Term
| A nurse is monitoring a pregnant woman in labor and notes the presence of variable decelerations on the fetal monitor tracing. Which of the following would the nurse suspect based on this observation? |
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Definition
| Umbilical cord compression. |
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Term
| A nurse is caring for a client in labor. The nurse notes the presence of fetal bradycardia on the fetal monitor and suspects that the umbilical cord is compressed. The nurse immediately places the client in what position? |
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Definition
| With the hips elevated (all fours?) |
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Term
| "A nurse is monitoring a client who is in the active stage of labor. The nurse notes a late deceleration on the fetal monitor. Based on this observation, the nurse immediately:" |
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Definition
| Administers Oxygen via facemask to the the mother. |
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Term
| A nurse is assessing a pregnant woman in labor and notes the presence of accelerations on the fetal monitor tracing. Which of the following actions will the nurse take as a result of this observation? |
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Definition
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Term
| "A nurse is caring for a client in active labor. Effective natural, soothing techniques that the nurse plans to use during active labor to assist the client to effectively manage the labor process include:" |
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Definition
| Counterpressure and Effleurage |
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Term
| Effleurage, a French word meaning |
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Definition
| Effleurage, a French word meaning "to skim" or "to touch lightly on", is a series of massage strokes |
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Term
| "A maternity nurse is caring for a client in labor and performs an assessment on the client. The client is having moderate contractions that are occurring every 5 minutes and lasting 60 seconds. The fetal heart rate (FHR) is 150 beats/minute and regular. Based on the assessment findings, the appropriate nursing action is to:" |
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Definition
| Continue to monitor the client. |
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Term
| "A nurse notes that a client in labor is changing body positions, bearing down, and making expiratory vocalizations. From this data, the nurse knows that the client is most likely in what stage of labor?" |
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Definition
| Second stage, descent phase. |
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Term
| "A nurse answers a call light to the room of a woman just admitted to the hospital in early latent labor. The client is lying flat on her back on the bed. The husband states excitedly, “I think my wife is going into shock or something! She was just lying there, and she turned so pale and her hands are so clammy. She’s dizzy and sick to her stomach.” The nurse notes on the noninvasive blood pressure machine that the client’s pulse is 58 beats per minute and her blood pressure is 90/50 mm Hg. The nurse interprets that the client is experiencing:" |
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Definition
| Impaired tissue perfusion related to hypotensive syndrome (vena cava syndrome) |
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