Chapter 18.docx

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Chapter 18 1. The nurse is admitting a patient to the labor and delivery unit. Which aspect of the patient’s history requires notifying the physician? 3. Dark red vaginal bleeding 4. History of domestic abuse Rationale 3: Third-trimester bleeding is caused by either placenta previa or abruptio placentae. Dark red bleeding usually indicates abruptio placentae, which is life-threatening to both the mother and fetus. 2. The nurse is preparing to assess a laboring primiparous patient who has just arrived in the labor and birth unit. Which statement indicates that additional education is needed? 4. “After you assess my pelvis, you will be able to tell when I will deliver.” Rationale 4: An experienced labor and birth nurse can estimate the time of delivery based on the cervix, fetal position, station, and contraction pattern. However, during a pelvic exam, no information is obtained about the contractions. The nurse will not have enough information following the cervical exam to estimate time of birth. 3. The nurse is working with a pregnant adolescent. The patient asks the nurse how the baby’s condition is determined during labor. Which statement indicates the patient education was successful? “During labor, the nurse will: 2. “Assess the baby’s heart rate with an electronic fetal monitor.” Rationale 2: This option best answers the question the patient has asked. 4. The nurse is preparing to assess the fetus of a laboring patient. Which assessment should the nurse perform first?
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