Obstetrics and Postpartum Care

A patient at 41 weeks gestation with a Bishop score of 7 is scheduled for an amniotomy. Which of the following findings would be a contraindication to proceeding with this procedure?

A laboring patient is receiving oxytocin to augment labor. The nurse observes uterine contractions occurring every 90 seconds, lasting 120 seconds, with minimal fetal heart rate variability. Which intervention is the priority nursing action?

During the immediate postpartum assessment of a patient who had a forceps-assisted vaginal delivery, the nurse notes a boggy uterus, heavy lochia rubra with clots, and the patient reports severe perineal pain despite analgesia. Which of these findings requires the MOST immediate intervention?

A patient is scheduled for a vaginal birth after cesarean (VBAC). Which of the following is the MOST critical factor to continuously monitor during labor for a patient attempting VBAC?

A nurse is caring for a patient who experienced shoulder dystocia during vaginal delivery. Which newborn assessment finding is MOST concerning and requires immediate notification of the pediatrician?

A patient at 38 weeks gestation in breech presentation is considering an external cephalic version (ECV). Which of the following conditions would be a contraindication for attempting ECV?

During a vaginal examination of a laboring patient, the nurse palpates the umbilical cord pulsating ahead of the fetal presenting part. What is the priority nursing intervention?

A patient is 12 hours postpartum following a cesarean birth. The nurse assesses a temperature of 101.5°F (38.6°C), elevated heart rate, and uterine tenderness. Which postpartum complication is MOST suspected?

A nurse is providing discharge education to a postpartum patient. Which statement indicates a need for further teaching regarding postpartum complications?

During the third stage of labor, after delivery of the placenta, the nurse notes the uterus is inverted. What is the IMMEDIATE nursing action?