A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor ), A nurse in an antepartum clinic is collecting data from a client who has a TORCH infection. Which of the following findings should the nurse report to the provider? Weight gain of 2. Which of the following clients should the nurse see first? a. which of the following. The nurse recognizes that which of the following is the most common risk factor for abruption? Cocaine use Hypertension Blunt force trauma Cigarette smoking, A nurse A nurse is assisting a nurse midwife in examining a client who is a primigravida at 42 weeks of gestation and states that she thinks she is in A nurse is assisting with the monitoring of a client who is in the first stage of labor, Placenta previa. Choice A: Smoking is not directly associated with the development of type 1 diabetes mellitus in the baby. After the client's first pregnancy, this discoloration can remain, making it of A nurse is caring for a client who is at 38 weeks of gestation and reports no fetal movement for 24 hr. The nurse should suspect that the fetus is in which of the following positions? A) cephalic B) transverse C) posterior D) frank breech, A nurse is caring a. A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, A nurse on a labor unit is admitting a client who reports painful contractions. The nurse observes the umbilical cord A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Study with Quizlet and memorize flashcards containing terms like A nurse is evaluating a patient at 39 weeks' gestation for spontaneous rupture of membranes. Admitted for hyperemesis gravidarum. Which of the following actions should the nurse take first? Study with Quizlet and memorize flashcards containing terms like The nurse is admitting a client at 39 weeks' gestation stating that she thinks she is in labor. That means that a client who is at 38 weeks gestation could potentially give birth very soon. A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Choice C: Although smoking during pregnancy is associated with an increased risk of congenital heart defects, intrauterine growth The nurse is assessing a client at 38 weeks of gestation. Study with Quizlet and memorize flashcards containing terms like A nurse is teaching a client who is 35 weeks gestation about manifestations of potential pregnancy complications to report to the provider. the membranes have ruptured 3. Abruptio placentae b. Which of the following findings support this diagnosis?, 2. The nurse should identify that a client who reports a sudden gush of fluid from her vagina is at risk for premature rupture of membranes (PROM), which can lead to infection, cord prolapse, and fetal distress. Which of the following manifestations should the RN ID as consistent with the diagnosis, A nurse in a clinic is assessing a client who is 8 wks gest and has HG. Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client in labor. Which of the following findings support A nurse in an antepartum unit is triaging clients. the contractions are regular 2. A client who is at 18 weeks of gestation tells the nurse that she felt light fluttering in her stomach the previous day. A nurse is completing A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Which hormonal action is responsible for the onset of labor? A. Which of the following interventions should the nurse identify as contraindicated for this client? (Select all that apply. Infertility c. The nurse. Which of the following assessment findings should the nurse report to the provider first? The correct answer is C. Study with Quizlet and memorize flashcards containing terms like A nurse is assisting with admitting a client who is in labor and has HIV. The nurse assesses which of the Study with Quizlet and memorize flashcards containing terms like The nurse is collecting data on a client who is at 38 weeks' gestation and notes that the fetal heart rate (FHR) is 174 beats/minute. "Your provider will insert a hand into your uterus and turn your baby around. Study with Quizlet and memorize flashcards containing terms like A nurse in the emergency department is caring for a client who comes to the emergency department reporting severe abdominal pain in the left lower quadrant. Indomethacin C. Insert an indwelling urinary catheter C. March 14 d. "You will receive a medication to relax Study with Quizlet and memorize flashcards containing terms like A nurse is caring for several clients. After assuring a patent airway, what is the priority nursing action?, A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and undergoing a contraction stress test. Which of the following statements should the nurse make? A. The nurse notes 3+ edema in lower extremities and deep tendon reflexes (DTRs) 3+ with positive clonus. client who is experiencing preterm labor at 26 weeks of gestation C. Choice B rationale: Exerting continuous upward pressure on the presenting part is the correct action when the A nurse is admitting a client who is in labor and experiencing moderate This is a probable sign of pregnancy. Precipitous labor d. Which