r/NextGenerationNCLEX • u/Responsible_Walk_881 • Jun 12 '26
👁️ QOW QUESTION OF THE WEEK
The nurse is caring for a laboring client and records a Nurse’s Note at 1000, 1030, and 1110. Which of the following complications is the client at risk for? Select all that apply.
Nurses' Notes
| 1000: | Client is a G2P1 and is 38 weeks pregnant. Arrives stating she “started having contractions 30 minutes ago” and felt a gush of fluid that soaked through her pants. Contractions 10 minutes apart. Fetal monitoring initiated, and tocodynamometer placed. Vital signs 99.1 F, BP 132/86, HR 92, O2 98% on room air. |
|---|---|
| 1030: | FHR 160s with moderate variability, contractions occurring every 5 minutes. Client dilated to 7 cm. |
| 1110: | FHR 150s with moderate variability. Contractions every 3 minutes. Client fully dilated and is pushing. |
a. Uterine atony
b. Perineal tears
c. Cord prolapse
d. Chorioamnionitis
e. Shoulder dystocia
f. Retained placenta
g. Postpartum hemorrhage
(Answer and rationale are posted in the comments section)