RNC-OB Domain 3: Labor and Birth

A laboring patient exhibits a sudden decrease in fetal heart rate to 70 bpm after an amniotomy. The nurse's initial action should be to:

When managing a patient with a suspected uterine rupture, what is the most critical initial intervention?

In the context of a precipitous labor, what is the nurse's primary role?

A patient in active labor with an epidural experiences a sudden onset of shortness of breath and hypotension. The nurse suspects:

During labor, a fetal heart rate monitoring shows recurrent late decelerations. The nurse's first intervention should be to:

In the case of shoulder dystocia during delivery, what is the initial maneuver the nurse should be prepared to assist with?

A patient with a known complete placenta previa is experiencing bright red, painless vaginal bleeding. The nurse's priority intervention is to:

When a laboring patient's membrane ruptures, the fluid is meconium-stained, and the fetus shows a baseline heart rate of 110 bpm with no decelerations. The nurse's next step is to:

A laboring patient presents with intense back pain and a fetus in the occiput posterior position. The most effective nursing intervention to alleviate back pain is:

For a patient with a history of a classical cesarean section, what is the recommended mode of delivery in the current pregnancy?

In the presence of a non-reassuring fetal heart rate pattern, which intervention is least likely to be beneficial?

During labor, a fetal scalp electrode reveals a fetal heart rate baseline variability of less than 5 bpm for 90 minutes. This finding indicates:

A laboring patient's cervix is dilated to 5 cm, and she has intense, painful contractions every 1-2 minutes. However, there is no cervical change after 2 hours. The next best step is to:

A patient in labor has a uterine scar from a previous myomectomy. Which of the following is the most appropriate monitoring strategy?

During a vaginal delivery, the nurse notices a loop of umbilical cord protruding from the vagina. The nurse's immediate action should be to:

For a patient experiencing a postpartum hemorrhage due to uterine atony, which medication is least likely to be effective?

When managing a patient with a suspected vasa previa, what is the most critical initial intervention?

A patient in labor has a sudden onset of intense abdominal pain, vaginal bleeding, and a tense, tender uterus. These symptoms most likely indicate:

In the case of a fetal bradycardia noted during labor, what is the first step in intrauterine resuscitative measures?

A laboring patient with a known low-lying placenta experiences sudden, painless, bright red vaginal bleeding. What is the most appropriate nursing action?

A patient in the second stage of labor with an epidural reports a sudden, severe headache and blurred vision. The nurse should first:

When assessing a laboring patient, the nurse finds the fetal heart rate baseline to be 180 bpm with no decelerations. The most appropriate next step is to:

In managing a patient with suspected chorioamnionitis, which intervention is not typically recommended?

A patient in labor is noted to have a uterine tachysystole with a pattern of more than five contractions in 10 minutes over two consecutive 10-minute windows. The initial nursing intervention is to:

A laboring patient's fetal monitoring indicates a sinusoidal heart rate pattern. The nurse understands this pattern is most commonly associated with:

In a patient experiencing a prolonged deceleration during labor, the nurse's priority intervention is to:

A patient with a known opioid dependency is in labor. The nurse should be particularly vigilant for:

When caring for a patient with polyhydramnios, the nurse is aware that there is an increased risk of:

During labor induction with misoprostol, the nurse should closely monitor for:

A nurse observes variable decelerations on the fetal monitor. The first intervention should be to: