Author: Anonymous

A gravid client is 27 weeks gestation and has been diagnosed with gestational diabetes. Which of the following therapies will most likely be ordered for this client?

A nurse in a provider’s office is caring for a client who is pregnant. Vital Signs0800:Temperature 36 .6º C (97.9º F)Pulse rate 88/minRespiratory rate 20/minBlood Pressure 179/99 mm Hg 0815:Pulse rate 82/minRespiratory rate 16/minBlood Pressure 168/104 mm Hg 0830:Pulse rate 81/minRespiratory rate 16/minBlood Pressure 170/101 mm Hg Medical History0830:Gravida 3 Para 232 weeks of gestationAllergies: PenicillinHeight 5 feet 4 inches, 163 cmWeight 178 lb, 80.7 kgBMI 30.6 6 lb weight gain over the last 2 weeksClient reports, “I have had a headache for 5 days, blurred vision, and dizziness. Tylenol does not relieve it.”Client reports swelling of their feet and fingers.2+ pitting edema of the lower extremities noted bilaterally. Swelling of the fingers and hands noted.Deep tendon reflexes 3+, absent clonusFetal heart tones (FHT) 148/min Which of the following abnormal assessment findings should the nurse report to the provider?

During a prenatal examination, a client, 36 weeks gestation, is in the supine position. She complains of dizziness and nausea. What nursing action would the nurse integrate in order to correct this complaint?

A 24-year-old gravida 1, para 0 woman at 8 weeks gestation based on her last menstrual period presents to the clinic for follow up after an ER visit for intense abdominal cramping and heavy bleeding. Two days after her ER visit, she is reporting scant vaginal bleeding but has no abdominal pain. What is the most likely cause of these symptoms?

A client is a G4 P0 (T0 P0 A3 L0), she is 12 weeks’ gestation. She has been admitted to the labor and delivery suite for cerclage procedure. Which of the following long-term outcomes is appropriate for this client?

A client has labor induced at 41 weeks gestation. The physician orders Oxytocin to be started at 2 milliunits per minute at 0500, and increased by 2 milliunits per minute every 30 minutes. The nurse adds 30 units of Oxytocin to 500 ml LR. At 0530 how many mL/hr will the nurse increase the pump?

A 30-year-old female is 20 weeks pregnant with twins. She has a 6 year old who was born at 40 weeks gestation. She has no history of miscarriage or abortion. What is her GTPAL?

Keegan Myers is the co-founder of M22, an outdoor apparel brand based in Northern Michigan. Keegan would like to measure M22’s brand equity, because he is specifically interested in accomplishing two goals: (1) understanding whether consumers hold some favorable, strong, and unique brand associations for M22, and (2) knowing the dollar value of the differential market-level performance that his outdoor apparel is able to capture with the M22 brand name compared to the same apparel without the M22 name. What should Keegan do to best accomplish these goals?

A 25 year old G2P1 patient has come to the obstetric triage room at 32 weeks with the complaint of painless vaginal bleeding. A nurse is providing orientation for a new RN on the unit. Which statement by the new RN would require prompt immediate intervention?

A nurse is caring for a client who is 31 weeks of gestation.Medical HistoryClient is 31 weeks of gestation, gravida 1. Admitted from the provider’s office with a history of a low-lying placenta and active vaginal bleeding for 1 hr. There was a history of spotting at 12 weeks of gestation. Client was placed on bed rest for 2 months with pelvic rest. Vital SignsOral temperature: 36.4° C (97.7° F)Heart rate 110/minRespiratory rate: 18/minBlood pressure: 88/50 mm HgOxygen saturation: 96% on room airFetal heart rate: 180/minDiagnostic Results1000: Hct: 27% (> 33%)Hgb: 8 g/dL (> 11 g/dL)Platelet count: 90,000/mm³ (150,000 to 400,000/mm³)WBC count: 9,000/mm³ (5,000 to 10,000/mm³)Maternal blood type: O+ Ultrasonographic findings reveals:Placenta location is located in the lower uterine segment.Fetal position is vertex.Station of the presenting part is high.Medication Administration RecordAdminister Betamethasone 12 mg IM now and repeat in 24 hrNurses Notes0830: Client is admitted from provider’s office. Client is at 31 weeks of gestation and reports active vaginal bleeding for the last hour. The client is admitted to the labor and birth unit. Abdomen is soft and nontender. The client denies abdominal pain.Perineal pad is saturated with bright red vaginal bleeding. Fetal heart tones 180/min (110 to 160 beats/min) with minimal variability and occasional late decelerations noted.Fundal height is 30 cm. Blood drawn for type and cross match.Which two (2) parameters should the nurse prioritize when assessing this client?