Outside of the classroom, you should only communicate with your instructor only through e-mail.

During a vaginal exam, the nurse notes that the fetal presenting part is at +1 station. What does this finding indicate?

A nurse is teaching a first-trimester pregnant patient about the normal physiological changes during pregnancy. Which of the following changes should the nurse include in the teaching?

A patient who is in the second stage of labor is being coached to push with each contraction. What is the most important reason for allowing the patient to rest between contractions?

What category is the following strip?

A laboring patient declines an epidural for pain relief despite being in severe pain, citing a personal belief that childbirth should be natural. The healthcare provider suggests an epidural, but the patient continues to refuse. What is the nurse’s appropriate action?

A patient at 34 weeks’ gestation reports lightheadedness and dizziness when lying on her back. What is the nurse’s best response?

A nurse is providing prenatal care to a patient whose culture encourages the involvement of extended family in medical decisions. The patient’s mother is speaking on behalf of the patient during the visit. What is the most culturally appropriate response?

A nurse is caring for a patient who is in the transition phase of labor, 8 cm dilated, and is experiencing strong contractions every 1.5 minutes. The patient is visibly anxious and begins to tremble. She just received an epidural 10 minutes ago. Upon assessment, the nurse notes the following: the fetal heart rate is 130 bpm with moderate variability, and the patient’s blood pressure is 90/60 mmHg. Identify cues: Which cues from the above scenario should prompt the nurse to take immediate action?

Which structure in fetal circulation allows blood to bypass the fetal liver?