A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 19. When she was seen in the clinic at 33 weeks of gestation, she had gained 4 lbs in the first trimester. What should be the expected weight gain at this pregnancy time?

The nurse is providing sexual education to a group of high school students. What will the nurse explain is the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases?
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A 23-year-old college student has come to see the Nurse Practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva. The vaginal discharge is a greenish and strong fishy odor. With which STI are these findings consistent?

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A nurse in a clinic is caring for a client who is at 11 weeks of gestation and reports that she has had slight occasional and painless vaginal bleeding over the past 2 weeks. Following an examination by the provider, the client is told that the fetus has died and that the placenta, fetus, and tissues remain in the uterus. How should the nurse document these findings?

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level?
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A woman with severe preeclampsia has been receiving magnesium sulfate by intravenous infusion for 8 hours. The nurse assesses the woman and documents the following findings: temperature of 98.1F, pulse rate of 96 beats/min, respiratory rate of 10 breaths/min, blood pressure (BP) of 135/90 mm Hg, 1+ deep tendon reflexes, and not ankle clonus. The nurse calls the physician, anticipating an order for:
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A nurse is caring for a client who is in labor. Which of the following nursing actions reflects the application of the Gate control theory of pain?

The nurse is administering Terbutaline (Brethine) to a pregnant woman to stop preterm labor. Which finding indicates an adverse reaction and the Physician must be notified?
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The nurse is reviewing the laboratory results of a patient and notes that the patient has low levels of gonadotropin-releasing hormone (GnRH). Which physiologic process would be highly affected in the patient?

The nurse is reviewing fetal circulation with a pregnant patient and explains that blood circulates through the placenta to the fetus. What is the function of ductus arteriosus?
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