The nurse has attended a birth of a 39-week gestation male. At one minute of age, the infant has cyanosis in the extremities, a heart rate of 120, some tone, but is hypotonic, has a robust cry and responds to stimulation. At five minutes of age the newborn is completely pink, a heart rate of 145, normal tone, a good cry and responds to stimuli. How should the nurse record the APGAR scores?

During a non-stress test of a 38 week gestation mother, the nurse notes that the fetal heart rate accelerates 30 beats per minute lasting about 40 seconds twice over a 20 minute tracing and the mother reports fetal movement.  The nurse would interpret this test to be?

Every baby must have the state’s mandatory metabolic newborn labs drawn before discharge. The nurse prepares to obtain the blood sample from the newborns __________ ? 

The nurse is assessing newborns in the nursery.  Which assessment finding places a newborn at risk for developing physiologic jaundice?

A newly admitted client at 32 weeks’ gestation is experiencing a sudden onset of intense nausea and a frontal headache for the past 2 days. The client’s initial blood pressure is 158/98, and she reports scant urination over the past 24 hours. Which intervention should the nurse anticipate implementing?

The nurse is caring for a 37 week gestation, G2 P1 client with Preeclampsia. The client has just been started on magnesium sulfate at 2g/hr.  BP is 198/102, P 96, R 16, Temp 99.0 and DTR’s are 3+.  The client suddenly complains of severe abdominal pain.  The nurse assesses the client and notes a board-like abdomen on palpation and no vaginal bleeding.  FH strip shows a prolonged deceleration.  The nurse knows that these s/s are indicative of what medical emergency?

A patient is ordered Fortaz 400 mg IM, now.  The bottle contains 500 mg of powder.  Instructions say to reconstitute the Fortaz with 1.5 ml normal saline for a concentration of 500 mg/1.8 ml.  How many ml/dose should the nurse administer.

Ordered: 125 mcg Lanoxin by mouth daily.           Supplied:  Lanoxin 500 mcg / 3 ml How many ml should the nurse administer per day?

The nurse is caring for a laboring client following the insertion of epidural analgesia. What is the priority nursing assessment for this client?

A client with type 2 diabetes mellitus delivered an infant weighing 8 lb,14 oz 2 hours ago at 40 weeks and 1 day gestation. The infant’s blood glucose is currently 39 mg/dl and the newborns vital signs are currently temperature 97.8 axillary, pulse 150 beats per minute, and 48 respirations per minute. What nursing action should the nurse implement at this time?