Case study: Patient Information: Age: 28 Gestation: 32 weeks, 3 days Gravida/Para: G2 P1 Presenting Complaint: Regular uterine contractions, reported as painful, increasing in intensity and frequency over the past 4 hours. Reports a “gush of fluid” an hour ago, but denies foul odor or fever. Past Medical History: Previous spontaneous preterm birth at 35 weeks (currently 3-year-old healthy child). Gestational diabetes managed with diet in current pregnancy. No known drug allergies. Social History: Non-smoker, occasional social alcohol use (denied in pregnancy). Initial Assessment Findings: Vital Signs: BP 128/78 mmHg, HR 92 bpm, RR 18 breaths/min, Temp 98.8°F (37.1°C), SpO2 98% on room air. Fetal Heart Rate (FHR): 140-150 bpm, moderate variability, accelerations present, no decelerations. Uterine Contractions: Palpable every 3-4 minutes, lasting 45-60 seconds, moderate intensity. Vaginal Exam: Cervix 3 cm dilated, 80% effaced, -2 station. Amniotic fluid noted in posterior fornix (nitrazine positive). Labs: CBC, urinalysis, group B strep (GBS) swab collected. Fetal fibronectin (fFN) pending. 1.  What are the potential complications/conditions (select one)?______________________. Potential Complication/Condition neonatal respiratory distress syndrome infection increase maternal bleeding Preterm birth 2.  What actions should the nurse take (select 4)?______________________.  Actions to Take Monitor fetal heart rate and contraction pattern Massage fundus Administer pain medication Fluid bolus Administer tocolytic  Perform patient education Administer Betamethasone

A G1P0 has been pushing for 1 1/2 hours without success.   She is complete and pushing at a 0 Station.  She has been up through the night laboring.  The physician orders a vacuum extraction.  The nurse knows which maternal indication listed below would be indicated on the client’s chart for use of a vacuum extractions:  

Scenario: A laboring client, G1P0, at 39 weeks gestation, has been admitted with ruptured membranes for 12 hours. The nurse is developing the plan of care to reduce the risk of infection and chorioamnionitis. Question: Which nursing interventions are appropriate to include in this client’s plan of care? Select all that apply.

The nurse is caring for a client with a prolonged length of labor. Which of the following nursing interventions would the nurse implement to decrease the client’s fatigue with pushing?  Select all that apply.

Is this a male or female plant?

What is the function of this structure #27?

Would you expect to find vessel elements in the xylem of this plant?

Identify #38    USE FULL NAME (Directional term, structure name, type)

Answer #80.  The amount or volume of air remaining in the respiratory passages after the most forceful exhalation is termed the ____________ volume.  This volume is shown by the #80 arrow on the chart.           

Which of the following acronyms is described as ta 3rd party contractor responsible for maintaining the coding system and verifies if a code is usable for a particular product?