Practice Quiz

CNM Certified Nurse Midwife

Category - Intrapartum

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A client in labor is receiving oxytocin. The nurse midwife assesses the client and notes after uterine palpation that the contractions are uncoordinated and that only a portion of the uterus is involved. Which of the following is the priority action of the nurse midwife?
  1. Administer oxygen by face mask at 8 to 10 L/min.
  2. Position the client in the side-lying position.
  3. Stop the infusion of oxytocin.
  4. Check for a prolapsed cord.
Explanation
Answer: C - The priority action of the nurse midwife is to stop the infusion of oxytocin. The immediate goal is to reduce the uterine activity. After stopping the infusion, the client is positioned in the side-lying position, and oxygen is administered. After these initial interventions, the nurse midwife should examine the vagina for prolapsed cord.
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