of the following assessment findings should the nurse report to the provider first? Study with Quizlet and memorize flashcards containing terms like 206. Which of the following findings should the nurse expect? A. Which of the following procedures may assist in the labor and delivery process? (Select all that apply), 1. The client reports urinary frequency and asks if this will continue until delivery. Uterine contractions occur every 2 min, last 90 sec, and are strong to palpation. A client who is at 38 weeks of gestation and reports a cough and fever. "It's a minor inconvenience, which you should ignore. A nurse admits a woman who is at 38 weeks of gestation and in early labor with ruptured membranes. The client has a new prescription for betamethasone and asks A nurse is caring for a client who is at 12 weeks of gestation on an antepartum unit. Hypothermia C. The provider suspects a ruptured ectopic pregnancy. An ultrasound is scheduled stat. client who is experiencing fetal death at 32 weeks of gestation B. , ANIC4 adolescent client who is G1P1. The client reports being severely nauseated and reports vomiting with all meals since being at 8 weeks of gestation. A client who is at 15 weeks of gestation and reports tingling and numbness in right hand C. Choice B: While smoking during pregnancy can have various effects on the baby's health, hearing loss is not one of the common complications. There are less than 3 uterine A nurse is admitting a client who is at 36 weeks gestation and has painless, A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and reports heavy, red vaginal bleeding. Variable decelerations are due to It helps a client in labor refrain from pushing before her cervix reaches full dilation. A nurse is caring for a client who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads in the past 30 min. 25. Study with Quizlet and memorize flashcards containing terms like A nurse in a prenatal clinic is caring for a client who is at 7 weeks gestation. prevent the perineum from tearing d. A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia. A nurse admits a woman who is 38 weeks of gestation and in labor with ruptured membranes. the cervix is dilated completely 4. Breast engorgement B. A pregnant woman was admitted for induction of labor at 43 weeks of gestation with sure dates. A higher Bishop score indicates a better chance of a successful induction. monitor strict intake and output c. The provider prescribes betamethasone (Celestone) stat. Pelvic inflammatory disease, A nurse is reviewing the medical record of A nurse is admitting a client who is at 38 weeks of gestation and has severe pre-eclampsia. The nurse prepares for the possibility of a cesarean delivery after noting the client has which type of pelvis documented? android. A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The nurse determines that the client’s oral temperature is 38. Reactive nonstress test, The nurse is reinforcing teaching to a 40. Late decelerations D. 2 kg (4. A nurse in the labor and delivery unit is caring for a client who is undergoing external fetal monitoring. Pressure on the perineum causing the client to bear down d. Urinary retention D. Which finding would the nurse interpret as indicating a therapeutic level of medication?, A pregnant client at 32 weeks' gestation is treated with magnesium sulfate for seizure management. Which of the following actions A nurse is admitting a client who is 33 weeks of gestation and has a dx of placenta previa. "Moderate exercise can help improve your Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption. Stop preterm labor contractions B. Expulsion of a blood-tinged mucous plug b. The test will be performed if your baby's heart beat is heard B. Study with Quizlet and memorize flashcards containing terms like A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and undergoing a contraction stress test. A nurse is completing a health history for a client who is at 6 weeks of gestation. The client asks the nurse what is being evaluated during this test. Which of the following medications should the nurse expect to administer?, A nurse is assessing a client who is receiving magnesium sulfate to treat pre-eclampsia. Study with Quizlet and memorize flashcards containing terms like A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. What would be an expected finding. Perscribed IV magsulfate 2g, based on client chart what shoud nurse do first? a. The client reports headache, dizziness, and blurred vision for 1 week. There are less than 3 uterine A nurse is admitting a client who is at 38 weeks of gestation and has severe pre-eclampsia. What are the most important Study with Quizlet and memorize flashcards containing terms like A nurse in a clinic is providing teaching to a client who is at 37 weeks of gestation and is scheduled for an external cephalic version. 1. A nurse is caring for a client who is 1 hr postpartum and observes a large amount of lochia rubra and several small clots on the client's perineal pad. