A client at 37 weeks gestation presents to labor and delivery with contractions every 2 minutes.The nurse observes several shallow, small vesicles on her pubis, labia, and perineum.The nurse should recognize the client is exhibiting symptoms of which condition?

The current vital signs for a primipara who delivered vaginally during the previous shift are: temperature 100.4°F (38°C), heart rate 58 beats/minute, respiratory rate 16 breaths/minute, and blood pressure 130/74 mm Hg. Which action should the nurse implement?

During a prenatal visit, a client at 30 weeks gestation reports persistent heartburn during the past two weeks.The nurse notes the client has 3+ bilateral, pitting, pedal edema.Which action should the nurse implement?

A woman at 36 weeks gestation who is Rh negative is admitted to labor and delivery reporting abdominal cramping.She is placed on strict bedrest and the fetal heart rate and contraction pattern are monitored with an external fetal monitor.Two hours after admission, the nurse notes a large amount of bright red vaginal bleeding.Which nursing intervention has the highest priority?

A client at 40 weeks gestation is admitted in active labor, and laboratory findings indicate that she is HIV positive.Which action(s) should the nurse plan to perform? Select all that apply.

In preparing a gravid client for a triple screen analysis, which action should the nurse take?

A client who suspects she is pregnant tells the nurse she has a peptic ulcer that is being treated with misoprostol, a synthetic prostaglandin E drug.How should the nurse respond?

Assessment findings of a 4-hour-old newborn include an axillary temperature of 96.8° F (35.8° C), heart rate of 150 beats/minute with a soft murmur, irregular respiratory rate at 64 breaths/minute, jitteriness, hypotonia, and a weak cry.Based on these findings, which action should the nurse implement?

When reading the obstetrical history of a client who is currently at 36 weeks gestation, the nurse notes that she has had one full-term infant, one premature infant born at 32 weeks gestation that survived, and one miscarriage.Which is this client's gravidity?

At 0600 while admitting a woman for a scheduled repeat cesarean section (C-section), the client tells the nurse that she drank a cup of coffee at 0400 because she wanted to avoid getting a headache.Which action should the nurse take first?

The nurse is caring for a newborn with suspected neonatal abstinence syndrome.The mother is currently taking methadone and is in a treatment program.Which intervention should the nurse implement prior to discharge?

Following an amniocentesis, a client verbalizes several concerns.Which reported finding indicates to the nurse that the client is experiencing a complication from the amniocentesis?

A woman in her third trimester of pregnancy has been in active labor for the past 8 hours and has dilated 3 cm. The nurse's assessment findings and electronic fetal monitoring (EFM) are consistent with hypotonic dystocia, and the healthcare provider prescribes an oxytocin drip.Which data is most important for the nurse to monitor?

The nurse reviews the history and physical and nurses' notes to determine risk factors for this client.Which potential issue(s) place the client at risk? Select all that apply.

A client at 37-weeks, 1-day gestation by a 10-week ultrasound, presents to labor and delivery with contractions every 3 to 4 minutes for the last 2 hours.The vaginal exam shows the client is 4 cm dilated, 50% effaced, -3 station. The membranes are intact. Contractions occur every 3 to 4 minutes per monitor, lasting 60 seconds, moderate by palpation. Fetal heart rate is 136 beats/minute with accelerations noted; no decelerations are noted. The estimated fetal weight by Leopold's is 6 pounds (2.72 kg). The prenatal course is unremarkable, with normal labs. The client's blood type is A-. An Rh(D) immune globulin injection was received at 28-weeks.

Following a minor motor vehicle collision, a client at 36-weeks gestation is brought to the emergency center.She is lying supine on a backboard, is awake, and denies any complaints. Her blood pressure is 80/50 mmHg and her heart rate is 130 beats/minute. Which action should the nurse implement first?

A full-term infant is admitted to the newborn nursery 2 hours after delivery.The delivery record indicates the mother is positive for human immunodeficiency virus (HIV) and received zidovudine intravenously during labor. Which action should the nurse implement?

The nurse determines the need to perform further assessment based on the client's situation.Select the 2 actions that the nurse should perform immediately.

A client who is positive for Neisseria gonorrhoeae vaginally delivered a newborn.Which medication should the nurse administer to the newborn?

A new mother asks the nurse why her infant son has a needle mark on his leg.Which response is best for the nurse to provide this mother?

A client who is scheduled for induction of labor receives a prescription for oxytocin 2 milliunits/min intravenously (IV). The IV bag contains oxytocin 20 units in lactated Ringer's 1 liter. How many mL/hour should the nurse program the infusion pump to deliver? (Enter numerical value only)

The nurse is caring for a postpartum client who delivered 5 hours ago, and has saturated a perineal pad with clots within the last 15 minutes.Which action is most important for the nurse to implement?

The nurse is caring for a newborn who is 18 inches long, weighs 4 pounds, 14 ounces (2.2 kg), has a head circumference of 13 inches (33 cm), and a chest circumference of 10 inches (25.4 cm). Based on these physical findings, assessment for which condition has the highest priority?