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
Embryo and fetal development during weeks 1–25 of gestation.
Postural changes with pregnancy in 20 weeks
Postural changes with pregnancy in 40 weeks
Position the client
Approaching the client for the ophthalmoscopic exam
Positioning of client