A patient at 4 cm dilation asks for an epidural. Which factor does the nurse understand is a contraindication for an epidural for this patient?

In the first 20 minutes after a client has received an epidural for labor, the nurse should be alert for which complication?

A pregnant woman at 29 weeks of gestation presents to the emergency room with epigastric pain, RUQ pain, and headache. History: 39 years old, NKDA, G4T1P1A1L2. VS BP: 158/98 HR: 92 RR: 20 Temp: 98.0. Labs show elevated liver enzymes, normal RBCs, and platelet count of 90,000. Her urine shows 2+ protein. What is the primary goal of care for this patient?

Which three potential complications and three parameters to monitor are relevant based on the patient scenario presented in the case study?

The nurse tells the patient that once the pudendal block is working she will have which of the following effects?

A labor and delivery nurse is caring for a low-risk pregnant client in active labor who plans on an unmedicated birth. The nurse recognizes the importance of appropriate positioning to facilitate labor progress. Which maternal position is most likely to enhance fetal descent and engagement during labor?

A woman at 39 weeks gestation with a history of preeclampsia is admitted to the labor and delivery unit. She suddenly experiences increased contraction frequency of every 1 to 2 minutes with non-relaxed resting tone, dark red vaginal bleeding, and a tense, painful abdomen. The nurse suspects the onset of which complication?

After delivery of the fetal head, shoulder dystocia is called by the provider. The nurse calls for extra nursing support and after about a minute of McRobert's maneuver and suprapubic pressure, the fetus is still not delivered. What should the next preferred course of action be?

A nurse reviews the medications ordered for a client at 25 weeks that was transported from a tertiary hospital. Which of the following medications is NOT an indicated tocolytic to promote cessation of contractions?

A 27-year-old woman is being induced at 38 + 2 weeks for preeclampsia. Her most recent exam reveals that she is 8/75/0. The nurse notices that the patient has just started having late decelerations. The most appropriate action for the nurse is:

A primigravida woman in labor is experiencing contractions every 9 minutes that palpate mild to moderate in intensity. Spontaneous rupture of membranes (SROM) occurred 8 hours ago, and her last cervical check was 30 minutes ago. The patient was 5 cm. Assessment reveals an estimated fetal weight of 7 pounds. Which medication should the nurse expect to administer?

The nurse understands a contraindication for using Pitocin (oxytocin) in a laboring patient is:

The nurse is assigned to care for a patient at 26 weeks and 3 days that is going to the operating room for an appendectomy and then will be assigned to recover this patient. Which of the following is a priority in the Post-Anesthesia Care Unit (PACU) for an obstetrical patient?

Your patient is ordered to have Ancef 990 mg slow IV push. The pharmacy sends Ancef 175 mg/mL. How many mL will you give? If >1 mL, round to the TENTHS place. If <1 mL, round to the HUNDREDTHS place. Enter numeric value only.

The nurse is walking through the lobby as a patient walks through the hospital entrance, bending over, breathing heavily, and crying, yelling, "The baby is coming now!" The nurse notes that the head is crowning. What is the nursing priority?

The fetal head is engaged and is down in the lower part of the mother's uterus. The mother's pelvis and fetal head are aligned in this way: the occiput of the fetus is the presenting part and is on the right side of the maternal pelvis. This position is termed:

A G1T0P0A0L0 presents to Labor and Delivery triage at 30 weeks gestation with rupture of membranes approximately 1 hour ago. History includes a urinary tract infection at 14 weeks, no surgical or medical history. Vitals signs include BP 118/72, HR 72, RR 20, T 99°F. A moderate amount of clear fluid is noted on the pad. The provider performs a sterile vaginal examination that is 1 centimeter dilated, 20

A G1T0P0A0L0 is admitted to the antepartum unit for routine monitoring after presenting to Labor and Delivery triage at 30 weeks gestation with rupture of membranes approximately 1 hour ago. History includes a urinary tract infection at 14 weeks, no surgical or medical history. Vitals signs include BP 118/72, HR 72, RR 20, T 99°F. A moderate amount of clear fluid is noted on the pad. The provider performs a sterile vaginal examination that is 1 centimeter dilated, 20

On day 3 in the hospital (78 hours with PPROM), the antepartum nurse places the ultrasound and TOCO for daily non-stress test. The monitor shows a Fetal Heart Rate of 165 beats per minute with minimal variability and 10x accelerations, and the nurse suspects a developing infection. What other assessment items contribute to signs of infection?

When creating a care plan for a woman in labor who is requesting an epidural for pain relief, the nurse acknowledges that the initial nursing intervention to prepare for the epidural is:

When providing patient education to a pregnant client recently diagnosed with Gestational Diabetes Mellitus (GDM), which key topics should the nurse prioritize to ensure the client's understanding and effective self-management of GDM during pregnancy?

A pregnant woman at 6 weeks gestation who has poorly managed pre-existing Type II Diabetes Mellitus visits her Obstetrician-Gynecologist to establish prenatal care. Which fetal complications are most common because of this maternal condition?

The nurse is providing teaching for the patient whose one-hour glucose tolerance test result was 155 milligrams per deciliter. Which of the following would the nurse include in her teaching?