A nurse is assessing a client who is 4 hours postpartum following a vaginal delivery. Which of the following findings should the nurse identify as the priority?

A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client’s amniotic membranes are intact.
The client suddenly states that she needs to push. Which of the following actions should the nurse take?

A nurse is caring for a client who had a vaginal delivery 2 hours ago.
Which of the following actions should the nurse anticipate in the care of this client? (Select all that apply.)

A nurse in a prenatal clinic is caring for a client.

Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client’s right side.

In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?

A 28-year-old female client is admitted to the labor and delivery unit at 0700hrs. She is 34 weeks pregnant and reports having low back pain and frequent urination since last night. She mentions that urination is painful and she can only pass a small amount each time.

Given the client’s symptoms and the progression of her condition, the nurse suspects that the client may be experiencing complications related to preterm labor and a possible urinary tract infection (UTI). For each characteristic in the table, select whether it is more likely to be associated with preterm labor, a urinary tract infection (UTI), or both. Each column must have at least one response option selected. Candidates can select as many options as apply for each column.

A nurse is caring for a newborn and assessing newborn reflexes.

 To elicit the Moro reflex, what action should the nurse take? 

A nurse is caring for a client who is in labor.
Which of the following nursing actions reflects application of the gate control theory of pain?

What is the most likely cause of respiratory distress syndrome in a term macrosomic newborn whose mother has poorly controlled type 2 diabetes?

A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor, which of the following assessment findings should the nurse report to the provider first?

A nurse admits a woman who is at 38 weeks of gestation and in early labor with ruptured membranes.
The nurse determines that the client’s oral temperature is 38.9°C (102°F). Besides notifying the provider, which of the following is an appropriate nursing action?

A nurse is assisting a client who is postpartum with her first breastfeeding experience.
When the client asks how much of the nipple she should put into the newborn’s mouth, which of the following responses should the nurse make?