A nurse is caring for a client in the second stage of labor who does not want any tools used to assist with the vaginal birth. Which of the following interventions should the nurse understand will help prevent an assisted vaginal birth? (Select All that Apply.)

A nurse is caring for a client on the labor and delivery unit.

Complete the following sentence by using the lists of options.

The client is at highest risk for developing

A client is ordered ampicillin 0.5 g po every 6 hours. On hand are ampicillin capsules labeled 250mg. How many capsules will the nurse administer for single dose?

A nurse on a postpartum unit is caring for a client.

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Nurses' Notes

2hr postpartum:

Client is 2 hr postpartum following vaginal delivery. Client alert and oriented. Lungs clear to auscultation bilaterally. S1 S2 auscultated, no murmur. Abdomen soft, nontender. Uterus firm and midline, 1 cm below the umbilicus. Moderate amount of lochia rubra present on perineal pad.

24 hr postpartum:

Client alert and oriented. Lungs clear to auscultation bilaterally. S1,S2 auscultated, no murmur. Abdomen soft, nontender. Uterus boggy and midline, 2 cm below the umbilicus. Moderate amount of lochia rubra present on perineal pad, foul odor present.

Vital signs:

1 hr postpartum:

Temperature 37.5° C (99.5° F)

Heart rate 88/min

Respiratory rate 16/min

Blood pressure 118/78 mm Hg

24 hr postpartum:

Temperature 38.3° C (100.9° F)

Heart rate 105/min

Respiratory rate 18/min

Blood pressure 115/78 mm Hg

A nurse in a hospital is caring for a client who is 4 hour postpartum. Which of the following interventions should the nurse first perform after finding that the client's uterus is not firm? (Select All that Apply.)

A nurse is assessing a client who is 8 hour postpartum. Where should the nurse expect to find the fundus?

A nurse is caring for a newborn immediately following birth.

Click to highlight the newborn's assessment findings that require follow-up by the nurse.

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A nurse is caring for a newborn immediately following birth.

Nurses' Notes

2100:

Newborn has strong, steady cry. Skin tone consistent with genetic background. Acrocyanosis noted on bilateral extremities and hands.

Respirations are even and unlabored. Lung fields clear. Brachial pulse regular. Apical heart rate regular. Moves all extremities actively.

2200:

Newborn has occasional strong cries. Skin tone consistent with genetic background. Acrocyanosis noted on bilateral extremities and hands.

Lanugo noted on the posterior back. Respirations are even and unlabored. Sternal retractions noted. Lung fields with coarse rhonchi

noted in bilateral lung fields. Brachial pulse regular. Apical heart rate regular. Moves all extremities actively

Vital signs

2100:

Temperature 36.5° C (97.7° F) Axillary

Heart rate 152/min

Respiratory rate 54/min

2200:

Temperature 35.7° C (96.3° F) Axillary

Heart rate 140/min

Respiratory rate 68/min

A client is ordered digoxin 0.25mg po. daily. On hand is a liquid in a dropper bottle labeled 500mcg/10mL. How many milliliters will be administered?

The nurse asks a laboring client to lie on her left side. The appropriate rationale for this measure is to:

The nurse is obtaining an obstetrical history on a currently pregnant woman. The client has an 18-month-old daughter who was delivered 2 days after estimated due date and a 3-year-old son who was born at 35 weeks' gestation. Before her son was born, she lost two pregnancies: one at 10 weeks and the other at 22 weeks. Using the GTPAL method, how would the nurse record this history?

A nurse Is caring for a primigravid client who is at 36 weeks of gestation and asks, "How will I know if I am in labor?" Which of the following manifestations of true labor should the nurse discuss with the client? (Select All that Apply.)