Amniotomy and Other Obstetrical Procedures

After an amniotomy, what is the priority nursing assessment?

A client with oligohydramnios is admitted for amnioinfusion. What is the primary goal of this intervention?

Which intervention is essential for an Rh-negative woman following an external cephalic version (ECV)?

A patient at 37 weeks gestation is in a transverse lie. What procedure might be considered to facilitate a vaginal delivery?

What is the rationale for administering tocolytic drugs during an external cephalic version (ECV)?

A patient is experiencing a prolonged deceleration in FHR. What is the most appropriate initial nursing intervention?

After a vaginal delivery complicated by a third-degree laceration, which intervention is most important for the nurse to include in the patient's plan of care?

A patient is admitted in active labor. The fetal heart rate baseline is 140 bpm with moderate variability. There are accelerations to 155 bpm lasting 15 seconds. How should the nurse interpret this tracing?

What finding on a fetal monitoring strip is most indicative of uteroplacental insufficiency?

A client had a previous cesarean birth with a low transverse uterine incision. Which of the following is the greatest risk for a trial of labor after cesarean birth?

A nurse notes variable decelerations on the fetal monitoring strip. Which of the following actions should the nurse take first?

Which of the following fetal heart rate (FHR) patterns requires the most immediate intervention?

A newborn is not breathing spontaneously after birth. What is the initial step in newborn resuscitation?

A nurse is caring for a patient who is 40 weeks gestation and in active labor. Which assessment finding would be most concerning and require immediate intervention?

A patient is in the second stage of labor. The nurse observes the fetal head is crowning, but the fetal heart rate drops to 90 bpm. What is the priority nursing intervention?

A nurse is reviewing the electronic fetal monitoring strip and notes a pattern of accelerations. What do accelerations indicate?

A patient is diagnosed with thick meconium-stained amniotic fluid. Which intervention is most likely to be performed to dilute the meconium?

Which statement is most accurate regarding episiotomies?

A patient is undergoing continuous electronic fetal monitoring. The nurse notes the baseline fetal heart rate (FHR) is 90 bpm. What action should the performing nurse take first?

What does the term 'variability' refer to in electronic fetal monitoring?

After delivery, umbilical cord blood is collected for blood gas analysis. What information does this analysis provide?

A patient with a history of prior cesarean section is requesting a VBAC. Which of the following factors is the most important for the nurse to assess?

A patient is receiving an amnioinfusion. Which of the following assessments is most critical during this procedure?

Which of the following is a contraindication for a trial of labor after cesarean (TOLAC)?

What is the purpose of monitoring uterine contractions during labor?

Which of the following is an indication for a cesarean birth?

A nurse is preparing to assist with a vacuum-assisted birth. What should the nurse do to prepare for this procedure?

A patient in active labor is experiencing intense back pain. What position would be most helpful to relieve this pain?

A nurse notes late decelerations on the fetal monitoring strip. What nursing intervention would be implemented?

A patient with a history of drug use delivers a newborn. What resuscitation action must be anticipated for the newborn?

A primiparous woman at 40 weeks gestation is admitted to the labor and delivery unit. She reports that her membranes spontaneously ruptured 2 hours prior to arrival. Which nursing action is most appropriate to perform first?

A patient is in active labor. Upon examination, the nurse notes the presence of thick meconium-stained amniotic fluid. Which action should the nurse anticipate?

A patient is scheduled for an external cephalic version (ECV). Which of the following medications would the nurse anticipate administering prior to the procedure?

Which of the following fetal heart rate findings is most concerning?

After a difficult forceps-assisted delivery, the nurse should prioritize assessment for:

In addition to assessing the mother, the nurse should assess the newborn for trauma. What finding in the newborn after a vacuum-assisted delivery should be reported?

The nurse is caring for a patient at 39 weeks gestation who is in active labor. The electronic fetal monitor shows repetitive late decelerations. What is the nurse's first action?

A client is in labor, and the nurse observes a fetal heart rate pattern that shows a sudden drop from the baseline, lasting longer than 2 minutes but less than 10 minutes, before returning to the baseline. How would the nurse document this acceleration?

The nurse is caring for a newly delivered infant who required resuscitation at birth. After stabilization, which assessment finding is most concerning and warrants further investigation?

Which statement is correct about baseline FHR?

Which statement is correct about early decelerations?