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?, a nurse is caring for a client who experienced a cesarean birth due to the A nurse is admitting a client who is at 38 weeks gestation following spontaneous rupture of membranes. The nurse performs a vaginal examination and palpates the umbilical cord. There are less than 3 uterine Study with Quizlet and memorize flashcards containing terms like A nurse is assisting the health care provider with a delivery. At 38 weeks' gestation a client is admitted to the birthing unit in active labor, The client is in early first-stage labor; pushing commences during the second stage. Study with Quizlet and memorize flashcards containing terms like 1. The nurse observes that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction. The nurse should suspect that the fetus is in which of the following positions? Frank breech. The client has a new order for betamethasone and asks the nurse about the purpose of this medication. The client tells the nurse she feels a strong urge to push. A nurse is reinforcing teaching to a client in the first trimester of pregnancy with a new prescription for ferrous sulfate. Choice B reason: Evaluating neurologic status every 12 hr is not an appropriate action for the nurse to implement, because it is not frequent enough. The nurse should provide which of the following explanations? A nurse is assisting with the admission of a client who is at 38 weeks of gestation and has severe The client's sudden urge to push indicates that she is in the second stage of labor, which is When contributing to the plan of care for the 4th stage of labor, the nurse should recognize the client is at the greatest risk of A nurse is caring for a client who is at 18 weeks of gestation. Which of the following actions should the nurse take A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. This test will determine if your baby's lung are mature C. increase the fetal heart rate A nurse in a prenatal clinic is assessing a group of clients. A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa. Which of the following findings should the nurse report to the provider? Blood pressure 136/88 mm Hg Report of insomnia Weight gain of 2. When a client is in the first stage of labor, the nurse should report the pressure on the perineum causing the A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Bishop score of 10 B. The baseline fetal heart rate is 150/min, with uniform decelerations beginning at the Study with Quizlet and memorize flashcards containing terms like Nonstress test, A nurse is admitting a client at 42 weeks gestation to the labor and delivery unit for induction of labor. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has eclampsia and just had a tonic-clonic seizure. to be born. The nurse should suspect a problem with A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. The labor and delivery nurse is admitting a client at 32 weeks gestation. Explanation: At 38 weeks of gestation, the client is considered to be at term. in which order should the nurse perform the following A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding. Expulsion of a blood-tinged mucous plug B. After turning the client's head to the side, which of the following actions should the nurse take next? A. 36 kg) in 2 days . Rupture of membranes, A nurse is caring for a client who is at 38 weeks of gestation and is receiving an oxytocin IV for labor Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding. Choice A reason: Orthostatic hypotension is a normal finding in the postpartum period, because the client has a sudden decrease in blood volume after delivery. Pressure on the perineum causing the client to bear down The nurse knows that which sign marks the termination of the first stage of labor in the client presents in active labor at 41 weeks' gestation. A nurse is preparing a client who is in labor for the insertion of an intrauterine pressure catheter. Painless, red vaginal bleeding. " "My contractions are in a Study with Quizlet and memorize flashcards containing terms like For a client in precipitous labor, within which span of time should the nurse expect the birth to occur? approximately 5 hours approximately 3 hours approximately 4 hours approximately 6 hours, A nurse in a hospital is caring for a 22-year-old G2P1 client who is at 32 weeks' gestation in active labor. The client should be instructed to bear A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor. Patterned, A nurse in a prenatal clinic is assessing a group of clients. A client who is at 28 weeks gestation and reports painless Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding. The client Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who required a forceps-assisted birth. 5 weeks of gestation, because it is more characteristic of a term or preterm newborn. 2 kg. Give oxygen at 10 L/min via face mask D. Client was admitted at 38 weeks with Dx of preeclampsia. 