A nurse in labor and delivery is caring for a client. Following the delivery of the placenta, the nurse examines the umbilical cord.
Which of the following vessels should the nurse expect to observe in the umbilical cord?

A nurse is caring for a client who is in active labor and notes late decelerations in the FHR.
Which of the following actions should the nurse take first?

A nurse is attending to a patient in labor who has received an epidural anesthesia block. The patient’s blood pressure reads 80/40 mm Hg and the fetal heart rate is 140/min.
What should be the nurse’s immediate course of action?

A nurse is caring for a client who is in the second stage of labor. The nurse observes retraction of the fetal head against the maternal perineum as the head is birthed.
Which condition is the client most likely experiencing?

A 28-year-old female client is in the second stage of labor in the maternity ward.

A nurse is caring for a client who is in the second stage of labor. The nurse observes retraction of the fetal head against the maternal perineum.

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.

A woman’s obstetric history indicates that she is pregnant for the fourth time and all of her children from previous pregnancies are living.

One was born at 39 weeks of gestation, twins were born at 34 weeks of gestation, and another child was born at 35 weeks of gestation.

What is her gravidity and parity using the GTPAL System?

A nurse is attending to a first-time pregnant woman who is at term.

She is experiencing contractions but is unsure if she is in labor.

Which of the following should the nurse identify as a labor sign?

A nurse is caring for a client who is in labor and has an external fetal monitor.
The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

A nurse in a prenatal clinic is caring for a pregnant client who inquires about her estimated date of birth (EDB). If the client’s last menstrual period started on July 27, what would be the client’s EDB? (Provide the date in MMDD format.

For example, July 27 is 0727) .

A nurse is caring for a client who is at 34 weeks of gestation.

The client is a 41-year-old Gravida 4 Para 3 with a history of gestational diabetes, eclampsia with a previous pregnancy, and chronic hypertension for 5 years.

The client was admitted to the antepartum unit from the provider’s office with elevated blood pressure, 3+ edema in the lower extremities, and 3+ proteinuria.

What condition is the client most likely experiencing, what are two actions the nurse should take to address that condition, and what are two parameters the nurse should monitor to assess the client’s progress?

A patient’s lab results are as follows: BUN level is 8 mg/dL, Hemoglobin is 15 g/dL, Hematocrit is 47%, WBC count is 9,000/mm, Platelet count is 140,000/mm, Creatinine is 1.3 mg/dL, Bilirubin is 20 mg/dL, Aspartate aminotransferase (AST) is 36 units/L, and Alanine aminotransferase (ALT) is 40 units/L. What actions should be taken?