A nurse is attending to an 8-year-old child diagnosed with acute rheumatic fever. What should be the nurse’s immediate priority assessment after admission?

A nurse in the labor and delivery unit is attending to a client in labor. The nurse applies an external fetal monitor and toco transducer.

The FHR is around 140/min.

Contractions are every 8 min and 30 to 40 seconds in duration.

The nurse performs a vaginal exam and finds the cervix is 2 cm dilated, 50% effaced, and the fetus is at a -2 station.

Which stage and phase of labor is this client experiencing?

A nurse is providing care for a client who is in preterm labor at 32 weeks of gestation.

Which medication should the nurse expect the provider to prescribe to accelerate fetal lung maturity?

A nurse is planning care for an adolescent who is postoperative following scoliosis repair with Harrington rod instrumentation.

Which of the following interventions should the nurse include in the plan of care?

A nurse on the postpartum unit is performing a physical assessment of a client who is being admitted with a suspected deep-vein thrombosis (DVT). Which of the following clinical findings should the nurse anticipate the client will exhibit?

A nurse is attending to a patient who is in preterm labor at 32 weeks of gestation. The patient asks the nurse, “Will my baby be okay?” What should the nurse respond?

A nurse is caring for a child who is having a seizure.

Which of the following actions should the nurse take? (Select all that apply.)

A nurse is providing care for an adolescent who was brought to the emergency department (ED) by their guardians due to pain in the left arm that started the previous evening.

The adolescent has a history of sickle cell disease diagnosed at age 4. They have a prescription for oral morphine sulfate and took one dose the previous evening at 1800 and another this morning at 0900.

The adolescent reports no relief from pain, rating it as 9 on a scale of 0 to 10. For each potential provider’s prescription, specify if the prescription is anticipated, nonessential, or contraindicated for the client.

A nurse is caring for a client in labor who is experiencing incomplete uterine relaxation between hypertonic contractions.

What adverse effect does the nurse recognize as a result of this contraction pattern?

A nurse is caring for a client who gave birth 2 hr ago.

The nurse notes that the client’s blood pressure is 60/50 mm Hg. What is the first action the nurse should take?

A nurse is evaluating an infant following a motor vehicle accident.

Which signs should the nurse monitor to detect increased intracranial pressure?