A Primigravida Is Admitted to the Birth Setting in Early

question 23

Multiple Choice

A primigravida is admitted to the birth setting in early labor. She is 3 cm dilated, -2 station, with intact membranes and FHR of 150 bpm. Her membranes rupture spontaneously, and the FHR drops to 90 bpm with variable decelerations. The initial response from the nurse would be to:

• A) Perform a vaginal exam.
• B) Notify the physician.
• C) Place the patient in a left lateral position.
• D) Administer oxygen at 2 L per nasal cannula.

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Definitions:

Electroconvulsive Therapy

An approach to treating psychiatric conditions by electrically inducing seizures in patients as a form of relief.

Relational Psychoanalytic Therapy

A form of therapy focusing on interpersonal relationships and the impact of early relationships on mental health.

Contemporary Psychodynamic Approach

A modern iteration of psychodynamic theory emphasizing the influence of the unconscious mind and childhood experiences on behavior, but with updates to incorporate current psychological research and theories.

Object Relations Therapy

A form of psychotherapy focusing on interpersonal relations, primarily in the family of origin, and the impact those relationships have on one's current psychological state.