On performing Leopold’s maneuver on a multiparous client in early labor, the nurse finds no fetal parts in the fundus or above the symphysis. The fetal head is palpated in the right mid quadrant. The nurse notifies the obstetrician. Which of the following is safe to assume? - Footling breech - Occiput presentation - Transverse lie - Compound presentation
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On performing Leopold’s maneuver on a multiparous client in early labor, the nurse finds no fetal parts in the fundus or above the symphysis. The fetal head is palpated in the right mid quadrant. The nurse notifies the obstetrician. Which of the following is safe to assume?
- Footling breech
- Occiput presentation
- Transverse lie
- Compound presentation
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- On performing Leopold's maneuver to Mrs. Vanessa Narciso a multiparous client in labor. Nurse Marina finds no fetal parts in the fundus or above the symphysis. The fetal head is palpated in the right mid quadrant. Nurse Marina notifies the obstetrician. Which of the following is safe to assume? Footling breech Occiput presentation Compound presentation Transverse lieOn performing Leopold's maneuver to Mrs. Vanessa Narciso, a multiparous client in early laborNurse Marina finds no fetal parts in the fundus or above the symphysis The fetal head is palpated in the right mid quadrant Nurse Marina notifies the obstetrician the following is safe to assume? Footling breech Occiput presentation Compound presentation Transverse lieA group of student-nurses are about to conduct a community diagnosis. Which of the following activity is necessary during the first stage? Refer Julia immediately to an OBGyn doctor and have her checked in a hospital since she has high risk pregnancy Assist the family in providing adequate care to Julia by doing a daily home visit and Leopold’s Maneuver Discuss to Julia’s family the importance of regular prenatal check-ups Emphasize to Julia that health center services are free
- Nurse Zasha in the Obstetrical Unit is monitoring Mrs. Zexy Lucero, 25 years old. G1PO. Internal examination revealed 3-4cm cervical dilatation, 50% effaced, +(BOW), Station -1, cephalic with uncoordinated uterine contractions that are erratic in their frequency, duration, and intensity. Which of the following nursing actions should not be included in the priority of Nurse Zasha? (Select all that apply) Promote ambulation every 30 minutes Encourage the client to rest. Prepare the client for an amniotomy Monitor the oxytocin infusion closely. Provide pain relief measuresDiscuss two (2) points that you would educate the mother in the care of her newborn regarding Cord Care. Include rationale for each pointWith the cervix dilated to 8 cm, the client's contractions are stronger, and she becomes iritable towards her support person. She yells, "Don't touch me!" The best response by the nurse would be to EXCEPT: a. Position the client on her left side. b. Apply warm soaks or back rubs to the lower back. c. Ask the client to push actively since she is ready to deliver. d. Remind the support person that this is normal at this point in labor.
- Nurse Zasha in the Obstetrical Unit is monitoring Mrs. Zexy Lucero, 25 years old. G1P0. Internal examination revealed 5cm cervical dilatation, 50% effaced, +(BOW). Station 0, cephalic with a prolongation disorder for signs of fetal or maternal compromise. Which of the following assessment findings should not alert Nurse Zasha to a compromise? (Select all that apply) Coordinated uterine contractions Persistent nonreassuring fetal heart rate Maternal fatigue Uncoordinated uterine contractions Progressive changes in the cervixMrs. Vanessa Narciso, a 30 year old G1P0, was admitted due to labor pains. IE: Cervix 2 cm dilated, 50% effaced, cephalic, station -1, intact bag of waters. Clinical Pelvimetry: Diagonal conjugate=13.5 cm, Bispinous diameter = approximately 10 cm, Bituberous diameter <10cm. Mrs, Vanessa asks the nurse what station - 1 means, Which of the following statement of the nurse is correct? a. The head of the baby of near the outlet b. The buttock of the baby is at the level of the ischial spines c. The presentation part of the fetus is 1 cm below the spines d. The presentation part of the fetus is 1 above the ischial spinesA pregnant woman is discussing positioning and the use of leg stirrups for delivery with a labor nurse. Which of the following client responses indicates that the client understood the information? Select all that apply. 1. When the client states, “I am glad that deliveries can take place in a variety of places, including a Jacuzzi bathtub.” 2. When the client says, “I heard that for doctors to deliver babies safely, it is essential to have the mother’s legs up in stirrups.” 3. When the client states, “l understand that if the fetus needs to turn during labor, | may end up delivering the baby on my hands and knees.” 4. When the client says, “During difficult deliveries it is sometimes necessary to put a woman'’s legs up in stirrups.” 5. When the client states, “I heard that midwives often deliver their patients either in the side-lying or squatting position.”
- Mrs. Vanessa Narciso, a 30 year old G1P1 (1001), gave birth vaginally 2 hours ago and has a third-degree laceration. There is ice in place on her perineum. However, her perineum is slight edematous, and Mrs. Narcisco is having pain rated 6 on a scale of 1 to 10. Which nursing intervention would be the most appropriate at this time Begin sitz bath Initiate anesthetic sprays to the perineum Administer pain medication as ordered Replace ice packs to the perineumA client is in the first hour of her recovery after a vaginal birth. During an assessment, the lochia is moderate to heavy, bright red, and is tricking from the vagina. The nurse located the fundus at the umbilicus: it is firm and midline, with no palpable bladder. The client’s vital signs remain at their baseline. Based on the information, the nurse would implement which of the following actions? Document the findings as normal Increase IV rate Recheck the admission hematocrit and hemoglobin levels Report the findings to the healthcare providerThe physician ordered to prepare a client suspected of ectopic pregnancy with a negative culdocentesis result. Which statement by the client indicates understanding of the management for her condition? "My hemoglobin and hematocrit will be periodically monitored." "I will not be asked to sign an informed consent." "An abdominal scrub will be performed in preparation for CS! " I will be maintained in a left lateral position."