A 28-year-old female client is in the second stage of labor in the maternity ward.

Exhibits

A nurse is caring for a client who is in the second stage of labor. The nurse observes retraction of the fetal head against the maternal perineum.

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, two actions the nurse should take to address that condition, and two parameters the nurse should monitor to assess the client’s progress.

A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise.
Which of the following medications should the nurse anticipate a prescription from the provider for the client?

Three hours post cesarean section, the physician orders Toradol 30 mg IM every 6 hours for pain.
Toradol is available in 60 mg/mL. How many mLs should be drawn up?

A nurse is caring for a client who is in labor and has an external fetal monitor.
The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

A nurse is caring for a patient who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads in the past 30 minutes.

The nurse suspects placenta previa.

What would be an appropriate nursing action in this situation?

A nurse is caring for a client who is at 34 weeks of gestation.

The client is a 41-year-old Gravida 4 Para 3 with a history of gestational diabetes, eclampsia with a previous pregnancy, and chronic hypertension for 5 years.

The client was admitted to the antepartum unit from the provider’s office with elevated blood pressure, 3+ edema in the lower extremities, and 3+ proteinuria.

What condition is the client most likely experiencing, what are two actions the nurse should take to address that condition, and what are two parameters the nurse should monitor to assess the client’s progress?

Which blood pressure (BP) finding during the second trimester indicates a risk for pregnancy-induced hypertension?

A nurse is caring for a client in the first stage of labor who is undergoing external fetal monitoring and receiving IV fluids. The nurse observes variable decelerations in the fetal heart rate on the monitor strip.
Which of the following is the correct interpretation of this finding

A nurse is caring for a client who is 39 weeks pregnant and in active labor.

The nurse detects the fetal heart tones above the client’s umbilicus at the midline.

Which of the following positions should the nurse suspect the fetus is in?

A nurse is providing care for a patient who is at 34 weeks of gestation. The nurse is reviewing the patient’s electronic medical record to develop a plan of care. Which condition is the patient most likely experiencing, what are two actions the nurse should take to address that condition, and what are two parameters the nurse should monitor to assess the patient’s progress?

A nurse is caring for a group of patients on an intrapartum unit.
Which of the following findings should be reported to the healthcare provider immediately?