A client at 39 weeks' gestation was assessed 2 hours ago as being 3 cm dilated, 40 effaced, and +1 station and experienced contractions every 5 minutes with duration 40 seconds and intensity 50 mmHg. Currently, the client is 4 cm dilated, 40 effaced, and +1 station with frequency of contractions every 3 minutes with 40 to 50 seconds' duration with intensity of 40 mmHg. What action should the nurse make a priority at this time?
1. Start oxygen at 8 L/min.
2. Give terbutaline to stop the preterm labor.
3. Have anesthesia provider give the client an epidural.
4. Begin oxytocin after assessing for cephalopelvic disproportion (CPD).
Question 2
The nurse is making client assignments for the next shift. Which client is most likely to experience a complicated labor pattern?
1. 34-year-old gravida 6 at 39 weeks' gestation with twins
2. 43-year-old gravida 2 at 37 weeks' gestation with hypertension
3. 22-year-old gravida 1 at 23 weeks' gestation with ruptured membranes
4. 30-year-old gravida 3 at 41 weeks' gestation and estimated fetal weight 7 lb, 8 oz
The nurse uses a noninvasive bladder ultrasound to measure the client’s bladder volume.
10 weeks old human embryo
18 weeks old human fetus
Use a step stool to help an infirm client get on and off the table.
Measuring the client’s blood pressure
Survey and posture of client: Lateral view