Pregnancy Labor Childbirth Postpartum At Risk EAQ

During a client’s labor the fetal monitor reveals a fetal heart pattern that signifies uteroplacental insufficiency. What is the nurse’s priority intervention? Inserting a urine retention catheter Administering oxygen by means of nasal cannula Helping the client turn to the side-lying position Encouraging the client to pant with her next contraction A client in the thirty-eighth week of gestation exhibits a slight increase in blood pressure. The primary healthcare provider advises her to remain in bed at home in a side-lying position. The client asks why this is important. What is the nurse’s response regarding the advantage of this position? "It increases blood flow to the fetus." "It decreases intra-abdominal pressure." "It increases the mean arterial pressure." "It prevents the development of thrombosis." A client who has had a postpartum hemorrhage is to receive 1 unit of packed red blood cells (RBCs). The nurse manager observes a staff nurse administering the packed RBCs without wearing gloves. What does the nurse manager conclude? The client does not have an infection. The donor blood is free of bloodborne pathogens. The nurse should have worn gloves for self-protection. The nurse was skilled enough to prevent exposure to the blood. The nurse is caring for a client in her third trimester who is scheduled for an amniocentesis. What should the nurse do to prepare the client for this test? Instruct her to void immediately before the test. Tell her to assume the high Fowler position before the test. Encourage her to drink three glasses of water before the test. Advise her to take nothing by mouth for several hours before the test. A client in the high-risk postpartum unit has had a precipitous labor and birth. Which maternal complication should the nurse anticipate? Hypertension Hypoglycemia Chilling and shivering Bleeding and infection The nurse is caring for a client who is admitted to the birthing unit with a diagnosis of abruptio placentae. Which complication associated with a placental abruption should the nurse carefully monitor this client for? Cerebral hemorrhage Pulmonary edema Impending seizures Hypovolemic shock The nurse is providing care for parents who have experienced a stillbirth. What is the most appropriate intervention at this time? Giving a detailed explanation of what may have caused the stillbirth Providing the parents the opportunity to say goodbye to their newborn Explaining that autopsy is not recommended in the setting of a stillbirth Waiting to provide any information about follow-up care until the parents have had an opportunity to adjust to the grief A client is scheduled for a sonogram at 36 weeks’ gestation. Shortly before the test she tells the nurse that she is experiencing severe abdominal pain. Assessment reveals heavy vaginal bleeding, a drop in blood pressure, and an increased pulse rate. Which complication does the nurse suspect? Hydatidiform mole Vena cava syndrome Marginal placenta previa Complete abruptio placentae During a follow-up appointment, a client at 21 weeks’ gestation is diagnosed with hyperemesis gravidarum. The client says, "Why is this happening to me? I don’t know whether I can go on like this." What is the ideal response by the nurse? "Are you saying that you want to schedule an abortion?" "This must be physically and emotionally challenging for you." "We’re doing the best we can here, so please be patient with us." "There are dietary changes and medications available that can ease the nausea."