A nurse is caring for a patient who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads in the past 30 minutes.

The nurse suspects placenta previa.

What would be an appropriate nursing action in this situation?

A nurse is caring for a client who is 39 weeks pregnant and in active labor.

The nurse detects the fetal heart tones above the client’s umbilicus at the midline.

Which of the following positions should the nurse suspect the fetus is in?

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 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 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?

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?

50 grams of Magnesium sulfate is added to 1L of Lactated Ringers.
After giving an initial loading dose, the nurse is to infuse a maintenance dose of 2 gm/hr. What rate should the IV pump be set at?

A nurse in a hospital is caring for a client who is at 38 weeks of gestation and has a large amount of painless, bright red vaginal bleeding.

The client’s vital signs are: blood pressure 98/52 mm Hg, heart rate 118/min, respiratory rate 24/min, and temperature 36.4 C (97.6° F). The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions.

What is the priority nursing action?

A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes.

The newborn has respiratory distress syndrome.

The nurse should be aware that the most likely cause of the respiratory distress is which of the following?

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 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?