A nurse is providing care for a patient who is at 34 weeks of gestation. The nurse is reviewing the patient’s electronic medical record to develop a plan of care. Which condition is the patient 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 patient’s progress?

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 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? 

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 assessing a client who is pregnant for preeclampsia.
Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?

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 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 preparing an in-service program about preventing medication errors when transcribing a prescription.
The nurse is using a dosage example of two tenths of a milligram.

 Which of the following examples should the nurse use to show appropriate transcription of this dosage? 

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 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.

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