The physician has ordered a nonstress test (NST) to be done on a 41 week gestation client. During the 1/2 hour test, the nurse observed three periods of fetal heart accelerations that were 15 beats per minute above baseline and that lasted 15 seconds each. No contractions were observed. Based on these results, what should the nurse do next?

A client has been experiencing regular contractions with cervical changes from 4 cm to 6 cm in the last hour and her membranes are still intact.  The nurse recognizes that she is in which stage of labor?

A client in labor has been experiencing hypotonic contractions and has been ordered oxytocin (Pitocin) to augment her labor. The order is for 30 units of Pitocin to be added to 1000 ml of Normal Saline. The Pitocin comes from the pharmacy in vials containing 10 units/ml. How much Pitocin would the nurse draw up to add to the IV fluid. _______

What common discomforts would the nurse expect an antepartum client at 36 weeks gestation to report? (Select All That Apply)

A laboring woman in Stage 1, Active phase has requested a narcotic pain medication. The provider ordered:    Stadol (butorphanol) 2mg with Phenergan (promethazine) 25 mg IVP (IV push). Pharmacy provides:       Stadol (butorphanol) 1 mg/1ml vial and Phenergan (promethazine) 25 mg/1ml vial. How many ml’s will the nurse draw up total to administer to the client? _______

The nurse is assessing a newborn who was born to a mother who is addicted to drugs. Which findings should the nurse expect to note during the assessment of this newborn? Select all that apply.

A client comes to the clinic for her first prenatal visit and reports that July 10th was the first day of her last menstrual period. Using Nagele’s rule, the nurse determines the estimated date of birth to be:

NPH insulin (Humulin N) is ordered to be given at bedtime (2200). The client would most likely exhibit a hypoglycemia reaction at what time of the day?

A 30 week antepartum client is hospitalized with severe pre-eclampsia and started on an IV with Magnesium Sulfate. What assessment findings would indicate a need for the nurse to stop the infusion and contact the health care provider? (Select all that apply)

The client is considering having maternal serum alphafetoprotein (MSAFP) screening or a Quad screen performed. She asks the nurse how a test of her blood could indicate a neural tube defect. The nurse’s best reply would be: