for a woman in labor. The woman is irrit…
The nurse is caring for a woman in labor. The woman is irritable, complains of nausea, has increased bloody show, and has trembling extremities. What does this indicate?
You are the nurse who is taking care of a 4 cm client who is…
You are the nurse who is taking care of a 4 cm client who is asking for something to “help her pain.” You call the Certified Nurse Midwife (CNM) and request an order for Stadol using SBAR. The CNM writes an order for 1mg Stadol (Butorphanol Tartrate) IV x 1 now. Please see vial attached to this question to determine your answer. How much mL of Stadol would you administer? _______
Eight hours after a vaginal delivery of a full-term newborn,…
Eight hours after a vaginal delivery of a full-term newborn, a nurse observes that the client’s perineum and labia are edematous. Which nursing intervention is most appropriate?