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 patient is in preterm labor at 30 weeks gestation.

Her OB orders antenatal steroids.

The order is for the nurse to administer betamethasone IM and to repeat the dose after 2 hours.

Betamethasone is available as 4mg/mL in 10 mL vials.

How many mL will the nurse draw up in the syringe for each dose?

A nurse in a healthcare provider’s office is caring for a patient who is at 34 weeks of gestation and at risk for placental abruption.

 The nurse should recognize that which of the following is the most common risk factor for abruption? 

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 receiving opioid epidural analgesia during labor.
Which of the following findings is the nurse’s priority?

As a nurse in an antepartum unit performing triage, which client should be prioritized?

A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus.
Which of the following newborn complications should the nurse recognize as the priority focus of care?

A nurse is caring for a client who is 34 weeks pregnant.

The nurse is reviewing the client’s electronic medical record to develop a care plan.

The nurse should take which of the following actions to address the condition the client is most likely experiencing, and monitor which parameters 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 preparing to administer methylergonovine IM to a client who has just had a vaginal delivery.
The nurse should inform the client that this medication is intended to prevent which of the following conditions?

A nurse midwife is examining a patient who is at 42 weeks of gestation and believes she is in labor.
Which of the following findings would confirm to the nurse that the patient is in labor?