🚦 Labor Flow

Froggy Jumps

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Pregnancy emergencies scenarios.

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RNPRPEPBESTIE

United States

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🚦 Labor Flow


Froggy Jumps 🚦 Labor FlowOnline version Pregnancy emergencies scenarios. by RNPRPEPBESTIE 1 A 35-week client reports new vaginal bleeding and pelvic pressure. No pain. Abdomen soft. FHR reassuring. Chart shows prior ultrasound noting placenta near cervical os. What is the nurse’s best initial action? a Start oxytocin to progress labor b Place patient on bedrest and notify provider c Prepare for vaginal exam to assess dilation 2 A laboring client reports sudden severe abdominal pain and nausea. Uterus is firm between contractions. Dark vaginal bleeding noted. FHR shows tachycardia with minimal variability. Which finding should the nurse prioritize? a Fetal heart rate tachycardia b Rigid uterus between contractions c Dark vaginal bleeding 3 A client with preeclampsia reports a severe headache and visual changes. BP is 168/112. Reflexes are brisk with clonus. FHR is reassuring. What is the nurse’s best initial action? a Initiate seizure precautions and prepare magnesium sulfate b Administer IV antihypertensive c Place client in left lateral position 4 A client receiving oxytocin has contractions every 1–2 minutes. FHR tracing shows recurrent late decelerations with minimal variability. Cervix unchanged for 2 hours. What is the nurse’s best initial action? a Increase oxytocin to improve labor progress b Stop oxytocin and begin intrauterine resuscitation c Prepare the client for operative delivery 5 A postpartum client reports right upper abdominal pain and nausea. BP remains elevated. Labs show ↓ platelets and ↑ AST/ALT. Bleeding is minimal. Which finding most strongly drives the nurse’s concern? a Persistent hypertension b Elevated liver enzymes with low platelets c Mild postpartum bleeding 6 A client on magnesium sulfate becomes drowsy. RR is 10/min, reflexes are absent, urine output has slowed. FHR remains reassuring. What is the nurse’s best initial action? a Reposition client and reassess in 15 minutes b Stop magnesium and notify provider immediately c Reduce the magnesium infusion rate 7 A laboring client at 7 cm says, “I feel constant pressure and need to push.” FHR is reassuring. Contractions are strong and regular. What is the nurse’s best response? a Prepare for imminent delivery b Discourage pushing and coach breathing techniques c Encourage pushing with contractions 8 A client receiving magnesium sulfate has RR 12/min and diminished reflexes. Urine output is borderline. Which assessment finding would require immediate action? a Respiratory rate dropping to 8/min b Client reporting warmth and flushing c Fetal heart rate variability decreasing 9 During labor, FHR shows late decelerations that resolve with position change and IV fluids. Variability remains moderate. What is the nurse’s next best action? a Restart oxytocin at a lower dose b Prepare for emergency cesarean delivery c Continue close monitoring and reassessment 10 After rupture of membranes, a laboring client reports sudden vaginal pressure. FHR shows prolonged decelerations. On exam, the nurse feels a pulsating structure. What is the nurse’s priority action? a Apply oxygen and continue monitoring b Elevate presenting part and call for help c Prepare for vaginal delivery

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🚦 Labor Flow

Froggy Jumps

About this activity

Created by

Download the paper version to play

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Froggy Jumps

🚦 Labor FlowOnline version

by RNPRPEPBESTIE

A 35-week client reports new vaginal bleeding and pelvic pressure. No pain. Abdomen soft. FHR reassuring. Chart shows prior ultrasound noting placenta near cervical os. What is the nurse’s best initial action?

A laboring client reports sudden severe abdominal pain and nausea. Uterus is firm between contractions. Dark vaginal bleeding noted. FHR shows tachycardia with minimal variability. Which finding should the nurse prioritize?

A client with preeclampsia reports a severe headache and visual changes. BP is 168/112. Reflexes are brisk with clonus. FHR is reassuring. What is the nurse’s best initial action?

A client receiving oxytocin has contractions every 1–2 minutes. FHR tracing shows recurrent late decelerations with minimal variability. Cervix unchanged for 2 hours. What is the nurse’s best initial action?

A postpartum client reports right upper abdominal pain and nausea. BP remains elevated. Labs show ↓ platelets and ↑ AST/ALT. Bleeding is minimal. Which finding most strongly drives the nurse’s concern?

A client on magnesium sulfate becomes drowsy. RR is 10/min, reflexes are absent, urine output has slowed. FHR remains reassuring. What is the nurse’s best initial action?

A laboring client at 7 cm says, “I feel constant pressure and need to push.” FHR is reassuring. Contractions are strong and regular. What is the nurse’s best response?

A client receiving magnesium sulfate has RR 12/min and diminished reflexes. Urine output is borderline. Which assessment finding would require immediate action?

During labor, FHR shows late decelerations that resolve with position change and IV fluids. Variability remains moderate. What is the nurse’s next best action?

After rupture of membranes, a laboring client reports sudden vaginal pressure. FHR shows prolonged decelerations. On exam, the nurse feels a pulsating structure. What is the nurse’s priority action?