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Unformatted text preview: A 3-hour postpartum woman with a third degree lacerat5ion is complaining of perineal pain. Which is the most appropriate intervention by the nurse? Apply an ice pack to her perineum A gravida 7, para 6 woman is in the hospital only 15 minutes when she begins to deliver precipitously. The fetal head begins to deliver as you walk into the labor room. Your best action would be to Place a hand gently on the fetal head to guide delivery A labor and delivery nurse is evaluating the effectiveness if magnesium sulfate for treatment of preterm labor. Which finding would alert the nurse to possible side effects? Serum magnesium level of 10mg/dl A labor and delivery nurse is evaluating the effectiveness of oxytocin (Pitocin) for induction of labor. An expected outcome the nurse should anticipate is; Contractions lasting 40 to 90 seconds, 2 to 3 minutes apart A laboring woman received meperidine (Demerol) IV 90 minutes before she gave birth. Which of the following medications should be available to decrease the postnatal effects of Demerol on the neonate? Naloxone (Narcan) A nurse employed in a perinatal clinic reviews a client’s chart and notes that the physician documents that the client has a gynecoid pelvis. The nurse plans care for this client knowing that this type of pelvis: Is the most favorable for labor and birth A nurse is giving discharge instructions to a woman who is breastfeeding and taking Methyldopa for a history of chronic hypertension. The client asks “is it safe for me to breastfeed and take my blood pressure pill?” I don’t want to hurt my baby” Based on the client’s statement the nurse recognizes the need to: Reinforce this plan as the best way to care for herself and her baby A patient is to have an amniotomy to induce labor. The nurse recognizes that the priority intervention following the amniotomy is to: Assess the FHR A perinatal nurse is assisting the physician to perform an amniotomy. The nurse knows that an expected characteristic of amniotic fluid is: Pale, straw-colored with small white particles A pospartal woman with a thrombophlebitis tells you that her leg is very painful. Which action would be most appropriate to relieve this pain? Keep covers off the leg A pregnant woman admitted to your unit for pre-term labor is to receive magnesium sulfate IV. Which assessment would be most important for the nurse to obtain prior to the administration of magnesium sulfate? Patellar reflex A pregnant woman is at 38 weeks gestation .She wants to know if there are signs that indicate labor is getting closer to A pregnant woman is at 38 weeks gestation ....
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- Spring '10
- Nursing, Mrs. K