A client has received MSAFP test result. The client is requesting additional testing to determine whether the fetus has a chromosomal abnormality. Which of the following antenatal tests would the nurse anticipate the provider will order?

A nurse is educating a client about a contraction stress test. Which of the following is correct regarding the contraction stress test?

The nursing preceptor asks the nursing student how to determine the intensity of contractions before placing the client on the electronic fetal monitor. What is the best explanation?

A nurse is caring for a client at term in labor. The client states, “I can’t do this anymore.”. She reports rectal pressure and increasing nausea. SVE (sterile vaginal exam) performed: 9 cm, 100% effaced, +1 station.

A nurse is caring for a client who is having a nonstress test. The fetal heart rate (FHR) baseline is 130 bpm, there is moderate variability, but there have been no accelerations or fetal movement. Which of the following actions should the nurse complete next?

The nurse observes variable decelerations on the fetal monitor tracing. Which of the following is a correct interpretation of this finding?

A nurse is caring for a client who is pregnant. The client’s vital signs are as follows: Temperature 37.2°C (98.9°F), Pulse rate 80/min, Respiratory rate 16/min, Blood Pressure 120/69 mm Hg. What should the nurse monitor next?

A nurse is caring for a client in active labor. The nurse identifies tachysystole and late decelerations with each contraction. The nurse performs intrauterine resuscitation interventions, including repositioning the client, initiating an IV fluid bolus, and applying oxygen. After the stated interventions, the nurse continues to observe tachysystole and recurrent late decelerations. Which medication does the nurse anticipate administering to reduce uterine activity?

A female patient who is 37 weeks and 5 days gestation is having contractions every 3 minutes. The fetus has an estimated fetal weight of 9 lbs and is in the left occiput posterior (LOP) position. The nurse is concerned about the five P’s and their effect on the patient’s labor. Which P is the concern from the patient’s history?

A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions?

The OB provider is concerned about placental perfusion and intrauterine growth restriction (IUGR) after noting minimal fetal growth over the past month. What non-invasive antenatal test would the nurse anticipate the provider will order?

A nurse is caring for a client who is 39 weeks gestation and having contractions. Which of the following should the nurse recognize as a sign of true labor?

A client who is 32 weeks gestation and has gestational diabetes calls the provider’s office to report decreased fetal movement over the last several hours. The provider advises her to report to OB triage for further testing. What test should you anticipate the provider will order?

The nurse is caring for a client at 39 weeks gestation who arrived to OB triage with a complaint of decreased fetal movement. The client was placed on external fetal monitors for an ordered non-stress test. The client was encouraged to drink some cold water and juice. She reported she had not had anything to eat or drink yet for the day. The nurse observes the following tracing. How should the nurse document the non-stress test results?

A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client’s umbilicus at midline. The nurse should suspect that the fetus is in which of the following positions?

A nurse is preparing to administer Terbutaline 0.25 mg SQ to a client for tachysystole. Available is terbutaline injection 5 mg/mL. How many mL should the nurse administer? (Use a leading zero if it applies. Do not use a trailing zero.)

The labor and delivery nurse is caring for a client in active labor. The nurse notes the fetal heart rate baseline is 175 bpm, moderate variability. Accelerations are absent and no decelerations noted. How should the nurse describe this tracing to the medical provider?

The labor and delivery nurse is caring for a client in active labor. The nurse notes the fetal heart rate baseline is 175 bpm, moderate variability, accelerations are absent and no decelerations noted. How should the nurse describe this tracing to the medical provider?

The nurse is caring for a client immediately after epidural. Which of the following findings should the nurse report to the anesthesia provider?

During the delivery, which fetal position would be considered optimal for a vaginal birth?

When interpreting a fetal monitoring tracing, which of the following findings would require the nurse to intervene?

A nurse is caring for a client who is in the first stage of labor. The client is stating that her pain level is 8/10 during her contractions but does not want an epidural. The nurse assists with a position change and offers Fentanyl for pain relief. The client requests the offered pain medication. What action should the nurse perform first?

The nurse is caring for a client. Which of the following findings would the nurse report to the anesthesia provider?

A nurse is creating the plan of care for a client in active labor. Which of the following actions should the nurse include in the plan of care?