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? 

A nurse is educating a first-time pregnant client on the importance of performing daily fetal kick counts at home.  Which of the following best explains the rationale for this teaching? 

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?

 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 woman and her partner opted to undergo first-trimester screening and it was discovered that there was an enlarged nuchal translucency (NT) measurement.  The couple questions the nurse about the significance of this finding.  Which of the following is the best response by the nurse?