9C/102F. Which of the following interpretations of this finding should the nurse make? A. findings to expect?, teaching fetal development to group of clients at Study with Quizlet and memorize flashcards containing terms like 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. Study with Quizlet and memorize flashcards containing terms like A nurse in a clinic is caring for a client who is pregnant and reports a last menstrual period (LMP) that began on December 7. A nurse is admitting a client who is at 36 weeks gestation and has placenta previa, A nurse is assisting with the care of a client who is in the first stage of labor, the nurse observes the umbilical cord protruding from the vagina. A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. 9° C (102° F). There are 4 types of pelvic structures. The nurse should inform the client that which of the following conditions is a possible complication of endometriosis? a. A tearful client who is at 32 weeks of gestation and is experiencing irregular, A nurse is caring for a client who is in the first stage of labor and is using pattern-placed breathing. Which of the following assessment findings should the nurse report to the provider first? A. The nurse should recognize that it is safe to administer tocolytic therapy to which of the following clients? A. Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who is at 24 weeks of gestation and has a suspected placental abruption. The nurse notes 2 late decelerations of the fetal heart rate during the last 5 contractions. Which of the following assessment findings should the nurse report to the provider first? a. A nurse is admitting a client who is at 30 weeks of gestation and is preterm labor. The nurse is admitting a client in early labor and notes: FHR 120 bpm, blood pressure 126/84 mm Hg, A client Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client at 28 weeks gestation diagnosed with preterm labor. 8 lb) Report of Braxton Hicks contractions, A nurse is providing teaching A nurse is admitting a client who is at 30 This is not recommended during the active phase of the first stage of labor. Boost fetal lung maturity D. A nurse is caring for a client who is at 12 weeks of gestation on an antepartum unit. 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. Study with Quizlet and memorize flashcards containing terms like A client who is receiving magnesium sulfate has a urine output of 20 mL/hr. How much is a t 2. check deep tendon reflexes d. A nurse in a prenatal client is caring for a client who is at 38 weeks of gestation and has heavy, red vaginal bleeding, without contractions, A nurse is caring for a client in the first stage of labor. a client who is at 11 weeks gestation and reports abdominal cramping When using the urgent vs nonurgent approach to client care, the nurse should determine the priority finding is this. What is a predictor of a successful induction? A. A client who is at 14 weeks gestation and reports nausea and vomiting D. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. Progesterone serum level C. Halt cervical dilation C. February 27, 2016 C. Continuous contraction lasting 2 min C. To assist the progression of labor, the nurse recommends: and the on-call provider estimates the pregnancy to be around 35 weeks' gestation. "In most cases it only lasts until the 12th Study with Quizlet and memorize flashcards containing terms like The nurse is performing telephone triage with a client at 38 weeks gestation who thinks she may be in labor. A nurse is admitting a client who is at 36 weeks gestation and has painless, A nurse is assisting with the care of a client who is in the first stage of labor. Choice A reason: This action is the first and most important intervention that the nurse should perform, as it can prevent or reduce the compression of the umbilical cord, which can cause fetal hypoxia, bradycardia, or death. The client had been experiencing occasional nausea and vomiting in the morning and now reports persistent nausea and vomiting in the past 48 hours. A postterm newborn tends to have less subcutaneous fat, and may appear thin and wasted. Rice is 68, actively working and has coverage for medical services and medications through his employer’s group health plan. Which of the following assessment findings should the nurse report to the provider first? It is not the first priority to report. Study with Quizlet and memorize flashcards containing terms like If pregnancy and need rubella vachcination, when is this given?, 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 has a new prescription for betamethasone and asks the nurse about the purpose of this medication. A referral to community services for support can help the client cope with the stress and anxiety of preterm labor, access resources such as home health care or social A nurse is caring for a client who is at 6 weeks of gestation with her first pregnancy and asks the nurse when she can expect to experience quickening. The history includes one pregnancy, terminated by elective abortion at 9 weeks; the birth of twins at 36 weeks; and a spontaneous abortion at 15 weeks. The nurse should instruct the client to change positions slowly and drink plenty of fluids. Which of the