Introduction
Total Questions : 4
Showing 4 questions, Sign in for moreA nurse is caring for a client who has been in labor for 14 hours and has not progressed beyond 4 cm dilation.
The nurse suspects that the client has prolonged labor due to a large baby.
Which of the following actions should the nurse take first?
Explanation
This is the first action the nurse should take to determine the well-being of the baby and the possible cause of the prolonged labor.Prolonged labor may happen if the baby is very big and cannot move through the birth canal, or if the baby is in an abnormal position.
A nurse is reviewing the partograph of a client who is in labor.
The nurse notes that the cervical dilation curve is above the alert line and the fetal heart rate is 160/min.
The nurse should recognize that these findings indicate which of the following complications?
Explanation
This is because the cervical dilation curve is above the alert line, which means that the dilation is slower than 1 cm per hour and indicates a possible obstruction in the birth canal.Obstructed labor can lead to serious complications such as fetal distress, infection, uterine rupture, and maternal death.
The question does not provide any evidence of infection in this case.
A nurse is caring for a client who had a previous cesarean delivery and is now in labor with her second child.
The client reports a sudden sharp pain in her lower abdomen and vaginal bleeding.
The nurse should suspect which of the following conditions?
Explanation
This is a rare but life-threatening complication that can occur in women who have had a previous cesarean delivery and are now in labor with their second child.Uterine rupture happens when the scar from the previous surgery tears open during contractions, causing severe pain, bleeding, and fetal distress.
A nurse is teaching a group of pregnant women about the prevention and management of prolonged and obstructed labor.
Which of the following statements by one of the participants indicates an understanding of the teaching?
Explanation
This statement indicates an understanding of the teaching because cesarean delivery is a risk factor for prolonged and obstructed labor.Avoiding unnecessary cesarean delivery can help prevent foeto-pelvic disproportion and reduce the risk of uterine rupture.
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