A newborn with a respiratory rate of 40 breaths/minute at 1 minute after birth is demonstrating cyanosis of the hands and feet. Which action should the nurse take?

The nurse reviews the client's history and physical to determine the cause of the client's symptoms. Highlight the information from the history and physical that requires further evaluation.

A 28‑year‑old primiparous client delivered vaginally 24 hours ago. She now reports a persistent headache, blurred vision, and right upper quadrant pain. Her blood pressure is 160/100 mmHg. The nurse suspects worsening preeclampsia and prepares to perform focused assessments. Which assessments should the nurse prioritize to evaluate for complications of preeclampsia? (Select all that apply.)

Based on the assessment findings, the priority diagnosis suspected is the client is at risk of:

Based on the assessment findings, the priority diagnosis suspected is preeclampsia. This diagnosis places the client at risk for:

The nurse is reviewing the client's laboratory results. The client is reporting a severe headache, nausea, and right-sided upper abdominal pain. The nurse notes deep tendon reflexes are 4+. What is the priority nursing intervention?

A nurse is reviewing a client’s lab results. Two days ago, the hemoglobin was 11.2 g/dL, and today it is 10.4 g/dL. What does this change indicate?

The nurse knows that ____________ will help decrease blood pressure, while _____________ will help prevent seizures.

What is the most likely cause of the client's symptoms, and what is the nurse's priority intervention?

The client has experienced an eclamptic seizure. Which of the following interventions by the nurse will help stabilize the client? Select all that apply.

A nurse is caring for a client with a recent diagnosis of preeclampsia. The client's laboratory results show a hemoglobin of 9.8 g/dL and a platelet count of 120,000/mm³. What is the most appropriate nursing intervention for this client?

A client with preeclampsia is admitted to the hospital. The client's laboratory results indicate a lactate dehydrogenase (LDH) level of 525 U/L and uric acid of 5.8 mg/dL. Which intervention should the nurse anticipate?

A nurse is reviewing a client's vital signs and notes the following measurements: temperature 98.4° F, heart rate 88 beats/minute, respirations 16 breaths/minute, and blood pressure 167/107 mm Hg. What is the most appropriate nursing action based on these vital signs?

A client with severe preeclampsia is receiving magnesium sulfate. The nurse notes the following vital signs: blood pressure 146/90 mm Hg at 1220 and 141/86 mm Hg at 1230. What is the most appropriate action for the nurse to take?

A nurse is preparing to admit a client with severe preeclampsia. The healthcare provider's orders include establishing an IV, infusing lactated Ringer's at 125 mL/hour, giving hydralazine 5 mg IVP STAT, and magnesium sulfate 4 grams IV over 20 minutes followed by 2 grams/hour. What is the primary rationale for these orders?

A 32-week multigravida client with a history of preeclampsia arrives to the clinic for her routine appointment. The nurse observes the client has an elevated blood pressure of 155/90 mm Hg. Which action should the nurse take?

A client at 38-weeks gestation reports severe abdominal pain. Upon palpation, the nurse notes that the abdomen is rigid. How should the nurse document the findings?

The mother of a full-term infant who is breastfeeding is concerned that her newborn infant may "turn yellow," as she has heard newborns sometimes do. Which information is correct for the nurse to provide this new mother?

When developing a teaching plan for a client at 8 weeks gestation, which instruction has the highest priority?

A one-day-old neonate develops a cephalhematoma. The nurse should closely assess this neonate for which common complication?

A client at 17-weeks gestation expels the products of conception in her bed. Which intervention is most important for the nurse to implement?

A client who is HIV positive is receiving zidovudine during labor. Which information should the nurse provide to the client?

A nurse is planning to administer betamethasone to a gravid client. Which client is most likely to receive this prescription?

The nurse is conducting developmental screening for children in the pediatric clinic. A parent expresses concern that the 14-month-old is not yet walking independently, and their adult sibling's child is walking at 10 months of age. Which concept should the nurse use to provide information to the parent?