A primigravida client has just arrived in the birthing unit. What steps would be most important for the nurse to perform to gain an understanding of the physical status of the client and her fetus? (Select all that apply.)
A. Check for ruptured membranes, and apply a fetal scalp electrode.
B. Auscultate the fetal heart rate between and during contractions.
C. Palpate contractions and resting uterine tone.
D. Assess the blood pressure, temperature, respiratory rate, and pulse rate.
E. Perform a vaginal exam for cervical dilation, and perform Leopold's maneuvers.
Question 2
During the initial intrapartal assessment of a client in early labor, the nurse performs a vaginal examination. The client's partner asks the nurse why this pelvic exam needs to be done.
The nurse should explain that the purpose of the vaginal exam is to obtain information about the: (Select all that apply.) A. Uterine contraction pattern.
B. Fetal position.
C. Presence of the mucous plug.
D. Cervical dilation and effacement.
E. Presenting part.
The nurse cares for the postop client in the postanesthesia care unit (PACU).
The basic steps in hemostasis.
Example of simplified note for one-time client.
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