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 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 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 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 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 preparing to measure the fundal height of a client who is at 22 weeks of gestation.
At which location should the nurse expect to palpate the fundus?

A nurse has received an order to administer Morphine 5mg IV once immediately.
The available concentration is 2.5 mg/mL. How many mL of morphine should the nurse prepare for administration?

A nurse is monitoring a patient who is receiving magnesium sulfate to manage pre-eclampsia.
Which of the following observations should the nurse report to the healthcare provider?

A nurse is caring for a patient who is about to undergo a biophysical profile. The patient asks the nurse what aspects are evaluated during this test.
Which of the following should the nurse include? (Select all that apply)

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 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?