A nurse midwife is examining a patient who is at 42 weeks of gestation and believes she is in labor.
Which of the following findings would confirm to the nurse that the patient is in labor?

A nurse is attending to a first-time pregnant woman who is at term.

She is experiencing contractions but is unsure if she is in labor.

Which of the following should the nurse identify as a labor sign?

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 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 client who is in active labor and notes late decelerations in the FHR.
Which of the following actions should the nurse take first?

A nurse has received an order to administer Morphine 5mg IV once immediately.
The available concentration is 2.5 mg/mL. How many mL of morphine should the nurse prepare for administration?

A nurse is caring for a term macrosomic newborn whose mother has poorly controlled type 2 diabetes.

The newborn has respiratory distress syndrome.

The nurse should be aware that the most likely cause of the respiratory distress is which of the following?

A nurse is caring for a newborn who has macrosomia and whose mother has diabetes mellitus.
Which of the following newborn complications should the nurse recognize as the priority focus of care?

A client is due to receive a subcutaneous injection of enoxaparin, 30 mg. How many mL should the nurse administer if the answer is to be rounded to the nearest tenth? (Use a leading zero if applicable.

A nurse is monitoring a patient who is receiving magnesium sulfate to manage pre-eclampsia.
Which of the following observations should the nurse report to the healthcare provider?

A patient is in preterm labor at 30 weeks gestation.

Her OB orders antenatal steroids.

The order is for the nurse to administer betamethasone IM and to repeat the dose after 2 hours.

Betamethasone is available as 4mg/mL in 10 mL vials.

How many mL will the nurse draw up in the syringe for each dose?