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?

Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?

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 nurse is attending to a client in active labor and observes late decelerations on the fetal monitor.
What should be the nurse’s priority action?

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 is caring for a client who is receiving opioid epidural analgesia during labor.
Which of the following findings is the nurse’s priority?

A client is due to receive a subcutaneous injection of enoxaparin, 30 mg. How many mL should the nurse administer if the answer is to be rounded to the nearest tenth? (Use a leading zero if applicable.

A nurse is leading a discussion about contraception with a group of 14-year-old clients. After the presentation, a client asks the nurse which method would be best for her to use.
Which of the following responses should the nurse make?

A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.
Which of the following medications should the nurse anticipate a prescription from the provider for the client?

A nurse is caring for a client in the second stage of labor.

The nurse observes retraction of the fetal head against the maternal perineum after the fetal head is birthed.

What potential condition could the client be experiencing, what parameters should the nurse monitor to assess the client’s progress, and what actions should the nurse take?

A nurse in a prenatal clinic is caring for a client.
Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client’s right side.

 In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?