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Nursing roles during delivery and post partum

Sheree Hannett

Created on April 2, 2026

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Nursing roles during delivery and post partum

NCLEX Questions

The nurse is caring for a client with an obstetrical history of G2P1001. The client is at 41 weeks gestation and was admitted for a labor induction with oxytocin 4 hours ago. The oxytocin was started at 2 mu per minute (mu/min) by pump. At that time, the nurse documented the following: Cervical Exam 4 cm 75% effaced -3 station with an intact bag of waters. Vital Signs: T 100.4 F (37.7), P 82, R 20, BP 130/80. FHR 120 bpm with moderate variability. The client was examined 2 hours ago and has requested and epidural for pain. As the nurse prepares to perform another vaginal exam, my client says, "I think my water just broke

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The nurse has completed a vaginal examination. The following has been documented: cervical exam 5 cm, 100% effaced, 0 station. The client has requested an epidural and the nurse has assisted the client to the bathroom in preparation for her epidural.

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The client received her epidural and is resting comfortably. The oxytocin has been increased intermittently, and is now at the rate of 10 mu/min. Contractions are occurring every 5 minutes lasting 60 to 80 seconds. FHR is 120bpm, with moderate variability.

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'The nurse is completing another client assessment of labor progress. The nurse's assessment reveals the client is 6cm, +1 station, and 100% effaced. Contractions are every 5 minutes lasting 60 seconds. She was just catheterized for 300cc The FHR is 150 bpm with moderate variability and maternal vital signs are t 100.4 F P 88 RR 18 and BP 138/76

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A client has been diagnosed with water intoxication after having received IV oxytocin for over 24 hours.

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the primary healthcare provider has ordered oxytocin for induction for 4 clients.

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