A nurse is preparing to administer digoxin to a 6-month-old infant. Before administering the dose, the nurse measures the apical heart rate.

The nurse should withhold the dose if the infant’s apical heart rate is less than what rate? .

A nurse is caring for a newborn who was born at 38 weeks of gestation, weighs 3,200 g, and is in the 60th percentile for weight.

How should the nurse classify this neonate based on the weight and gestational age?

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 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 caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia.

Which of the following findings should the nurse identify as inconsistent with preeclampsia?

A nurse is caring for an adolescent with spina bifida who is paralyzed from the waist down. Which of the following client statements should alert the nurse to the need for further education?

A nurse is administering magnesium sulfate IV to a client with severe preeclampsia for seizure prophylaxis. Which of the following are indications of magnesium sulfate toxicity? (Select all that apply.)

A client at 36 weeks gestation has just delivered a stillborn baby. What should the nurse say?

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 caring for a laboring patient with an external fetal monitor. The nurse notices late decelerations on the monitor strip.

What does the nurse interpret this as indicating?

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.