NUR 4455 Maternal Newborn Proctored Exam

A multiparous client with a history of previous cesarean birth is admitted for labor induction with oxytocin. Which of the following actions is most important before initiating therapy?

A nurse administers oxytocin IV after delivery to a client with postpartum hemorrhage. Which assessment best indicates that the oxytocin is effective?

What is an important nursing consideration when administering oxytocin (Pitocin) in labor?

What is the recommended position to improve fetal oxygenation when oxytocin-induced uterine tachysystole occurs?

A nurse is teaching a client and her partner about oxytocin use for labor induction. Which client statement indicates that further teaching is needed?

A nurse is admitting a client who is at 38 weeks of gestation and is 5/70/-1. Which of the following assessment findings is of concern and should be reported to the provider first?

A client G3 T2 P0 A0 L2 pregnant at 37 weeks gestation has a chief complaint of contractions which began 3 hours ago. Vaginal exam on admission was 6 cm/70%/-2. Fetal heart baseline is 145 bpm with mo

A nurse is caring for a client in OB triage who is a primigravida, at term, reporting low back pain radiating to the lower abdomen every 5 minutes for 2 hours. The client states, "I am not really sure

A 39 weeks gestation client presents to the emergency room (ER), contracting every 15 minutes. Each contraction lasts for 30 seconds. The client had spontaneous rupture of membranes (SROM) of clear am

The nurse has administered Oxytocin 2 hours ago as ordered. The nurse is assessing the fetal heart tracing: baseline 120 with moderate variability and 1 variable deceleration down to 80 bpm followed b

What change occurs to the uterus 2 days after birth?

A postpartum client with a history of rheumatoid arthritis reports increased joint pain. The nurse recognizes this as:

A postpartum client asks when her joints and ligaments will return to normal after delivery. Which response is correct?

The nurse is caring for a woman who had a vaginal delivery 1 hour ago. Her vital signs are T 100.4 P92 R20 BP 120/70. Based on this assessment finding, the nurse should:

A postpartum client with a history of lupus develops a flare-up 2 weeks after birth. The nurse understands this occurs because:

Because a full bladder prevents the uterus from contracting normally, nurses intervene to help the woman spontaneously empty her bladder as soon as possible. If all else fails, what tactic might the n

A postpartum client reports no bowel movement for 3 days and fears pain from her episiotomy. Which nursing action is most appropriate?

A woman gave birth 48 hours ago to a healthy infant girl. She has decided to bottle feed. During the assessment, the nurse notices that both breasts are swollen, warm, and tender on palpation. Which g

A nurse assesses a postpartum client who is 6 hours post-vaginal delivery. The fundus is noted to be above the umbilicus and deviated to the right. What is the priority nursing action?

When caring for a woman who just gave birth, what would the nurse educate the client in preventing postpartum complications?