A pregnant patient receiving terbutaline says, "My heart is racing." The nurse notes marked tachycardia. Which action is most appropriate before another dose is given?, Reassure the patient and give the dose as scheduled, Have the patient walk to see whether the feeling improves, Hold and reassess the patient's cardiovascular status before giving more medications., offer fluids and delay assessment till later., The nurse is reviewing a pregnant patient's data before administering terbutaline. Which set of findings is most important for medication safety?, Heart rate, blood pressure, glucose, potassium, Appetite, bowel sounds, and last bowel movement, Sleep pattern, diet preference, and activity level, Vision, and hearing, A laboring patient is receiving oxytocin and begins having contractions much more frequently than before. Which nursing interpretation is most appropriate?, The medication should be increased so labor ends sooner, The uterine activity may be excessive and require nursing action., The patient should begin pushing, Fetal monotoring can be stopped because contractions have been increasing, The nurse is about to start an oxytocin infusion for induction. Which assessment should be completed first to provide a safe baseline?, Ask what the patient ate for breakfast, Assess the patient's pain score, Assess uterine contractions and the fetal heart rate, Wait untill after the infusion starts to assess labor, A patient scheduled for induction has a cervix that is not ready for labor. Misoprostol is ordered. How should the nurse connect this medication to the patients plan of care?, It can be used to help ripen the cervix for induction, It is being used as an epidural anesthetic, It will prevent the uterus from contracting, It is being used to prevent Rh sensitization, After misoprostol is given for cervical ripening, the nurse must decide which assessment deserves the most attention. Which should the nurse choose?, The patient's meal preference, The patient's usual sleep schedule, the newborns feeding schedule, uterine activity and fetal response, The patient is being prepared for induction and has an unfavorable cervix. Which outcome would show that prostaglandin E2 is being used for the intended maternity purpose?, The patient becomes pain free, The cervix becomes more favorable for induction, The uterus stops contracting completely, postpartum bleeding decreases after delivery, After prostaglandin E2 is administered, the nurse notices uterine contractions are becoming excessively frequent. Which response best applies the medication's safety considerations?, Continue without further assessment because this is always expected, Have the patient begin pushing, Recognize the change in uterine activity and assess the fetal response, Stop fetal monitoring because the medication has already been given, A pregnant patient at risk for preterm birth asks why she is receiving IM betamethasone. Which explanation by the nurse best applies the medication to her situation?, it helps improve fetal lung maturity by promoting surfactant production, It prevents Rh sensitization after birth, it prevents postpartum uterine atony, It provides regional anesthesia during labor, A nurse reviews a new betamethasone order for a patient at risk for preterm birth. Which order matches the course information the nurse was given., One IV dose after delivery, Two IM injections administered 24 hours apart, One IM dose every hour during labor, It provides regional anesthesia during labor, An Rh negative, non sensitized pregnant patient asks why RhoGAM is part of her care. Which explanation should the nurse give?, It will start labor contractions, It will prevent seizures from preclampsia, It helps prevent her from from becoming sensitized to Rh positive fetal red blood cells, It provides pain relief during pregnancy, An Rh negative patient has just delivered. Before administering postpartum RhoGAM, which information should the nurse analyze to determine whether it is indicated?, The mothers Rh status and the newborns Rh status, Whether the mother received an epidural, The total length of labor, The mothers feeding preference, A patient with severe preeclampsia receiving magnesium sulfate becomes very sleepy and develops decreased respirations. How should the nurse interpret these findings?, They show normal progression of labor, This may indicate magnesium toxicity, They are expected findings of cervical ripening, These are normal expected findings during pregnancy, The nurse is preparing to continue a magnesium sulfate infusion for severe preeclampsia. Which assessment data should receive the greatest attention before continuing therapy?, Hair and Nail Condition, Food and Fluid, Respiratory Status and Deep Tendon Reflexes, Pain level, A postpartum patient has heavy bleeding