What should the nurse document when a physician places a direct fetal scalp electrode?
• This is the most reliable way to measure FHR.
• When a fetal scalp electrode is placed by a physician, the nurse should document the time of placement, the physician applying the electrode, and the FHR.
• Incorrect: Fetal movements are irrelevant in this situation.
A nurse is caring for a three-day-old infant with hyperbilirubinemia who is receiving phototherapy. Which of the following nursing actions would be appropriate?
Which of the following of Leopold's maneuvers should the nurse use to determine if the presenting part of the fetus is engaged?
A newborn less than 3 hours old has a split S2 that is heard on inspiration and
The nurse is caring for a woman in labor. What signs or symptoms would indicate that the patient is in the transition stage of labor?
A patient has finished the third stage of labor and is near completion of the fourth stage for a vaginal delivery. The labor and delivery nurse calls her report to the unit nurse and includes the following information: temperature 37.2°C, heart rate 58, WBC count 16,000. How should the receiving nurse respond?
A nurse is caring for a newborn with a respiratory rate of 75 breaths/minute, heart rate of 182 beats/minute, and oxygen saturation of 88% on 2L via nasal cannula. The infant's blood glucose is 58. The physician requests that the infant be transferred to a level III NICU 70 miles away to provide adequate care. Which of the following is the best transportation option?
A pregnant patient in her first trimester comes to the clinic because she has urinary frequency and white vaginal discharge. The patient asks if these are
A patient with a history of hypertension in pregnancy calls the hospital complaining of a severe headache and blurred vision. How should the nurse respond?
After performing Leopold's maneuvers on a patient in labor, the nurse should prepare the patient for a vaginal delivery after determining if the fetus is in which of the following positions?
A pregnant client is admitted at 23 weeks gestation due to vaginal bleeding and petechiae. The provider orders blood work to evaluate for disseminated intravascular coagulation (DIC). Which of the following results would the nurse expect with this condition?
A 30-year-old primipara is administered an epidural anesthesia. During the first hour of post-epidural anesthesia administration, which of the following signs and symptoms should be referred immediately to the anesthesiologist?
A woman planning on becoming pregnant is receiving education from the nurse. Which statement by the patient suggests that she understands fetal alcohol syndrome?
A newborn is admitted to the intensive care unit (ICU) with multiple heart defects. How can the nurse support the patient and her parent's needs?