A nurse is teaching a prenatal class about the signs of impending labor. Which of the following should the nurse include as signs that labor may begin soon? (Select all that apply.)

A pregnant client at 38 weeks' gestation arrives at the labor and delivery unit and reports a sudden gush of clear fluid from her vagina. Which of the following actions should the nurse take first to determine if the client's membranes have ruptured?

A nurse is reviewing the factors that affect the labor and birth process with a group of nursing students. Which of the following components are included in the five P’s of labor? (Select all that apply.)

During a prenatal visit, a patient at 38 weeks’ gestation asks the nurse what is considered the best position for the baby during delivery. Which fetal position should the nurse identify as most favorable fora vaginal birth?

A nurse is teaching a group of nursing students about Leopold’s maneuvers. Which of the following correctly matches each maneuver with its purpose?

The nurse is reviewing the cardinal movements of labor with a group of nursing students. Which of the following responses shows that the students understand the normal order of fetal movements during labor and birth?

A laboring patient at 5 cm dilation is scheduled to receive an epidural for pain relief. Which of the following actions is the nurse’s priority during the administration of the epidural?

A nurse is reviewing the fetal heart rate (FHR) tracing of a laboring client. The monitor shows periodic increases in the FHR of 15 beats per minute lasting for 20 seconds with fetal movement. How should the nurse interpret this finding?

A laboring patient’s fetal heart rate tracing reveals consistent late decelerations after contractions. The nurse understands that these late decelerations are caused by:

A laboring client has been in active labor for 12 hours with minimal cervical dilation despite strong contractions. The healthcare provider suspects fetal dystocia. Which of the following findings is consistent with fetal dystocia?

During delivery, the nurse recognizes signs of shoulder dystocia when the fetal head is delivered but the shoulders fail to passthrough the birth canal. Which of the following is the priority nursing intervention?

A client with a history of one previous cesarean delivery is considering a trial of labor after cesarean (TOLAC). Which of the following conditions is a contraindication for attempting TOLAC?

A nurse is preparing to assist with the induction of labor for a client at 41 weeks gestation. Which of the following medications is most commonly used to stimulate uterine contractions during labor induction?

A laboring client at 38 weeks gestation is diagnosed with chorioamnionitis. Which of the following signs and symptoms would the nurse expect to observe? (Select all that apply)

During labor, the nurse notices a sudden, prolonged fetal heart rate deceleration and sees the umbilical cord protruding from the vagina. What is the nurse’s priority intervention?

A prenatal ultrasound reveals a velamentous cord insertion. Which of the following complications should the nurse anticipate during labor and delivery?

A nurse is caring for a postpartum client who develops disseminated intravascular coagulation (DIC). Which of the following conditions is the most common cause of DIC in obstetrics?

A nurse is caring for a client scheduled for a cesarean section. Which of the following is a priority nursing action during the immediate preoperative phase?

During a cesarean section, which of the following are key nursing responsibilities for the intraoperative nurse? Select all that apply.

A nurse is caring for a client who is 2 hours postoperative from a cesarean section. Which of the following nursing actions is the highest priority during this phase?