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 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 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 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 nurse is caring for a 32-week pregnant client experiencing preterm labor. The provider orders Terbutaline 0.25 mg subcutaneously.  Which of the following side effects should the nurse inform the client about that might occur (select all that apply)?

You are caring for a laboring client who has a temperature of 39.0 degrees C (102.2 degrees F) and a FHR of 175 bpm for the past 10 minutes. She has ruptured membranes with cloudy amniotic fluid. Based on these findings, which lab result would most likely support your clinical suspicion? 

A couple receives a confirmed prenatal diagnosis following genetic testing.  During a follow-up appointment, the nurse provides genetic counseling.  Which of the following best reflects the purpose of this counseling? 

A 28-year-old woman who is 31 weeks pregnant is admitted to the labor and delivery unit with complaints of lower abdominal cramping and intermittent low back pain. On assessment, her cervix is 2 cm dilated and 70% effaced. She is having regular contractions every 6 minutes. The fetal heart rate is 145 bpm with moderate variability and accelerations. The provider diagnoses preterm labor and orders IV fluids, a tocolytic, and a dose of betamethasone.  Which of the following is the nurse’s priority intervention at this time?

A woman presents to the labor unit stating, “I think my water broke about an hour ago.  It wasn’t much, but it was clear fluid.”  What tests would the nurse use to determine if SROM (spontaneous rupture of membranes) had occurred (select all that apply)?

A nurse is providing preconception counseling to a client who is not immune to rubella and has just received the MMR (measles, mumps, rubella) vaccine.  Which instruction is most important for the nurse to provide?