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A 30-year-old woman at 34 weeks of gestation comes to the clinic for a routine prenatal visit.  She complains of lower back pain that worsens by the end of the day and when she stands for prolonged periods.  She has no fever, urinary symptoms, or trauma.  The nurse observes that she has a noticeable sway in her posture.  Which of the following is the most likely cause of her discomfort?

A nurse is educating a pregnant client about the hormonal changes that support her pregnancy.  Which hormone is primarily responsible for increasing vascularization of the uterus, promoting breast tissue growth, and contributing to hyperpigmentation during pregnancy?

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?