Reflection Questions
1. A new labor and delivery unit is opening. The nurse has been asked what the unit can do to support nonpharmacologic techniques for pain management in labor. What does the nurse recommend? 2. Describe what a doula is and…
Check Your Understanding Questions
1. Explain how the nurse can support the laboring person who wants to walk during labor. 2. How should the nurse explain how the patient can use aromatherapy? 3. The laboring person is holding their breath during contractions. What breathing…
Review Questions
1. The laboring person is in pain and very anxious. They do not want to use traditional pain relief methods. What can the nurse offer the laboring person to help with relaxation and reducing anxiety? 2. What technique, usually reserved…
Key Terms
acupressurepractice of stimulating or putting pressure on specific areas of the bodyaromatherapyuse of essential oils to aid in relaxationbiofeedbackmind-body practice where a sensor monitors different pain reactions in the body while the person uses techniques to control those reactions.counter pressureact…
Competency-Based Assessments
1. A fetal monitor strip shows a baseline FHR of 135 bpm. How would you explain the significance of this baseline to a nursing colleague, and what factors might influence variations in the FHR baseline? 2. As a clinical nurse,…
What Should the Nurse Do?
Jinmei, a 28-year-old pregnant female at 36 weeks’ gestation, presents to the labor and delivery unit with complaints of abdominal discomfort and irregular contractions. She is a gravida 2, para 1, with a history of a vaginal delivery. Jinmei reports…
Reflection Questions
1. What type of FHR tracing would prompt the nurse to contact the health-care provider? 2. What would the nurse expect to see on the fetal monitor strip after discovering the laboring person has a fever? 3. Describe the following…
Check Your Understanding Questions
1. What do the FHR baseline characteristics tell the nurse about fetal oxygenation? 2. What types of decelerations are caused by cord compression? 3. Describe the periodic changes in this monitor strip. Are they reassuring or nonreassuring? Copyright Rice University,…
Review Questions
1. What is a FHR that falls within the normal baseline? 2. What periodic change in the FHR baseline is associated with fetal hypoxia? 3. What is a reassuring pattern a nurse would see on an FHR tracing? 4. What…
Key Terms
absent FHR variabilitylack of FHR baseline fluctuationaccelerationsabrupt increases in the FHR above the baseline 15 bpm or more lasting 15 seconds or morebradycardiaFHR baseline less than 110 bpm lasting greater than 10 minutescontraction frequencyhow often the contractions are occurring, determined…