The nurse is caring for a patient in the transition phase of labor, and notes that the fetal monitor tracing shows average short-term and long-term variability with a baseline of 142 beats per minute
What actions should the nurse take in this situation? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Provide caring labor support.
2. Administer oxygen via face mask.
3. Change the patient's position.
4. Speed up the patient's intravenous.
5. Reassure the patient and her partner that she is doing fine.
1,5
Rationale 1: The tracing is normal, so the nurse can continue support of the labor.
Rationale 2: No oxygen face mask is needed at this time.
Rationale 3: There is no need to change the patient's position.
Rationale 4: There is no need to speed up the intravenous.
Rationale 5: The nurse can reassure the patient at this time, as the tracing is normal.
You might also like to view...
A child with autism is being admitted to the hospital because of recent vomiting and diarrhea. Upon admission, the nurse should:
1. Take the child on a tour of the whole unit. 2. Take the child to the playroom immediately. 3. Orient the child to the hospital room, keeping noise and distractions to a minimum. 4. Admit the child to a four-bed unit.
Which type of incontinence is most common after a difficult vaginal delivery?
a. Stress b. Urge c. Reflex d. Overflow
A novice nurse fails to complete the psychosexual assessment when admitting an older client to the geriatric unit
In that space the nurse has written "not applicable." What action will the nurse manager take? a. Returns the form and asks the nurse to complete the assessment b. Waits until the resident becomes comfortable with the unit and then finishes the assessment c. Provides the novice nurse with the opportunity to discuss why the assessment was not done d. Asks another veteran nurse to complete the assessment
Environmental factors impacting on neural tube defects include:
a. low folic acid intake, maternal anticonvulsant therapy, certain geographical areas, ethnicity, maternal obesity and maternal diabetes. b. low folic acid intake, maternal parity, maternal antibiotic therapy and maternal cardiovascular disease. c. low folic acid intake, maternal hypertension, maternal antibiotic therapy, alcohol ingestion and smoking. d. low folic acid intake, maternal hypertension, maternal blood group, alcohol ingestion and smoking.