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A 32-year-old woman at 39 weeks’ gestation is being induced with oxytocin (Pitocin).  The nurse notes that the patient is having uterine contractions every 90 seconds, each lasting 70 seconds.  The fetal heart rate shows minimal variability without accelerations.  The patient appears uncomfortable and is requesting more pain relief.  Which of the following is the nurse’s best initial action?

A nurse is teaching a Childbirth Education Class to first time parents and is explaining what Precipitous Labor means.  One mother states, “Fast labor, what’s so bad with that?”  Which response would be the nurse’s best reply? 

A nurse is providing prenatal education to a pregnant client during her first trimester.  Which of the following substances are known teratogens that could harm the fetus if exposed in utero (select all that apply)?

A nurse is assisting with a vaginal delivery and notices the fetal head is “turtling” which leads the nurse to suspect shoulder dystocia.  Which interventions should the nurse implement to help with the delivery (select all that apply)?

 A primipara who is 19 weeks pregnant according to the first day of her last menstrual period wants to have an ultrasound to see “how far along she really is.”  Which of the following is the best response by the nurse?

A nurse is educating a first-time pregnant client on the importance of performing daily fetal kick counts at home.  Which of the following best explains the rationale for this teaching? 

A labor and delivery nurse just completed a sterile vaginal exam on a laboring patient.  The baby’s position is determined to be OP (occiput posterior).  What maternal positions would facilitate helping the baby turn to a more favorable position (select all that apply)?

A 34-week pregnant client arrives for a scheduled non-stress test (NST).  The nurse places the fetal monitor and explains the procedure.  Which client statement indicates that further teaching is needed?

The nurse is taking vital signs on a pregnant client at a prenatal clinic: Temperature  37 C Pulse  98 Respirations  16 P  112/68 The client states, “Why is my heart rate so high? It was never that high before I got pregnant.”  Which response by the nurse is best?

A 28-year-old woman who is 31 weeks pregnant is admitted to the labor and delivery unit with complaints of lower abdominal cramping and intermittent low back pain. On assessment, her cervix is 2 cm dilated and 70% effaced. She is having regular contractions every 6 minutes. The fetal heart rate is 145 bpm with moderate variability and accelerations. The provider diagnoses preterm labor and orders IV fluids, a tocolytic, and a dose of betamethasone.  Which of the following is the nurse’s priority intervention at this time?