The nurse is monitoring the laboring client and interprets which of the following Fetal Heart Rate (FHR) monitor strips as a Category III pattern?
The nurse recognizes which of the following as the best acti…
The nurse recognizes which of the following as the best action to promote positive coping and saying goodbye for the client delivering a stillborn baby?
The nurse is caring for the newborn and notes the vital sign…
The nurse is caring for the newborn and notes the vital signs are as follows: heart rate 133 beats/min, respiratory rate 75 breaths/min, temperature: 98.4 F/36.8 C. Which of the following interventions will the nurse do next?
The nurse is caring for the pregnant client at 11 weeks’ ges…
The nurse is caring for the pregnant client at 11 weeks’ gestation who is pre-op for receiving a chorionic villus sampling (CVS) and is very anxious the baby will be injured during the procedure. Which of the following statements by the nurse is most appropriate?
Mandy Davidson is a 34-year-old G2 T1 P0 A0 L1 presenting t…
Mandy Davidson is a 34-year-old G2 T1 P0 A0 L1 presenting to the birthing unit at 42 weeks’ gestation for evaluation for possible induction of labor. The client’s first delivery was post term at 43 weeks’ gestation which resulted in shoulder dystocia and a second-degree perineal laceration. The client appears increasingly anxious upon assessment. The last ultrasound showed the neonate to be macrosomic or large for gestational age (LGA) but is also not in an optimal position. Her husband is with her. The health care provider is discussing complications of post-term delivery. Mrs. Davidson is experiencing anxiety, swelling in her feet and ankles, and low pelvic pain. She states that the baby is moving less and she doesn’t remember feeling the baby move in the past 12 hours. Which of the following cues based on the client assessment does the nurse hypothesize will be most concerning to the health care provider?
The nursing instructor is discussing prioritization of clien…
The nursing instructor is discussing prioritization of clients on the birthing unit with a group of students and knows the teaching was successful when the students state they would take which of the following actions first?
The nurse is educating the client with genital warts who ask…
The nurse is educating the client with genital warts who asks what to expect with the infection. Which statement is most appropriate?
The nurse in an antepartum clinic is caring for the client w…
The nurse in an antepartum clinic is caring for the client who is pregnant. Time Vital Signs Nurses Notes Medical History 0800: Temperature 36.6° C (97.9° F) Heart rate 85/min Respiratory rate 20/min Blood pressure 180/99 mmHg The client reports, “I have had a headache for 2 days. Tylenol does not relieve it. I have blurred vision and dizziness.” The client reports swelling in their feet. 2+ pitting edema of the lower extremities noted bilaterally Deep tendon reflexes 3+, absent clonus Fetal heart tones (FHT) 150/min Gravida 4 Para 3 33 weeks of gestation Allergies: Sulfa Height 165 cm (66 in) Weight 82 kg (180 lb) BMI 30.6 3.2 kg (7 lb) weight gain over the last 2 weeks 0815: Heart rate 88 beats/min Respiratory rate 16 breaths/min Blood pressure 178/106 mm Hg 0830: Heart rate 84 beats/min Respiratory rate 18/min Blood pressure 174/105 mm Hg Which assessment findings will the nurse report to the provider immediately? Select all that apply
The 39-week gestation client is admitted to the birthing uni…
The 39-week gestation client is admitted to the birthing unit reporting spontaneous rupture of membranes (SROM) occurring 25 hours ago. The amniotic fluid is clear, and the fetal heart rate is 120 beats/min with moderate variability. Which assessment is most important for the nurse to perform at this time?
The nursery nurse caring for the 37-week small for gestation…
The nursery nurse caring for the 37-week small for gestational age (SGA) newborn hypothesizes that he/she is at risk for which of the following most common immediate problems?