A 41-week pregnant multigravida presents in the labor and delivery unit after a nonstress test indicated that her fetus could be experiencing some difficulties in utero. Which non-invasive diagnostic tool would yield more detailed information about the current well-being of the fetus?

A client asks her nurse, "My doctor told me that he is concerned with the age of my placenta because I am overdue. What does that mean?" The best response by the nurse is:

When nurses help their expectant mothers assess the daily fetal movement counts (Kick counts) they should be aware that:

A primigravida is being monitored in her prenatal clinic for preeclampsia. What finding should indicate that more investigation needs to be done regarding the patient and her preeclampsia?

The labor of a pregnant woman with preeclampsia is going to be induced. Before initiating the Pitocin infusion, the nurse reviews the woman's latest laboratory test findings, which reveal a low platelet count of 90,000, an elevated aspartate transaminase (AST) level (liver enzymes), and a falling hematocrit. The nurse notifies the physician because the lab results are indicative of:

A pregnant woman has been receiving a magnesium sulfate infusion for treatment of severe preeclampsia for 24 hours. On assessment, the nurse finds the following vital signs: temperature of 37.3° C, pulse rate of 88 beats/min, respiratory rate of 10 breaths/min, blood pressure of 148/90 mm Hg, absent deep tendon reflexes, and no ankle clonus. The client complains, "I'm so thirsty and warm.”. The nurse:

Which daily medication would the nurse anticipate the provider recommending to a pregnant client who is high-risk for developing preeclampsia?

Your client has been on magnesium sulfate for 20 hours for treatment of preeclampsia.She just delivered a viable infant girl 30 minutes ago. What uterine findings would you anticipate to observe/assess in this client?

The nurse caring for pregnant women must be aware that the most common medical complication of pregnancy is:

Nurses should be aware that HELLP syndrome:

Magnesium sulfate is given to women with preeclampsia and eclampsia to:

The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa) is:

A 26-year-old pregnant woman, gravida 2, para 1-0-0-1 is 28 weeks pregnant when she experiences bright red, painless vaginal bleeding. Upon her arrival at the hospital, what would be an expected diagnostic procedure needed to shed more light on the source of bleeding?

In planning for the care of a 30-year-old woman with pregestational diabetes, the nurse recognizes that the most important factor affecting pregnancy outcome is the:

The nurse is obtaining the list of medications that the patient is taking during the first prenatal appointment and 8 weeks of pregnancy. Which medication would the nurse report to the physician as a concern?

The perinatal nurse is giving discharge instructions to a woman, status post suction curettage secondary to a hydatidiform mole. The woman asks why the doctor is recommending that she take oral contraceptives for at least 6 months. The best response from the nurse would be:

Methotrexate is recommended as part of the treatment plan for which obstetric complication?

Preconception counseling is critical to the outcome of diabetic pregnancies because poor glycemic control before and during early pregnancy is associated with:

Screening at 24 weeks of gestation reveals that a pregnant woman has Gestational Diabetes Mellitus (GDM). In planning her care, the nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM. The nurse identifies that the fetus is at greatest risk for:

The nurse caring for a woman hospitalized for hyperemesis gravidarum would expect that initial treatment would involve:

The most effective and least expensive treatment of puerperal infection is prevention. What is important in this strategy?

A woman with preeclampsia has a seizure. The nurse's primary duty during the seizure is to:

A woman at 39 weeks of gestation with a history of preeclampsia is admitted to the labor and birth unit. She suddenly experiences increased contraction frequency of every 1 to 2 minutes, dark red vaginal bleeding, and a tense, painful abdomen. The nurse suspects the onset of:

Your client is being induced because of her worsening preeclampsia. She is also receiving magnesium sulfate. It appears that her labor has not become active despite several hours of oxytocin administration. She asks the nurse, "Why is it taking so long?" The most appropriate response by the nurse would be: