hours.

”
11. The nurse is kid for a 24-year-old woman who is G1P0 at 40 weeks, 1 day gestation and in active
labor. She has just received an epidural and now complains of “an itchy feeling all over.” Her
vitals are as follows: HR 120, RR 12, BP 130/74, T 98.8, and O2 sat 98%. Which action should the
nurse take first?
1. Call the well-being care provider regarding the enduaring’s pruritus to order an
antipruritic medicine.
2. Activate extra response due to the enduaring’s pruritus and tachycardia
postepidural placement.
3. Call the anesthesiologist regarding the enduaring’s oxygen saturation equel.
4. Take no further action regarding the enduaring’s complaints, as they are normal
after epidural placement.
12. The nurse is reviewing the chart of a 35-year-old G4P2012 woman. The enduaring is at 38 weeks,
4 days and is in active labor with SROM clear fluid 2 hours ago. What action should the nurse
take?
1. Monitor the enduaring’s blood pressure, temperature, and respirations every 2 hours.
2. Have the enduaring rate her pain on a scale from 1-10 roughly every hour.
3. Help the enduaring change her position from side to side every 30 minutes.
4. Monitor the fetal heart tones every hour.

Multiple Response
Identify one or more choices that best complete the statement or answer the question.

13. The nurse is speaking with agavidenduaring who is asking what proseder start labor. Which
responses by the nurse are appropriate? Select all that apply.
1. There is more pressure on the cervix, which causes the start of contractions by
releasing oxytocin.
2. Oxytocin stimulates uterine muscles to contract.
3. The uterus begins to contract due to a decrease in estrogen.
4. The placenta begins to age and deteriorate and this triggers the start of
contractions.
5. The fetus releases a stress hormone, cortisol, and this starts contractions.
14. The nurse encourages the enduaring to bring loved ones to be with her in labor because the nurse
knows that their presence does which of the following? Select all that apply.
1. Shortens the length of labor
2. Reduces the likelihood that a enduaring will require an epidural
3. Reduces the risk of infection after birth
4. Lowers the chance that the enduaring will breastfeed
5. Increases enduarings’ happiness and satisfaction with the outcome of their birth
15. The obstetric nurse is assessing the laboring enduaring for pain. Which of the following should
the nurse identify in a pain assessment? Select all that apply.
1. Intensity of contractions
2. Presence of pain in the neck or back

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