Case Study: Question 2 What type of decelerations are present on her fetal heart monitoring? 

What is the priority concern with a complete molar pregnancy? 

Case Study 2.6 You are a nurse on postpartum caring for a G6P4114 that is 4 hours postpartum after an emergent cesarean section (C/S). The patient delivered a viable infant male at 28 weeks gestation due to pre-eclampsia. She had been on magnesium sulfate for 23 hours prior to delivery and continues to be on magnesium sulfate due to her elevated blood pressures. She received hemabate, TXA, rectal cytotec (misoprostol), pitocin, 1L of lactated ringers, and has a foley catheter and bakri balloon in place.  Her total QBL is now 1500. Her fundus is firm, midline, and lochia rubra is scant.  Her pre-C/S hemoglobin was 10.5. Now, her hemoglobin is 7.8.  Her vitals are:  1 hour ago  45 minutes ago 30 minutes ago Now BP 105/75 75/55 80/65 90/65 HR 108 120 115 110 RR 14 16 16 15 SPo2 97% 96% 96% 97% Temp 98.5F 97.6F   The nurse knows this patient’s status is improving as evidenced by: SATA

You are a NICU RN caring for a term 12 hour neonate transferred to the NICU immediately after birth due to poor APGARs and abnormal neurological signs and symptoms. You notice a “blueberry muffin” appearance of the neonate, meaning the neonate has lesions on his face and trunk. Which infectious disease do you suspect the pregnant person was exposed to during pregnancy? 

What is the diagnostic lab for preeclampsia? 

Case Study 3.4 You are the nurse working in a gynecologic clinic. You are providing contraceptive counseling for a 36 year old G3P2012. She hasn’t been sexually active for the past year, but has met someone and is interested in starting contraceptives again.   The patient decides that she would like the Copper IUD. What education should you provide? SATA

What is the nursing assessment for the “power” of labor? 

What is the priority finding in a neonate suspected of having hypoglycemia? 

Case Study 4.4 Scenario: You are the OB clinic RN seeing a college age female here for her first OB visit at 7 weeks gestation. She describes having multiple sexual partners and does not use condoms or birth control.  When asked what symptoms she is having she describes being nauseous, constipated, having night sweats, mouth ulcers, swollen lymph nodes, and a rash.  Now: You are seeing the patient for a follow-up visit after their diagnosis of HIV during pregnancy. The patient asks you about the likelihood of passing HIV to her fetus/baby. Which statements are true: SATA

Case Study 1.4 You are the nurse caring for a 34 year old G1P0 at 41 weeks gestation. She is being induced due to gestational hypertension. The induction is started with cytotec (misoprostol) and also utilized pitocin. It is several hours later and your patient is having regular contractions. You determined that the patient is having late decelerations. What is the cause of late decelerations?