A client is in active labor.

Checking the EFM tracing, the nurse notes variables that are abnormal.

What would be the nurse's first nursing intervention?

A client who is 4 months pregnant is at the prenatal clinic for her initial visit.

Her history reveals she has 7-year-old twins who were born at 34 weeks' gestation, a 2-year-old son born at 39 weeks' gestation, and a spontaneous abortion (miscarriage) 1 year ago at 6 weeks' gestation.

Using the GTPAL method, the nurse would document her obstetric history as:.

The pharmacy sends a bag of 150 mLs of D5W/0.456 normal saline with 25 units of Regular Insulin.

The patient is ordered to receive an insulin drip at a rate of 9 units/hour.

What rate will you set the IV pump to deliver? Numeric values only.

A pregnant woman with diabetes at 10 weeks' gestation has a glycosylated hemoglobin (HbA1c) level of 13%. At this time the nurse should be most concerned about which possible fetal outcome?.

A nurse is providing care to a client in labor.

A pelvic exam reveals a vertex presentation with the presenting part tilted toward the left side of the mother's pelvis and directed toward the anterior portion of the pelvis.

When developing this client's plan of care, which intervention would the nurse include?

During a follow-up prenatal visit, a pregnant woman asks the nurse, "How long do you think I will be in labor?" Which response by the nurse would be most appropriate?.

A nurse is preparing a presentation for a group of pregnant women about the labor experience.
Which factors would the nurse include when discussing measures to promote coping for a positive labor experience? Select all that apply.

Assessment of a woman in labor reveals that the fetus is in a cephalic presentation and engagement has occurred.
The nurse interprets this finding to indicate that the presenting part is at which station?.

The nurse is counseling a couple who suspect that they could bear a child with a genetic abnormality.
What would be most important for the nurse to do when working with this family?.

While waiting for the placenta to deliver during the third stage of labor, the nurse must assess the new mother's vital signs every 15 minutes.
What sign would indicate impending shock?.

Your patient is receiving Heparin via a continuous IV infusion at a rate of 1600 units per hour.

The bag is labeled N/S 500 mLs and contains Heparin 40,000 units.

What rate should the IV pump be set at to deliver this ordered amount of Heparin? mLs/hr.