A nurse in a prenatal clinic is reviewing the medical record of a client who is at 28 weeks of gestation. The client's history reveals one pregnancy terminated by elective abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks of gestation. According to the GTPAL system, which of the following describes her present parity?

For problems involving adult patients, the answer will be rounded to the nearest tenth. Although some IV pumps do not allow calibration to the tenth or hundredth, for the purpose of this exam, IV rate calculations will be rounded to the nearest whole drop (gt/min) or to the nearest whole number IV (ml/hr). To promote safety, a zero must be placed to the left of the decimal point in answers that are less than one. No zero is allowed to the right of the decimal point in answers that are whole numbers. For example, 0.5 mg must be answered as 0.5 mg and 5.0 mg must be answered as 5 mg.

The physician orders: Magnesium 4 gms loading dose to infuse over 30 minutes at 0500. Then infuse a maintenance dose of 1 gram /hr. The pharmacy sends 80 Gms in 1000 mL of LR. What would the nurse set the pump for the loading dose at 5 Am? Be sure to enter the number AND the unit of measurement (mL). Partial credit will not be given.

A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis. The client needs an amniocentesis to determine which of the following findings?

A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light flutering in her stomach the previous day. The nurse should use which of the following terms to document this finding?

A nurse is caring for a client who is at 34 weeks of gestation and has a suspected placenta previa. Which of the following actions should the nurse take?

A nurse is caring for a client who has just learned that she is pregnant. The nurse should reinforce with the client to call her provider if she experiences which of the following manifestations?

For problems involving adult patients, the answer will be rounded to the nearest tenth. Although some IV pumps do not allow calibration to the tenth or hundredth, for the purpose of this exam, IV rate calculations will be rounded to the nearest whole drop (gt/min) or to the nearest whole number IV (ml/hr). To promote safety, a zero must be placed to the left of the decimal point in answers that are less than one. No zero is allowed to the right of the decimal point in answers that are whole numbers. For example, 0.5 mg must be answered as 0.5 mg and 5.0 mg must be answered as 5 mg.

The client in labor has oxytocin (Pitocin) infusing at 15 mu/minute. She has 20 units of Pitocin in 1000 mL of Normal Saline IV solution. If this client is receiving 15 mu/min, then how many mL/hr would her IV infusion pump be set at? Be sure to enter the number AND the unit of measurement (mL). Partial credit will not be given.

A nurse is speaking on the phone to a client who is pregnant and taking iron supplements for iron-deficiency anemia. The client reports that her stools are black but she has no abdominal pain or cramping. Which of the following responses by the nurse is appropriate?

A nurse is reinforcing teaching with a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which of the following statements by the client indicates a need for further teaching?

For problems involving adult patients, the answer will be rounded to the nearest tenth. Although some IV pumps do not allow calibration to the tenth or hundredth, for the purpose of this exam, IV rate calculations will be rounded to the nearest whole drop (gt/min) or to the nearest whole number IV (ml/hr). To promote safety, a zero must be placed to the left of the decimal point in answers that are less than one. No zero is allowed to the right of the decimal point in answers that are whole numbers. For example, 0.5 mg must be answered as 0.5 mg and 5 mg must be answered as 5 mg. A nurse is calculating the protein needs of a client who is a physical trainer. The client weighs 220 lb and requires an increase of protein by 20 g/kg/day. The client has taken 0.8 g of protein/kg/day in the past. How much total protein/day should the nurse recommend? Be sure to enter the number AND the unit of measurement (g). Partial credit will not be given.

A nurse is reinforcing teaching with a client at her first prenatal visit about expected changes during gestation. (Arrange the steps in order, placing them in the selected order of occurrence from earliest to latest in gestation. Use all the steps.)