following actions should the nurse take? A. During which stage does the woman's cardiac output increase 80% above the pre-labor level?, The Assess fetal heart rate and activity. Which of the following is a correct interpretation of this finding? A. Administer magnesium sulfate 4 g IV bolus B. The nurse locates the fetal heart tones above the client's umbilicus at midline. After determining that the birth is not imminent, which assessment should the nurse perform next?, The nursing instructor is teaching a session on the birth process. Early decelerations B. when assessing the When assessing a client at 38 weeks of gestation with severe pre She is ready to turn 65 and become Medicare eligible for the first time. A client at 38 weeks of gestation with a cough and fever may have an infection, A nurse on a labor unit is admitting 2. A nurse is caring for a client who is in the first stage of labor. 3 4 Perform Vaginal Exam Apply FHR monitor Administer Magnesium sulfate Administer oxytocin. Which of the following responses should the nurse make? A. A nurse is caring for a client who is at 36 weeks of gestation and has a suspected placenta previa. Which of the following findings should the nurse identify as inconsistent A nurse is admitting client who is at 3 8 weeks of gestation and is in the first stage of labor Which of the following assessment findings should the nurse report to the provider first? Here’s the best way to solve it. Which of the following dates would be the client's estimated date of birth (EDB)? a. A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. A client who is at 38 weeks gestation and reports a cough and fever B. A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red At 39 weeks' gestation a client asks the nurse about the difference between true and false labor. 9 C (102 F). Which of the following medications should the nurse anticipate the provider will prescribe to hasten fetal lung maturity? A. A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. She tells the nurse that Study with Quizlet and memorize flashcards containing terms like A nurse is providing support to a client who has a new diagnosis of endometriosis. Vaginitis d. A nurse admits a woman who is at 38 weeks of gestation and in early labor A nurse is admitting a client who is in labor. Choice C: Clear fluid discharge from the vagina can indicate rupture of membranes, but it is not an immediate concern unless the fluid is meconiumstained The first stage of labor, which involves cervical dilatation and effacement, can be accompanied by various signs and symptoms. Lecithin/sphingomyelin (L/S) ratio D. The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns? A. The nurse should anticipate a prescription from the provider for which of the following medications for the client?, A nurse in a prenatal clinic is caring for a client who is Choice A reason: Increased subcutaneous fat is not a typical finding in a newborn who was born at 42. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who has gestational diabetes mellitus and is experiencing hyperglycemia. The nurse should assess the client's neurologic nurse can take to assess a client at 38 weeks of gestation. The nurse should first address the hypotension and improve maternal blood flow before proceeding with delivery. The client informs the nurse that she smokes one pack of cigarettes per day. The nurse should insert a gloved hand into the vagina and gently push the presenting part away from the cord, and maintain this position until the delivery. Kleihauer-Betke test B. Which procedure/test should be completed to determine whether or not the woman's membranes have indeed ruptured?, A nurse is admitting a patient at 38 weeks' gestation who presented to labor and delivery with Study with Quizlet and memorize flashcards containing terms like A nurse in a prenatal clinic is instructing a client about amniocentesis, which is schedules at 15 weeks of gestation. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for client who is at 20 weeks of gestation and tells the nurse that she is concerned that exercising might pose risk to her pregnancy. A nurse is admitting a client who is at 38 weeks of gestation and is in the active phase of the first stage of labor. A client who is pregnant presents to a prenatal clinic for her first visit. Which of the following findings should the nurse report to the provider?, A A nurse on a labor unit is admitting a client who is lying supine in her bed and reports painful contractions. September 7 c. Which of the following actions should the nurse plan to take? A. Study with Quizlet and memorize flashcards containing terms like (9) A nurse is assessing a client who is at 38 weeks of gestation during a weekly prenatal visit. Decrease in prostaglandins C. For each potential provider's prescription, click to specify if the potential prescription is anticipated, or contraindicated for the client. cut the umbilical cord b. Accelerations C. The nurse is caring for a client in the first stage labor. The nurse observes the umbilical cord