Question: 6 of 50 A nurse on a labor and delivery unit is assisting in the care of a client who is at 39 weeks of gestation and is in the first stage of labor. Nurses' Notes Medical History S Vital Signs Medical History 0530: Client is a 26-year-old gravida 3 para 2 who is 39 weeks gestation being induced for oligohydramnios. Client has no significant social or medical history. Only complication with this pregnancy is oligohydramnios. Client has previously delivered a 7-pound, 5-ounce infant vaginally without complications. Upon admission client is 1 cm, 40% effaced and -2 station. No bloody show observed. Client will be induced via Foley bulb induction. PREVIOUS Complete the diagram by dragging from the choices below to specify what complication the client is most likely experiencing, 2 actions the nurse should take to address that complication, and 2 parameters the nurse should monitor to assess the client's progress. .000 0 O Actions to Take Actions to Take Actions to Take Initiate amnioinfusion. Administer oxygen at 10 L/min via nonrebreather face mask. Turn client to left side. Insert misoprostol into the posterior vaginal fornix. Continue to monitor fetal heart rate. 00 Potential Complication Potential Complication Early fetal heart rate decelerations Variable fetal heart rate decelerations Late fetal heart rate decelerations Prolonged fetal heart rate decelerations Parameters to Monitor Parameters to Monitor UNF Parameters to Monitor Uterine contraction frequency Fetal heart rate baseline Fetal heart rate variability Uterine contraction strength Uterine contraction duration CONTINUE
Question: 6 of 50 A nurse on a labor and delivery unit is assisting in the care of a client who is at 39 weeks of gestation and is in the first stage of labor. Nurses' Notes Medical History S Vital Signs Medical History 0530: Client is a 26-year-old gravida 3 para 2 who is 39 weeks gestation being induced for oligohydramnios. Client has no significant social or medical history. Only complication with this pregnancy is oligohydramnios. Client has previously delivered a 7-pound, 5-ounce infant vaginally without complications. Upon admission client is 1 cm, 40% effaced and -2 station. No bloody show observed. Client will be induced via Foley bulb induction. PREVIOUS Complete the diagram by dragging from the choices below to specify what complication the client is most likely experiencing, 2 actions the nurse should take to address that complication, and 2 parameters the nurse should monitor to assess the client's progress. .000 0 O Actions to Take Actions to Take Actions to Take Initiate amnioinfusion. Administer oxygen at 10 L/min via nonrebreather face mask. Turn client to left side. Insert misoprostol into the posterior vaginal fornix. Continue to monitor fetal heart rate. 00 Potential Complication Potential Complication Early fetal heart rate decelerations Variable fetal heart rate decelerations Late fetal heart rate decelerations Prolonged fetal heart rate decelerations Parameters to Monitor Parameters to Monitor UNF Parameters to Monitor Uterine contraction frequency Fetal heart rate baseline Fetal heart rate variability Uterine contraction strength Uterine contraction duration CONTINUE
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
Problem 1SRQ
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Question: 6 of 50
A nurse on a labor and delivery unit is assisting in the care of a client who
is at 39 weeks of gestation and is in the first stage of labor.
Nurses' Notes
Medical History
Vital Signs
Medical History
0530:
Client is a 26-year-old gravida 3 para 2 who is 39 weeks gestation being
induced for oligohydramnios. Client has no significant social or medical
history. Only complication with this pregnancy is oligohydramnios. Client
has previously delivered a 7-pound, 5-ounce infant vaginally without
complications. Upon admission client is 1 cm, 40% effaced and -2 station.
No bloody show observed. Client will be induced via Foley bulb induction.
PREVIOUS
Actions to Take
Complete the diagram by dragging from the choices below to specify
what complication the client is most likely experiencing, 2 actions the
nurse should take to address that complication, and 2 parameters the
nurse should monitor to assess the client's progress.
Actions to Take
Actions to Take
Initiate amnioinfusion.
Administer oxygen at 10
L/min via nonrebreather
face mask.
Turn client to left side.
Insert misoprostol into
the posterior vaginal
fornix.
Continue to monitor fetal
heart rate.
Time Remaining: 08:10:19
Pause Remaining: 00:05:00
ly
Potential Complication
Potential Complication
Early fetal heart rate
decelerations
Variable fetal heart rate
decelerations
Late fetal heart rate
decelerations
Prolonged fetal heart rate
decelerations
Parameters to Monitor
Parameters to Monitor
UNFLA
Parameters to Monitor
Uterine contraction
frequency
Fetal heart rate baseline
Fetal heart rate variability
Uterine contraction
strength
Uterine contraction
duration
CONTINUE

Transcribed Image Text:+
Question: 6 of 50
A nurse on a labor and delivery unit is assisting in the care of a client who
is at 39 weeks of gestation and is in the first stage of labor.
Nurses' Notes
Nurses' Notes
Medical History
Vital Signs
1200:
Client is 6 cm, 70% effaced and at 0 station, membranes intact.
Contractions occurring every 2 to 3 min, strong to palpation. Fetal heart
rate is 140 to 145/min with average variability. Fetal heart rate decreases
to 100/min with contractions, lasts 15 seconds, returns to baseline within
30 seconds.
PREVIOUS
00
Complete the diagram by dragging from the choices below to specify
what complication the client is most likely experiencing, 2 actions the
nurse should take to address that complication, and 2 parameters the
nurse should monitor to assess the client's progress.
Actions to Take
Actions to Take
Actions to Take
Initiate amnioinfusion.
Administer oxygen at 10
L/min via nonrebreather
face mask.
Turn client to left side.
Insert misoprostol into
the posterior vaginal
fornix.
Continue to monitor fetal
heart rate.
Pause Remaining: 00:05:00
Potential Complication
Potential Complication
Early fetal heart rate
decelerations
Variable fetal heart rate
decelerations
Late fetal heart rate
decelerations
lyr
Prolonged fetal heart rate
decelerations
Parameters to Monitor
Parameters to Monitor
UNFLAG
Parameters to Monitor
Uterine contraction
frequency
Fetal heart rate baseline
Fetal heart rate variability
Uterine contraction
strength
Uterine contraction
duration
CONTINUE
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