The Primigravid Client in Labor

Minimum Passing Score is 60%

Question: 1

The nurse is managing care of a primigrada at full term who is in active labor. What should be included in developing the plan of care for this client?

Oxygen saturation monitoring every half hour.

Supine positioning on back, if it is comfortable.

Anesthesia/pain level assessment every 30 minutes.

Vaginal bleeding, ROM assessment every shift.

Question: 2

The physician orders intermittent fetal heart rate monitoring for a 20-year-old obese primigravid client at 40 weeks' gestation who is admitted to the birthing center in the first stage of labor. The nurse should monitor the client's fetal heart rate pattern at which of the following intervals?

Every 15 minutes during the latent phase.

Every 30 minutes during the active phase.

Every 60 minutes during the initial phase.

Every 2 hours during the transition phase

Question: 3

Assessment reveals that the fetus of a multigravid client is at + 1 station and 8 cm dilated. Based on these data, the nurse should first:

Ask anesthesia to increase epidural rate.

Assist the client to push if she feels the need to do so.

Encourage the client to breathe through the urge to push.

Support family members in providing comfort measures.

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The Primigravid Client in Labor