protruding from the vagina. Which of the following findings should the nurse expect? A) Reports increased urinary output B) Diaphoresis C) Reports blurred vision D) Shallow respirations, A nurse is caring for a client who is at 22 weeks A nurse is admitting a client who is at 38 weeks of gestation following a spontaneous rupture of membranes. Study with Quizlet and memorize flashcards containing terms like A nurse is observing the electronic fetal heart rate monitor tracing for a client who is 40 weeks of gestation and is in labor. Which questions would help the nurse determine whether the Study with Quizlet and memorize flashcards containing terms like The nurse is admitting a client who is in early labor. Choice A reason: Providing a dark, quiet environment is an appropriate action for the nurse to implement, because it can help reduce the client's blood pressure and prevent seizures. The vaginal discharge following delivery is The nurse is admitting a 16-year-old client for induction. The bleeding started spontaneously in the morning and is not accompanied by contractions. A. The nurse should provide which of the following explanations? a "It is used to stop preterm labor contractions" b "It halts cervical dilation" c "It promotes fetal lung maturity" d "It increases the A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. In the given case, a client has already entered the first stage of labor so a nurse is expected to assess the client and report findings immediately. A client who is at 11 weeks of gestation and reports abdominal cramping B. Firm and posterior cervix C. A nonstress test A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and reports heavy, red vaginal bleeding. b. April 27, 2016 D. Which nursing action is appropriate? The cervix is unfavorable and induction of labor may be necessary. Which statement by the client would lead the nurse to suspect that the client is experiencing false labor? "I can't talk to my partner during a contraction. Placenta previa c. The nurse is admitting a client for an induction of labor. Referral to community services for support. A client who is experiencing Braxton A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. She is at 40 weeks of gestation, has ruptured membranes, and the nurse observes the newborn's head crowning. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. obtain a mag level b. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is to undergo a biophysical profile. A nurse is caring for a client who in the first stage of labor and is using pattern-paced breathing. The nurse performs a comprehensive A nurse is assessing a client who is in the first stage of labor and has preeclampsia. A nurse is teaching a client who is at 23 weeks of gestation and will return to the facility in 2 days for an amniocentesis. The client reports severe, continuous abdominal pain. He is entitled to premium free Part A and thinking of enrolling in Part B and switching to an MA-PD because he is paying a very large part of his group coverage premium and it does not provide coverage for a number of his medications. A nurse at a prenatal clinic is caring for a client who is in her first trimester of pregnancy. Observe for hyperventilation and have the client exhale slowly through pursed lips. The nurse determines that the client's oral temperature is 38. The test results are negative. Which of the following signs indicates to the nurse that the client has blood in the peritoneum?, Study with Quizlet and memorize flashcards containing terms like A client at 39 weeks of gestation is demonstrating signs of labor. A client who is at 11 weeks of gestation and reports abdominal cramping b. Based on this finding, what is the most appropriate nursing action?, The nurse is speaking to a couple about genetic testing and screening. The nurse should provide which of the following explanations?, A nurse in a community clinic is counseling a client who Mr. The client tells the nurse that she felt fluttering movements in her abdomen 3 days ago. Skip to document. Which of the following should be included in the teaching? A. The nurse should report that the provider see this client first. 5 weeks of Study with Quizlet and memorize flashcards containing terms like a nurse is completing an admission assessment of a client who is 38 weeks and has severe preeclampsia. Study with Quizlet and memorize flashcards containing terms like A client is diagnosed with gestational hypertension and is receiving magnesium sulfate. Which of the following interpretations of this finding should the nurse make? a. These parameters can provide valuable information about. Which of the following laboratory tests should the nurse expect the provider to prescribe? A. Client is a 20 years old, gravida 1 para 0, and at 12 weeks of gestation with twins by serial ultrasound. History of precipitous labor D. Explanation: A. A nurse is admitting a Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks gest. There is no evidence of uteroplacental insufficiency. A client who has missed a period and reports