from uterine atony. Methylergonovine is ordered, but the patients blood pressure is very high. Which nursing action best applies the medication information?, Give it immediately because bleeding is the only concern, Question the mediation because hypertension is a contraindication, Give an extra dose to lower the blood pressure, Ask the patient to ambulate before administration, After Methylergonovine is administered for postpartum uterine atony, which assessment combination best evaluated both safety and effectiveness?, The newborns vital signs, The mothers pain score, Blood pressure, Pulse, Uterine Response, and Vaginal Bleeding, No uterine assessment because contractions are expected, A postpartum patient with uterine atony may receive Hemabate. Which history should cause nurse to question the medication before its administered?, Asthma or significant breathing problems, Use of prenatal vitamins, Plans to breastfeed, Wearing corrective lenses, Hemabate is given for postpartum hemorrhage caused by uterine atony. Which change would best show that the medication is producing the desired response?, A uterus becomes more relaxed, Vaginal bleeding becomes heavier, The patients contractions stop, The uterus becomes firmer and bleeding decreases, A postpartum patient is experiencing significant hemorrhage, and TXA is ordered which outcome best matches the reason for giving this medication? information is most important for the nurse to continue evaluating?, The patient receives regional anesthesia, Excessive bleeding is brought under better control, Labor contractions begin, The uterus becomes more relaxed, While TXA is being used for postpartum hemorrhage, which information is most important for the nurse to continue evaluating?, Amount of bleeding and the patients overall clinical status, The patients pain level, The patients appetite, Whether the patient wants to ambulate, At a prenantal visit, a patient says, "I eat pretty well, so I stopped taking my prenatal vitamins." Which response by the nurse best applies the nutrition information from the course?, A prenatal vitamin replaces the need for a balanced diet, Prenatal vitamins are only important during labor, Pregnancy increases nutritional needs, so the supplement helps support maternal and fetal needs., Prenatal vitamins prevent complications, The nurse reviews a pregnant patients diet and supplements and finds that the patient is not taking prenatal vitamin. Which is the best reason to follow up on this finding?, The nurse should assess whether the patient is meeting the increased nutrient needs of pregnancy, it determines whether the patient can receive an epidural, It predicts the newborns Rh status, Determines when labor should be induced, A patient who is planning a pregnancy asks why her provider wants her to take folic acid before conception and during early pregnancy. Which explanation is most appropriate?, It prevents postpartum hemorrhage, It provides pain relief, It causes the cervix to dilate, it helps reduce the risk of neural tube defects., During a prenatal visit, the nurse learns that a patient is taking only 100 mcg of folic acid daily. Based on the course material, how should the nurse interpret this amount?, It is above the recommended age, It is below the 400-800 mcg/day amount listed for most pregnancies, It is exactly the recommended amount, Folic acid is not needed during pregnancy, A laboring patient requests an epidural. Which Assessment finding should cause the nurse to question whether epidural analgesia is appropriate at that time?, Painful contractions, a desire to remain awake and involved in labor, uncorrected hypovolemia or infection at the intended puncture site, Being in active labor, A laboring patient receieved nalbuphine and now has a respiratory rate of 10 breaths per minute. Which nursing action is most appropriate?, Give the next dose early, Encourage the patient to walk, Document the finding as a normal finding and take no action, Withhold the medication and notify the provider, A patient in labor receiving fentanyl becomes very sleepy and has slow, shallow respirations. Which interpretation should guide the nurses next actions?, The patient is entering second stage labor, The patient needs another dose of fentanyl, The patient may be experiencing opioid related respiratory depression, The patient is showing only normal labor fatigue, The nurse is preparing to administer IV fentanyl for labor pain. Which safety action should be completed before administration?, Plan to give the medication as rapidly as possible, Make sure an opioid antagonist and resuscitation equipment are available, Have the patient ambulate immediately before the dose, Plan to stop monitoring once the medication is given

Intrapartum

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