The patient with pre-eclampsia is admitted for induction of labor at 39 weeks gestation. The plan of care will include administration of  Magnesium Sulfate IVPB (MgSO4) for:

The McCaughey  septuplets made history by being the first to survive birth.  1. What birth complication did 2 of the babies have? 2. Name one of the famous people they were able to meet from the video.

A patient in the second stage of labor is ready to deliver. The doctor notes that there may be a shoulder dystocia because of the baby’s size.  What is a shoulder dystocia?

A patient diagnosed with gestational diabetes is 94.3 kg and is going to begin insulin injections. If she is 32 weeks, what is the low daily dose of insulin and what is the high daily dose of insulin that should be ordered? Follow the guidelines below. 29-34 weeks total daily dose = 0.8-0.9 units per kg actual body weight 35-40 weeks total daily dose = 0.9-1 unit per kg actual body weight Round to a whole number, only enter numbers in the space provided

A preterm patient is receiving D5 with 1/2 Normal saline via IV at a rate of 125 mL/hr. She also is receiving Penicillin 2.5million units in 100mL of normal saline every 4 hours. Calculate her total IV intake for a 12 hour shift if she receives 3 doses of penicillin during this shift. Enter only the number in the space provided

A nurse is assessing a new patient at 16 weeks. She notices scratch marks on her arms and asks what they are from. The patient says they are from her 3 cats at home. What is the most appropriate screening for this patient?

Given the following assessment for a patient at 26 weeks, which doctor’s order should be questioned? VS: T=98.7, RR=20, HR=88, B/P= 92/56 FHR=145, average variability, +accelerations, no decelerations Contractions Q10 minutes, mild to palpation Cervical Exam= 2/50/-1

A nurse notes that a patient has had 3 previous cesarean sections. What would be a potential complication?

Which baby is at highest risk for developing neonatal herpes following birth?

Be sure to slide over to see “crosses placenta”, there are 4 boxes to complete Medication Action Dose Crosses Placenta Glyburide 1.25 mg/day Metformin yes