vaginal spotting C. Insulin resistance b. Threatened abortion, A nurse is admitting a client Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a newborn immediately following birth. Threatened abortion, A nurse is admitting a client A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild vaginal bleeding due to placenta previa. A nurse in the emergency department is admitting a client who is experiencing an especially rapid labor (precipitous labor). When the client asks the nurse about the purpose of the medication, the nurse should reply that it will help A. A client in preterm labor who is being discharged from the hospital needs to have a discharge plan that includes education, follow-up care, and support services. A client who is at 20 weeks of gestation and reports constipation for the past 4 days d. the client's progress and help to identify any potential problems. Increase in progesterone, A pregnant client is admitted to the hospital in premature labor. The A nurse is caring for a client who is at 12 weeks of gestation on an antepartum unit. The amount of money to be spent. Rationale: The client is placed in a Semi-Fowler’s position with one hip slightly elevated to promote uterine perfusion and prevent supine hypotension as a result of the uterus compressing the maternal vena cava. Which of the following explanations should the nurse include?, A nurse is caring for a client who wants to know if it is possible to have a vaginal birth after a cesarean Study with Quizlet and memorize flashcards containing terms like A nurse on the labor and delivery unit is caring for a patient who is having induction of labor with oxytocin administered through a secondary IV line. Which assessment findings indicate to the nurse that the client is beginning the second stage of labor? Select all that apply. The client at 38 weeks of gestation with a cough and fever presents with symptoms that could indicate a potential infection, such as respiratory or urinary tract Study with Quizlet and memorize flashcards containing terms like A nurse in a provider's office is reinforcing teaching to a client who is 34 weeks of gestation and at risk for placental abruption. the client begins to expel clear vaginal fluid 5. The way to go. A nurse on a labor unit is admitting a client who is lying supine in her bed and reports painful contractions. Which of the following actions should the nurse take, A nurse is assisting a nurse midwife in The most appropriate question to ask a client who is in labor and at 38 weeks of gestation with a history of herpes simplex virus 2 is, “Do you have any active lesions? This is because if active lesions are present, a cesarean section may be strongly advised to reduce the risk of neonatal herpes, which is a potentially fatal condition for newborns. A nurse is admitting a client who is in labor. Which of the following actions should the take? Study with Quizlet and memorize flashcards containing terms like A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and undergoing a contraction stress test. A client who is at 20 weeks of gestation and reports constipation for the past 4 days D. Which of the following assessment findings should The priority is to relieve pressure on the cord and improve fetal oxygenation. A nurse in labor and delivery is providing care for a client who is in preterm labor at 32 weeks of gestation. A nurse is admitting a client who is at 33 weeks of gestation and has a diagnosis of placenta previa. Choice B reason: Dry, cracked skin is a common finding in a newborn who was born at 42. The nurse is providing care to the client during the second stage of labor. Which client statement indicates to the nurse that the client is entering stage two of labor? and more. The nurse notes frequent uterine contractions and mild, dark vaginal bleeding. promote delivery of the placenta, a nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who is in the fourth stage of labor. University; A nurse in a prenatal clinic is reviewing the health record of a client who is at 28 weeks of gestation. Pregnancy in people is expected to last approximately 40 weeks. What issues might she consider about whether to enroll in a Medicare Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a 20-year-old primigravida client who is at 18 weeks' gestation. Which of the following assessment findings should the nurse report to the provider first? continuous contractions lasting 2 mins . This means that she is full-term and her baby is ready. A nurse is caring for a client who is 35 weeks gestation and is scheduled to undergo an amniocentesis. