A 30-year-old woman at 34 weeks of gestation comes to the clinic for a routine prenatal visit.  She complains of lower back pain that worsens by the end of the day and when she stands for prolonged periods.  She has no fever, urinary symptoms, or trauma.  The nurse observes that she has a noticeable sway in her posture.  Which of the following is the most likely cause of her discomfort?

A 28-year-old pregnant woman at 20 weeks’ gestation comes to her prenatal appointment.  Her hemoglobin is 10.2 g/dL, and her provider recommends starting oral iron supplements.  The nurse is preparing to educate the patient on how to take the supplement effectively.  Which of the following instructions should the nurse include in the teaching plan?

 A primipara who is 19 weeks pregnant according to the first day of her last menstrual period wants to have an ultrasound to see “how far along she really is.”  Which of the following is the best response by the nurse?

A 22-year-old woman presents to the clinic complaining of missed periods, breast tenderness, and nausea for the past 6 weeks. She believes she may be pregnant. The nurse proceeds to assess her and documents the following findings: Enlarged uterus on palpation Softening of the cervix Positive home pregnancy test Reports of fetal movement felt by the patient (quickening) Which of the following are considered probable signs of pregnancy (select all that apply)?

A 38-week pregnant client with gestational hypertension is scheduled for a contraction stress test (CST).  Which statement by the client requires further teaching?

A 30-year-old woman at 34 weeks of gestation comes to the clinic for a routine prenatal visit.  She complains of lower back pain that worsens by the end of the day and when she stands for prolonged periods.  She has no fever, urinary symptoms, or trauma.  The nurse observes that she has a noticeable sway in her posture.  Which of the following is the most likely cause of her discomfort?

A 34-week pregnant client arrives for a scheduled non-stress test (NST).  The nurse places the fetal monitor and explains the procedure.  Which client statement indicates that further teaching is needed?

A 28-year-old pregnant woman at 20 weeks’ gestation comes to her prenatal appointment.  Her hemoglobin is 10.2 g/dL, and her provider recommends starting oral iron supplements.  The nurse is preparing to educate the patient on how to take the supplement effectively.  Which of the following instructions should the nurse include in the teaching plan?

A labor and delivery nurse just completed a sterile vaginal exam on a laboring patient.  The baby’s position is determined to be OP (occiput posterior).  What maternal positions would facilitate helping the baby turn to a more favorable position (select all that apply)?

A laboring client at 6 cm dilation has contractions occurring every 6–8 minutes, lasting 30 seconds, and are mild on palpation.  The cervix has not changed for over two hours.  The nurse suspects hypotonic uterine contractions.  What is the priority nursing action?