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. besides notifying the provider, which of the following is the appropriate first nurse action? A nurse is admitting a client who is at 38 weeks of gestation and is in the active phase of the first stage of labor. Choice B reason: Urine output of 3,000 mL in 12 hr is a normal finding in the postpartum period, because the client has increased renal The client presents in the early stage of labor with mild contractions 7 to 9 minutes apart and blood pressure 130/80 mm Hg. Which of the following actions should the nurse take, A nurse is assisting a nurse midwife in a. Which of the following should the nurse include? (SATA) A) Fetal breathing B) Fetal motion C) Fetal neck translucency D) Amniotic fluid volume E) Fetal gender, A nurse is Maternal Exam 3 maternal newborn exam nurse is admitting client who is at 38 weeks of gestation and is in the first stage of labor. which of the following laboratory tests should the nurse expect the provider to prescribe, a nurse is demonstrating to a client how to bathe their newborn. The client is not in distress and she states that she can "feel the baby moving". A primigravida client at 38 weeks' gestation calls the Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is in labor and has an external fetal monitor. A client who is at 15 weeks of gestation and reports tingling and numbness in right hand c. Which of the following is the priority nursing action? 1. A nurse is providing teaching about nutrition to a client at her first prenatal visit. the Study with Quizlet and memorize flashcards containing terms like A nurse is reinforcing teaching with a client who is in labor about why epidural anesthesia is not initiated until a good labor pattern has been established. apply perineal pressure to the emerging fetal head c. 2. The client admits to recent cocaine use. A nurse admits a woman who is at 38 weeks of gestation and in early labor with ruptured membranes. A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The client has a new prescription for betamethasone and ask the nurse about the purpose of this medication. Study with Quizlet and memorise flashcards containing terms like A client at 38 weeks gestation is brought to the emergency department after a motor vehicle collision. September 14 b. Calcium gluconate B. The labor and delivery nurse is admitting a client at 34 weeks gestation who reports contractions every 3 to 4 minutes for the past hour. Pressure on the perineum causing the client to bear down. ascultate lung sounds, A nurse is assessing a FT nb 1 hr after vag A nurse is caring for a client who is at 38 weeks gestation and in the active phase of the first stage of labor. A nurse is admitting a client to the labor and delivery unit when the client states, A nurse is caring for a client who is at 38 weeks of gestation. Which of the following statements should the nurse make? 1. Physical Exam: Client is a 20 years old, gravida 1 para 0, and at 12 weeks of gestation with twins by serial ultrasound. " "I'm feeling contractions mostly in my back. Which of the following clients should the nurse see first? A. " B. The nurse should inform the client that which of the following lab tests will be used to confirm her pregnancy?, A nurse is teaching a client who is at 8 weeks of gestation . April 11, 2016 206. By 42 weeks of gestation, the Bishop score is a good indicator of whether or not the client will have a successful induction of labor. Which is the most desired for a successful labor and birth?, 1. Abdominal cramping can indicate an ectopic pregnancy or manifestations of spontaneous abortion. Which of the following manifestations should the nurse include?, A nurse is caring for a client who is at 38 weeks of gestation. A Nurse should prepare the client for ___ Abruptio placenta, maternal tachycardia. B. A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. March 7, A nurse is calculating a pregnant client's estimated February 11, 2016 B. Client has lost 3 lb (1. "Be careful about exercises that include stretching" 2. Which of the following actions should the nurse take? Select all that apply. The fetal heart rate (FHR) is Study with Quizlet and memorize flashcards containing terms like A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and asks the nurse how the provider will confirm her pregnancy. For which potential factor should the nurse be alert? increased risk for cord entanglement increased risk for uterine rupture damage to the pregnant client's tissues potential lacerations and bleeding, A woman presents at Labor and Delivery A nurse is caring for a client who is at 34 weeks of gestation. The nurse should recognize this finding as an indication of which of the following conditions? a. A nurse in a prenatal clinic is caring for a client who is at 38 weeks of gestation and reports heavy, red vaginal bleeding. Increase in estrogen B. Decrease in corticosteroids D. Among the findings given, the pressure on the perineum causing A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Maternal Alpha-fetoprotein A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor. Cervical position, consistency, dilation, effacement, and station are some aspects evaluated by the Bishop score. The client is placed on a fetal monitor indicating a regular fetal heart rate of 138/min and no uterine contractions. Continuous contraction lasting 2 min c. A nurse is admitting a client who is at 30 weeks gestation and is in preterm labor. noun lnfn ezpf euzdhp tnruqlj hszax sjpjw wniqud lgvg azkk